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Purpose <p>Early onset scoliosis (EOS) surgery with growth rods has complications. While casting is an alternative, special frames and training are often unavailable. Our study evaluates a simple, reproducible casting technique for EOS using universally available equipment without a special casting table.</p> Methods <p>27 children with EOS underwent serial casting with a simple technique using two standing stools, a Cervical Sayre traction kit, and a metal plate. Casts were changed every three to four&#xa0;months. Pre, post, and follow-up Cobb angles and complications were recorded. Patients were grouped into congenital (CS) and non-congenital (NCS) EOS and compared.</p> Results <p>27 children (mean age 4.15 years) with EOS underwent 116 casting procedures (mean 4.29 casts/patient). Significant curve correction (63.85° to 33.8°) was noted (<i>p</i> &lt; 0.05). NCS had better correction than CS post-first cast (<i>p</i> &lt; 0.05). Complications included three dermatitis and one mild respiratory distress.</p> Conclusion <p>The technique yielded results similar to those of traditional casting tables/frames and is ideal for resource-limited settings.</p>

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Casting for early onset scoliosis in resource limited setting

  • 期刊论文

  • 发表日期：

    2025年3月21日

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  • Arjun Dhawale,
  • Shubhanshu Bhaladhare,
  • Akshay Gadia,
  • Munjal Shah,
  • Sarang Rokade,
  • Deepika Pinto,
  • Abhay Nene,
  • Ashok Johari

摘要

Purpose

Early onset scoliosis (EOS) surgery with growth rods has complications. While casting is an alternative, special frames and training are often unavailable. Our study evaluates a simple, reproducible casting technique for EOS using universally available equipment without a special casting table.

Methods

27 children with EOS underwent serial casting with a simple technique using two standing stools, a Cervical Sayre traction kit, and a metal plate. Casts were changed every three to four months. Pre, post, and follow-up Cobb angles and complications were recorded. Patients were grouped into congenital (CS) and non-congenital (NCS) EOS and compared.

Results

27 children (mean age 4.15 years) with EOS underwent 116 casting procedures (mean 4.29 casts/patient). Significant curve correction (63.85° to 33.8°) was noted (p < 0.05). NCS had better correction than CS post-first cast (p < 0.05). Complications included three dermatitis and one mild respiratory distress.

Conclusion

The technique yielded results similar to those of traditional casting tables/frames and is ideal for resource-limited settings.