What were we asked to look at?
The Scottish Health Technologies Group (SHTG) was asked to evaluate the clinical effectiveness, cost effectiveness, safety and patient experience of orthotic bracing for the treatment of children and young people (<18 years) with idiopathic scoliosis.
Why is this important
Clinical experts advise that while surgery for idiopathic scoliosis is not necessarily avoided with bracing, it is delayed, and the number of surgeries a child or young person may need to endure can be greatly reduced. Repeated surgeries in young children can have negative and serious impacts on their mental wellbeing and potentially their long term development.
The Scottish National Spine Service (SNSS), is a specialist service commissioned by the National Services Division (NSD). The SNSS has highlighted the need for an evidence review on the use of corrective orthotic bracing in children and young people with idiopathic scoliosis to support clinical practice in Scotland.
Spinal operations in Scotland are currently performed at two hospitals in Edinburgh: the new Royal Hospital for Children and Young People and new Department of Clinical Neurosciences in an area on the South side of Edinburgh called Edinburgh Bioquarter. Clinics are held at these hospitals and the new Royal Hospital for Children, Glasgow.
National Services Division (NSD) and clinical experts from the Scottish National Spine Service (SNSS)