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J Spinal Disord Tech. 2013 Jul;26(5):274-80. doi: 10.1097/BSD.0b013e3182440dce.

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

Author information

1
American Family Children's Hospital, University of Wisconsin, Madison, WI, USA. halanski@ortho.wisc.edu

Abstract

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.

PMID:
22228212
DOI:
10.1097/BSD.0b013e3182440dce
[Indexed for MEDLINE]
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