Priority 4 from the Scoliosis PSP

UNCERTAINTY: What are the long-term outcomes and side-effects of surgery? (JLA PSP Priority 4)
Overall ranking	4
JLA question ID	0059/4
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - Theis J, Gerdhem P, Abbott A. Quality of life outcomes in surgically treated adult scoliosis patients: a systematic review. European Spine Journal 2014: epub Danielsson AJ1, Nachemson AL.Back pain and function 23 years after fusion for adolescent idiopathic scoliosis: a case-control study-part II. Spine 15;28(18):E373-83.
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	Is there really any more than a body image and cosmetic value to idiopathic scoliosis surgery ~ What are consequences of spinal fusion ~ How does corrective scoliosis surgery with significant spinal fusion (causing a significant restriction in movement) affect patients later in life? ~ what are longer-term outcomes and health issues for patients who have undergone fusion for adolescent idiopathic scoliosis during their teenage years ~ What are the long term outcomes of spinal fusion surgery, reviewing outcomes such as pain and quality of life and ability to work

Extra information provided by this PSP

Original uncertainty examples

Is there really any more than a body image and cosmetic value to idiopathic scoliosis surgery ~ What are consequences of spinal fusion ~ How does corrective scoliosis surgery with significant spinal fusion (causing a significant restriction in movement) affect patients later in life? ~ what are longer-term outcomes and health issues for patients who have undergone fusion for adolescent idiopathic scoliosis during their teenage years ~ What are the long term outcomes of spinal fusion surgery, reviewing outcomes such as pain and quality of life and ability to work

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