Survey to describe variability in early onset scoliosis cast practices

Journal of Children's Orthopaedics
A Grzywna Growing Spine Study Group

Abstract

To investigate paediatric orthopaedists' cast practices for early onset scoliosis regarding patient selection, cast application, radiographic evaluation, treatment cessation and adjunctive bracing. A casting survey was distributed to all paediatric orthopaedists in Children's Spine and Growing Spine Study Groups (n = 92). Questions included physician and patient characteristics, technique, treatment, outcomes, radiographic measurements and comparison to other treatments. A total of 55 orthopaedists (60%) responded, and descriptive statistics were calculated on the subset who cast (n = 45). A majority of respondents use cast treatment for idiopathic and syndromic scoliosis patients, but not for neuromuscular or congenital scoliosis patients. Major curve angle ranked most important in orthopaedists' decision to commence cast treatment, in comparison with rib-vertebra angle difference or clinical observations. The major curve angle threshold to initiate casting was a median of 30° (20° to 70°), and the minimum patient age was median ten months (3 to 24). First in-cast and out-of-cast radiographs are taken standing, supine, awake, under anesthesia and/or in traction. In all, 58% consistently cast over or under the arm, while 44% va...Continue Reading

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Citations

May 30, 2020·Journal of Pediatric Orthopedics·Kazuki KawakamiNoriaki Kawakami
Jul 24, 2020·The Journal of Bone and Joint Surgery. American Volume·Jerry Y DuUNKNOWN Pediatric Spine Study Group
Oct 8, 2020·The Journal of Bone and Joint Surgery. American Volume·Jerry Y DuUNKNOWN Pediatric Spine Study Group

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