Priority 17 from the Scoliosis PSP

UNCERTAINTY: Would there be benefits to screening children / young people for scoliosis? How could this be done? (JLA PSP Priority 17)
Overall ranking	17
JLA question ID	0059/17
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - Fong, D., C. Lee, K. Cheung, J. Cheng, B. Ng, T. Lam, K. Mak, P. Yip and K. Luk (2010). "A Meta-Analysis of the Clinical Effectiveness of School Scoliosis Screening." Spine 35(10): 1061-1071. Labelle, H., S. Richards, M. De Kleuver, T. Grivas, K. Luk, H. Wong, J. Thometz, M. Beauséjour, I. Turgeon and D. Fong (2013). "Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force." Scoliosis 8(17). Ehrmann Feldman D, Beausejour M, Sosa JF, Goulet L, Parent S, Labelle H, Quebec Scoliosis Society and Canadian Pediatric Spinal Deformities Study Group. Cost effectiveness of school screening for scoliosis: a systematic review. International Journal of Child and Adolescent Health 2014; 7(1): 7-13
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	What screening test or measurements best indicate a progressive scoliosis in a very young child. ~ Is there any benefit to restarting a school assessment process to pick up early curves in early teens ? ~ Should we bring back school scoliosis screening? Now we have efficacious treatments like bracing and Vertebral Body Tethering, and vertebral Body Stapling, there is a rationale for early diagnosis and treatment. ~ My scoliosis was found by accident, why do doctors not check for it ~ Young teens have routine appointments for injections etc, is there a way to build in screening for scoliosis? ~

Extra information provided by this PSP

Original uncertainty examples

What screening test or measurements best indicate a progressive scoliosis in a very young child. ~ Is there any benefit to restarting a school assessment process to pick up early curves in early teens ? ~ Should we bring back school scoliosis screening? Now we have efficacious treatments like bracing and Vertebral Body Tethering, and vertebral Body Stapling, there is a rationale for early diagnosis and treatment. ~ My scoliosis was found by accident, why do doctors not check for it ~ Young teens have routine appointments for injections etc, is there a way to build in screening for scoliosis? ~

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