Priority 22 from the Scoliosis PSP

UNCERTAINTY: What are the best ways to care for people with scoliosis in the long-term, after surgery? (JLA PSP Priority 22)
Overall ranking	22
JLA question ID	0059/22
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - Fletcher ND1, Shourbaji N, Mitchell PM, Oswald TS, Devito DP, Bruce RW. 2014. Clinical and economic implications of early discharge following posterior spinal fusion for adolescent idiopathic scoliosis. J Child Orthop.8(3):257-63. Shan LQ, Skaggs DL, Lee C, Kissinger C, Myung KS. Intensive care unit versus hospital floor: a comparative study of postoperative management of patients with adolescent idiopathic scoliosis. Journal of Bone and Joint Surgery. American volume 2013; 95(7):e40
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	Once spinal surgery has been undertaken fro adolescent idiopathic scoliosis - should outpatient physiotherapy be given? ~ Do we overprotect patients post-operative (esp. AIS) consideration strength of modern instrumentation? ~ Following a fusion with rods operation on a patient over 50 should physiotherapy follow and should an annual check up be made. ~ Should patients of scoliosis who have had their operation when they were children, receive automatic follow-up check-ups in their later lives to see if advances in the treatment of scoliosis can further improve their lives? ~ I had harrington rod and spinal fusion - I frequently have lumbar back pain (unfused part of my spine) which I can manage - I am now in my late 40s and wonder what I can do to prevent problems, such as arthritis in spine as I get older. ~ What is the best way to rehabilitate neuromuscular patients post operatively to ensure correction to spine holds well as it is the weakness of muscles that leads to onset and progression of scoliosis

Extra information provided by this PSP

Original uncertainty examples

Once spinal surgery has been undertaken fro adolescent idiopathic scoliosis - should outpatient physiotherapy be given? ~ Do we overprotect patients post-operative (esp. AIS) consideration strength of modern instrumentation? ~ Following a fusion with rods operation on a patient over 50 should physiotherapy follow and should an annual check up be made. ~ Should patients of scoliosis who have had their operation when they were children, receive automatic follow-up check-ups in their later lives to see if advances in the treatment of scoliosis can further improve their lives? ~ I had harrington rod and spinal fusion - I frequently have lumbar back pain (unfused part of my spine) which I can manage - I am now in my late 40s and wonder what I can do to prevent problems, such as arthritis in spine as I get older. ~ What is the best way to rehabilitate neuromuscular patients post operatively to ensure correction to spine holds well as it is the weakness of muscles that leads to onset and progression of 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