NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 12 sources, which was discussed by the committee. The evidence included 1 meta-analysis, 3 non-randomised comparative studies, 7 case series and 1 case report. It is presented in the summary of key evidence section in the interventional procedures overview.
The professional experts and the committee considered the key efficacy outcomes to be: improvement in quality of life and lung function, reduction in scoliotic curve and maintenance of spinal mobility.
The professional experts and the committee considered the key safety outcomes to be: pain, bleeding, infection, tether rupture and need for further surgery.
Patient commentary was sought but none was received. Patient organisation feedback was received during consultation.
The committee was informed that:
This procedure is indicated for patients with progressive scoliosis who still have significant growth potential.
This procedure does not preclude a subsequent posterior spinal surgery if indicated.
This procedure may be done when more conservative treatment such as bracing has failed.
There is more than 1 device available for this procedure.
ISBN: 978-1-4731-4618-1