Priority 11 from the Scoliosis PSP

UNCERTAINTY: Can the instrumentation (rods/ implants etc) cause harm in the short or long term? (JLA PSP Priority 11)
Overall ranking	11
JLA question ID	0059/11
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - None identified
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	Now that men with DMD are living longer, are we seeing problems relating to pain years after scoliosis surgery, postural adaptation through metal fatigue over time, or further surgical intervention? ~ How likely are the screws and rods likely to shift post-surgery? I.e. what sort of impact is safe? ~ why is there such a high failure rate with magnetic rods, there needs to be a better option for growing children.

Extra information provided by this PSP

Original uncertainty examples

Now that men with DMD are living longer, are we seeing problems relating to pain years after scoliosis surgery, postural adaptation through metal fatigue over time, or further surgical intervention? ~ How likely are the screws and rods likely to shift post-surgery? I.e. what sort of impact is safe? ~ why is there such a high failure rate with magnetic rods, there needs to be a better option for growing children.

PSP information
PSP unique ID	0059
PSP name	Scoliosis
Total number of uncertainties identified by this PSP.	54 (To see a full list of all uncertainties identified, please see the PSP final report held on the JLA website)
Date of priority setting workshop	4 November 2017