2021 Volume 12 Issue 11 Pages 1326-1331
Background: In our center we treat early-onset scoliosis with corrective cast and brace from 2017. The main treatment for Early-onset scoliosis is the growth friendly spine surgery. Few centers provide corrective cast treatment so we report our short-term outcome.
Methods: A review of a single center's experience with corrective casting was performed from 2017 to 2020. Patients were included who treated with corrective cast more than 4 times. Radiographic evaluation was performed.
Results: There were 18 patients included. Average age at first corrective cast was 4.9 years. 2 were congenital, 11 were symptomatic and 5 were idiopathic scoliosis. The main thoracic Cobb angle before casting was 69.4±23.4 degrees, which corrected to 41.3±19.0 degrees in a cast. And correction rate was 39.2%. Cobb angle was 53.3±25.6 degrees in brace, and after cast removal was 59.3±26.8 degrees. Average corrective cast was performed 7times. There was no serious complication. Only one patient undergone surgery.
Conclusions: Corrective cast can correct the scoliotic spine more effectively than bracing. Corrective cast may help delay surgical intervention. We will continue report these patients.
