NDLI: Serial derotational casting in congenital scoliosis as a time-buying strategy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Demirkiran, Halil G. Bekmez, Senol Celilov, Rustem Ayvaz, Mehmet Dede, Ozgur Yazici, Muharrem
Spatial Coverage	Turkey
Description	Country affiliation: Panama Author Affiliation: Demirkiran HG ( *Department of Orthopaedics and Traumatology, Hacettepe University Faculty of Medicine Department of Orthopaedics and Traumatology, Dr Sami Ulus Children's Hospital, Ankara, Turkey Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA.)
Abstract	BACKGROUND: Serial casting is an effective treatment modality in early-onset idiopathic scoliosis; however, the role of this method in congenital scoliosis is not well studied. METHODS: A total of 11 patients with progressive congenital scoliosis were treated with serial cast application. Age at initial cast application, magnitudes of the congenital, compensatory and sagittal deformities, coronal balance, T1 to T12 height, number of casts and time-in cast per patient, subsequent surgical interventions, and complications were evaluated. RESULTS: Mean age at the first cast application was 40 months, and the average number of cast changes was 6.2 per patient. There were no major complications. The average precasting curve magnitude was 70.7 degrees (range, 44 to 88 degrees) and was significantly reduced to 55.1 degrees (range, 16 to 78 degrees) at the latest follow-up (P=0.005). The average precasting compensatory curve was 55.8 degrees (range, 38 to 72 degrees) and was significantly reduced to 39.8 degrees (range, 23 to 62 degrees) at the latest follow-up (P=0.017). Average T1 to 12 height increased from 12.8 cm at post-first cast to a 14.6 cm at the latest follow-up (P=0.04). Average time in cast was 26.3 months (range, 13 to 49 mo). During the treatment period, none of the patients required surgery for curve progression. CONCLUSIONS: Serial derotational casting is a safe and effective time-buying strategy to delay the surgical interventions in congenital deformities in the short-term follow-up. LEVEL OF EVIDENCE: Level IV, case series.
File Format	HTM / HTML
ISSN	02716798
Issue Number	1
Volume Number	35
e-ISSN	15392570
Journal	Journal of Pediatric Orthopaedics
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Casts, Surgical Orthopedic Procedures Scoliosis Child, Preschool Disease Progression Female Humans Male Instrumentation Methods Patient Selection Retrospective Studies Congenital Diagnosis Surgery Treatment Outcome Turkey Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health

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