Casting for early onset scoliosis in resource limited setting.

IF 2.6 3区医学 Q2 ORTHOPEDICS International Orthopaedics Pub Date : 2025-05-01 Epub Date: 2025-03-21 DOI:10.1007/s00264-025-06456-w

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

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Abstract

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.

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在资源有限的情况下铸造治疗早发性脊柱侧凸。

目的：早发性脊柱侧凸（EOS）手术伴生长棒有并发症。虽然铸造是另一种选择，但通常无法获得特殊的框架和培训。我们的研究评估了一个简单的，可重复的铸造技术，EOS使用普遍可用的设备，没有一个特殊的铸造表。方法：27例EOS患儿使用两个站立凳，颈椎Sayre牵引工具和金属板，采用简单的技术进行连续铸造。石膏每三到四个月更换一次。记录术前、术后及随访的Cobb角及并发症。将患者分为先天性（CS）和非先天性（NCS）两组进行比较。结果：27名患有EOS的儿童（平均年龄4.15岁）进行了116次铸造手术（平均4.29个铸造/患者）。注意到显著的曲线校正（63.85°至33.8°）(p结论：该技术产生的结果与传统铸造表/框架相似，是资源有限环境的理想选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.