Abstract The present article is an opinion paper referring to adult scoliosis, sarcopenia and their relation. There is a presentation of adult scoliosis and sarcopenia as a whole including their classifications, aetiopathogenesis, clinical picture and evaluation, therapy options and complications, risk factors and consequences. The most important part is how sarcopenia and adult scoliosis can coexist and how this relation can lead to secondary problems for the patient as falls. Treatment options, for the elimination of all the above pathological conditions, are introduced in order to improve patient’s life and his ADL.