Casting for Infantile (Early Onset) Scoliosis
One challenge of early onset scoliosis is not only stopping progression, but also allowing the rib cage to grow so lungs can mature and function normally as your child ages. We use a special style of casting known as elongation-derotation-flexion (EDF) casting.
EDF casting can control the spinal curve’s progress, and in some cases, may actually correct the curve. Casting may also be used as the definitive treatment for a child with early onset scoliosis. Scoliosis is a three-dimensional deformity of the spine, which includes the frontal, sagittal and axial planes. That is why we use a nonsurgical, custom-casting technique that fits over the torso and is based on a three-dimensional correction concept.
Casting is not 100 percent effective for correcting scoliosis in young children. EDF casting may be used to slow the progression of a spinal curve and delay surgery until the child is older. This delay is important because the chest wall and lungs need to grow and mature before there can be any fusion-type surgery to correct this area.
What to expect
- There is a specially designed table to help apply the cast.
- The casts will either fit under the arms to the waist, or sometimes over the shoulders down to the waist, based on where the spinal curve is located.
- The casts are typically worn for 3 months at a time and are sometimes combined with bracing to allow for periods of rest from the cast.