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Three solutions to a single problem: alternative casting frames for treating infantile idiopathic scoliosis

STUDY DESIGN: This is a technique article discussing 3 alternative frames for casting children with infantile scoliosis. OBJECTIVE: To provide surgeons with alternatives to expensive specialized casting tables to allow local treatment of these children utilizing readily available materials present at most institutions. SUMMARY OF BACKGROUND: Casting for infantile scoliosis has become more popular as reports have shown promising results with this technique without the morbidity and complications associated with more invasive procedures. However, without a specialized casting table, treating these patients has been limited to a few centers throughout the country often causing patients to travel large distances to receive care. METHODS: Three different alternatives to commercially available casting frames are presented. Requirements, setup, and techniques are discussed. RESULTS: Each surgeon has had success with each of these frames. These provide adequate support and traction while allowing enough access to the trunk to apply a well-molded cast. CONCLUSIONS: Cotrel/Metha casting for infantile scoliosis can be accomplished without a specialized table using commonly available equipment

Keywords : Braces,complications,diagnosis,Female,Humans,Infant,instrumentation,Male,methods,Morbidity,Patients,Scoliosis,Solutions,standards,therapy,Traction,Treatment Outcome,Universities,, Solutions,Single,Problem, london idd

Date of Publication : 2013 Jul

Authors : Halanski MA;Harper BL;Cassidy JA;Crawford HA;

Organisation : American Family Children’s Hospital, University of Wisconsin, Madison, WI, USA. halanski@ortho.wisc.edu

Journal of Publication : J Spinal Disord Tech

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22228212

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