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J Child Orthop. 2016 Oct;10(5):405-11. doi: 10.1007/s11832-016-0762-4. Epub 2016 Jul 28.

A brief history and review of modern casting techniques in early onset scoliosis.

Journal of children's orthopaedics

Ozgur Dede, Peter F Sturm

Affiliations

  1. Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, 4401 Penn Avenue, Faculty Pavilion 4th Floor, Pittsburgh, PA, 15224, USA. [email protected].
  2. Department of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnett Avenue, MLC 2017, Cincinnati, OH, 45229, USA.

PMID: 27469082 PMCID: PMC5033781 DOI: 10.1007/s11832-016-0762-4

Abstract

PURPOSE: Body casts have a long history in the treatment of spinal deformity. Currently the use of body casts is limited to early onset scoliosis. Here, we aim to provide a brief narrative of the evolution of cast application for the management of spinal deformity.

METHODS: A history of cast application is provided with a brief review of the orthopedic literature. The current indications for cast application and the authors' preferred technique are described.

RESULTS: Serial casting is an effective treatment method for early onset scoliosis. It may be definitive for most idiopathic curves or used to delay surgical intervention in more severe idiopathic, syndromic and even congenital curves.

CONCLUSIONS: Surgeons who treat children with early onset scoliosis should familiarize themselves with serial cast application techniques.

Keywords: Body cast; Early onset scoliosis; Mehta cast; Risser cast

Conflict of interest statement

No potential conflict of interest was reported by the authors. Funding No funding was received by the authors for production of this manuscript. Ethical approval This article does not contain any stud

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