Comparison of two types of casting in early-onset scoliosis

2021 ◽  
Author(s):  
C Tassone ◽  
J Thometz ◽  
B Escott ◽  
C Spellman ◽  
XC Liu
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Chi Square ◽  
Radiographic Outcomes ◽  
Serial Casting ◽  
Radiographic Measurements ◽  
Wilcoxon Rank Sum Test ◽  
Chi Square Test ◽  
To Receive

Early-onset scoliosis (EOS) can be a progressive and debilitating condition if left untreated. Different casting techniques have fallen in and out of favor over the years for conservative management. Two types of casting, elongation-derotation-flexion (EDF) and body casting (BC) are employed at our institution. Here we compare the radiographic outcomes between these two types of casting in a cohort of patients diagnosed with EOS. Sixteen children with EOS were treated by EDF serial casting while seventeen children with the same diagnosis were treated by BC. Radiographic measurements included Cobb angle, rib-vertebral-angle difference (RVAD) and vertebral rotation (VR) by Nash-Moe method in casting (IC) or out of casting (OOC), thoracic height (TH) and width (TW). All of the patients had x-ray measurements at pre-casting OOC, 1st IC and final post-casting OOC. Casts were changed every 2–4 months. Independent two sample t-test, Wilcoxon rank-sum test, and Chi-square test were performed. There were no significant differences at the initial treatment for age, classification of EOS, OOC, RVAD, VR, kyphosis, TH, and TW between EDF and BC casting. There were no significant differences of changes for OOC, RVAD, VR, kyphosis, TH and TW from pre-casting to the final post-casting status between two casting techniques (P>0.05). However, children with EDF tended to receive 3 to 4 more castings than those with BC (7.5 vs.4 casts) (P=0.007) and achieved better outcomes in success (25% vs.20%) and improvement (50% vs.10%) (P=0.03). EDF has better outcomes with EOS improvement when there is treatment of longer duration.

Development of orthosis following EDF serial casting for infantile scoliosis

2021 ◽  
Author(s):  
C Tassone ◽  
A Syed ◽  
B Escott ◽  
XC Liu
Keyword(s):  
Cognitive Function ◽  
General Anesthesia ◽  
Cobb Angle ◽  
Early Onset ◽  
Cost Effective ◽  
Early Onset Scoliosis ◽  
Serial Casting ◽  
Radiographic Measurements ◽  
Cad Cam ◽  
Infantile Scoliosis

Elongation-de-rotation-flexion (EDF) casting is a popular treatment for early-onset-scoliosis (EOS). However, casting every 2 to 3 months using general anesthesia may affect cognitive function.[1,2] Aims of this study: 1) to develop a new orthosis for EOS treatment based on EDF technique (EDFO) and traction frame; 2) to evaluate emerging radiographic results from treatment. Mehta’s EDF serial casting method and AMIL traction frame were used to manually correct the spine for 3D trunk scan. Afterward, a digital spinal model was created and helped design the EDFO with CAD/CAM technology. Radiographic measurements included Cobb angle, RVAD, and thoracic height and width. Six patients (2 girls; 4 boys) diagnosed with idiopathic EOS were enrolled in the study. EDFO was applied at mean 36.5 months of age, after final EDF casting. The average major Cobb angle stabilized after treatment. Average RVAD increased. The average normalized thoracic width at last EDFO out-of-brace was less than prior to EDFO. The new asymmetric EDFO offers an alternative to serial casting and TLSO. EDFO is considered a cost-effective, safer, more breathable, removable, and less invasive modality.

Reproducibility of the classification of early onset scoliosis (C-EOS)

2020 ◽  
Vol 8 (2) ◽  
pp. 285-293
Author(s):  
Casper Dragsted ◽  
Søren Ohrt-Nissen ◽  
Dennis Winge Hallager ◽  
Niklas Tøndevold ◽  
Thomas Andersen ◽  
...  
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis

scholarly journals Survey to describe variability in early onset scoliosis cast practices

2018 ◽  
Vol 12 (4) ◽  
pp. 406-412 ◽  
Author(s):  
A. Grzywna ◽  
A. McClung ◽  
J. Sanders ◽  
P. Sturm ◽  
L. Karlin ◽  
...  
Keyword(s):  
Early Onset ◽  
Congenital Scoliosis ◽  
Patient Characteristics ◽  
Study Groups ◽  
Early Onset Scoliosis ◽  
Radiographic Evaluation ◽  
Level Of Evidence ◽  
Major Curve ◽  
Radiographic Measurements ◽  
Multicentre Research

Purpose To investigate paediatric orthopaedists’ cast practices for early onset scoliosis regarding patient selection, cast application, radiographic evaluation, treatment cessation and adjunctive bracing. Methods 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). Results 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% vary position by patient. Respondents were divided about the use of a brace after cast treatment: 22% do not prescribe a brace, 31% always do and 36% do in some patients. Conclusions Future multicentre research studies must standardize radiographic practices and consider age and major curve angle at cast initiation and termination, scoliosis aetiology, shoulder position and treatment duration. Practices need to be aligned or compared in these areas in order to distinguish what makes for the best cast treatment possible. Level of Evidence V, Expert opinion

scholarly journals Comparison of blood plasma and gelatin solution in resuscitation of children with dengue shock syndrome

2009 ◽  
Vol 49 (6) ◽  
pp. 322
Author(s):  
Suryadi Nicolaas Napoleon Tatura ◽  
Novie Homenta Rampengan ◽  
Jose Meky Mandei ◽  
Ari Lukas Runtunuwu ◽  
Max FJ Mantik ◽  
...  
Keyword(s):  
Blood Plasma ◽  
Dengue Shock Syndrome ◽  
Shock Rate ◽  
Gelatin Solution ◽  
Chi Square ◽  
Management Guidelines ◽  
Exact Test ◽  
Chi Square Test ◽  
A Prospective Study ◽  
To Receive

Background Dengue shock syndrome (DSS) is characterized bysevere vascular leakage and hemostasis disorder. It is the cause of death in 1 to 5 percent of cases. WH 0 management guidelines for resuscitation remain empirical rather than evidence-based.Objective To find out the alternative fluids to replace plasmaleakage in DSS.Methods We performed a prospective study and randomizedcomparison of plasma and gelatin solution for resuscitation ofIndonesian children with DSS. We randomly assigned 25 subjectswith DSS to receive plasma and 25 children to receive gelatinfluid. Statistical analyse were performed using chi-square test,Fisher's exact test, t test, Mann-Whitney test.Results The increment of pulse pressure width and the decrement of hematocrit in subjects treated with gelatin were higher than that of plasma atfour-hour therapy (P=0.002 and P=0.017). Only one patient died caused by unusually manifestation of DSS. The increment of body temperature in subjects treated with plasma was higher than that of gelatin at four-hour therapy (P=O.Oll). The decrement of platelet count in subjects treated with gelatin were less than that of plasma (P=0.018). The increment of diuresis rate in subjects treated with gelatin was higher than that of plasma at twenty-hour therapy (P<O.OOOl). The decrement of respiratory rate in subjects treated with gelatin was higher than that of plasmaat twenty-eight hour therapy (P=0.018). There was no differencein studied variables : total volume rate, blood pressure, pulse rate, re-shock rate, clinical fluid overload, allergy reactions, bleeding manifestations, and length of stay (P>0.05).Conclusions Gelatin solution can be used as volume replacementin resuscitation of DSS if blood plasma is not available especiallyat four-hour therapy.

scholarly journals Sports potential modeling of young basketball players: a preliminary analysis

2019 ◽  
Vol 21 ◽  
Author(s):  
Dilson Borges Ribeiro Junior ◽  
Jeferson Macedo Vianna ◽  
André de Assis Lauria ◽  
Emerson Filipino Coelho ◽  
Francisco Zacaron Werneck
Keyword(s):  
Adult Height ◽  
High Potential ◽  
Basketball Players ◽  
Chi Square ◽  
Chi Square Test ◽  
Student’S T ◽  
The Relationship ◽  
Student’S T Test ◽  
Adult Stature

Abstract The aims of this study were: 1) to evaluate the sports potential of young basketball players; 2) to identify variables that discriminate sports potential assessed by coaches; 3) to verifythe relationship between classification of the multidimensional profile of athletes and classification of the sports potential by coaches. Sixty-two young basketball players aged 15.6±1.1 years from U-15 (n = 24) and U-17 (n = 38) categories participated in the study. A test battery was applied to evaluate sports potential indicators: 1) anthropometric; 2) physicomotor; 3) psychological;4) skills;5) socio-environmental;6) maturational and 7) sports potential.Clusteranalysis was performed in three groups: high, medium and low potential. Student’s t-test was used for the comparison between athletes evaluated by the coach as excellent and the others and the Chi-Square test to verify the relationship between sports potential classifications. It was observed that in the high-potential group, athletes were chronologically older, with higher % predicted adult height (PMS), competitive and determined sports orientation, higher body size, lower skinfold summation, and greater physicomotor performance. In comparison with other athletes, high-potential basketball players presented higher stature, wider wingspan,longer limb length, greater predicted adult stature and higher Z score of the % PMS. It could be concluded that the multidimensional approach was useful for the evaluation of the sports potential of young basketball players, requiring the use of multidimensional variables, in addition to coaches’ opinion regarding the potential of their athletes.

The Association Between the Classification of Early-onset Scoliosis and Smith Complications After Initiation of Growth-friendly Spine Surgery

2019 ◽  
Vol 39 (10) ◽  
pp. e737-e741 ◽  
Author(s):  
Christen Russo ◽  
Evan Trupia ◽  
Megan Campbell ◽  
Hiroko Matsumoto ◽  
John Smith ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Early Onset ◽  
Early Onset Scoliosis

Resurgence of Serial Casting in Early-onset Scoliosis: Is It “Old Wine served in a New Bottle”?

2017 ◽  
Vol 51 (2) ◽  
pp. 79-83
Author(s):  
Nirmal R Gopinathan ◽  
Vibhu K Viswanathan
Keyword(s):  
Spinal Deformity ◽  
Treatment Modality ◽  
Early Onset ◽  
Early Onset Scoliosis ◽  
Definitive Treatment ◽  
Complication Rates ◽  
Serial Casting ◽  
Current Article ◽  
Chest Deformities

ABSTRACT Casting as a treatment of scoliosis has been practiced since 1800s. However, the practice fell into disfavor following the serious chest deformities and thoracic constrictions secondary to casting, as well as tremendous improvements in the surgical modalities. Recently, there has been a resurgence of this technique in early-onset scoliosis (EOS) and it has been considered to be a definitive treatment modality and a delaying tactic prior to the inevitable surgery. It carries the triple advantages including correction of the spinal deformity, allowing spinal growth uninterruptedly as well as low complication rates. The current article elaborately discusses the role of serial casting in EOS. How to cite this article Viswanathan VK, Gopinathan NR. Resurgence of Serial Casting in Early-onset Scoliosis: Is It “Old Wine served in a New Bottle”? J Postgrad Med Edu Res 2017;51(2):79-83.

Serial Casting as a Delay Tactic in the Treatment of Moderate-to-Severe Early-onset Scoliosis

2012 ◽  
Vol 32 (7) ◽  
pp. 664-671 ◽  
Author(s):  
Nicholas D. Fletcher ◽  
Anna McClung ◽  
Karl E. Rathjen ◽  
Jaime R. Denning ◽  
Richard Browne ◽  
...  
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Serial Casting

scholarly journals C-Shaped Canal System in Mandibular Second Molars Evaluated by Cone-Beam Computed Tomography in an Argentinean Subpopulation

2019 ◽  
pp. 17-23
Author(s):  
Chaintiou Piorno Romina ◽  
Consoli Lizzi Eugenia Pilar ◽  
Saiegh Jonathan ◽  
Vázquez Diego Jorge ◽  
Gualtieri Ariel Félix ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Canal System ◽  
Chi Square ◽  
Significance Level ◽  
Chi Square Test ◽  
Score Method ◽  
Radiographic Classification

Introduction:To evaluate cone-beam computed tomography (CBCT) images in order to determine the presence of mandibular second molars with C-shaped canal system and classify them.Methods:3035 CBCT images fulfilling the selection criteria were observed. Once established the presence of C-shaped canal system, they were classified according to the anatomic and radiographic classification of Fan et al. Data description was made by frequencies and percentages rates, with a 95% confidence interval (IC95) according to score method. Comparisons were assessed by means of the Chi-square test with a significance level equal to 5%.Results:Of the 225 selected patients, 44 exhibited C-shaped canals (20%; IC95: 15% to 25%). 70% (IC95: 56% to 82%) of patients showed a bilateral C-shaped canal system pattern. Regarding to the axial plane -anatomic classification-, there was a significant association between the root third and the configuration (Chi-square=76.89; p<0.05): at the coronal third prevailed the C1 configuration (47%; IC95: 36% to 58%); at the middle third prevailed the C3d configuration (39%; IC95: 28% to 50%) and at the apical third, the C4 configuration (35%; IC95: 25% to 46%).

Sign in / Sign up

Export Citation Format

Share Document