Dede Ozgur, Sturm Peter F
Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, 4401 Penn Avenue, Faculty Pavilion 4th Floor, Pittsburgh, PA, 15224, USA.
Department of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnett Avenue, MLC 2017, Cincinnati, OH, 45229, USA.
J Child Orthop. 2016 Oct;10(5):405-11. doi: 10.1007/s11832-016-0762-4. Epub 2016 Jul 28.
Body casts have a long history in the treatment of spinal deformity. Currently the use of body casts is limited to early onset scoliosis. Here, we aim to provide a brief narrative of the evolution of cast application for the management of spinal deformity.
A history of cast application is provided with a brief review of the orthopedic literature. The current indications for cast application and the authors' preferred technique are described.
Serial casting is an effective treatment method for early onset scoliosis. It may be definitive for most idiopathic curves or used to delay surgical intervention in more severe idiopathic, syndromic and even congenital curves.
Surgeons who treat children with early onset scoliosis should familiarize themselves with serial cast application techniques.
石膏背心在脊柱畸形治疗中有着悠久的历史。目前,石膏背心的使用仅限于早发性脊柱侧弯。在此,我们旨在简要叙述石膏应用在脊柱畸形治疗中的演变。
提供了石膏应用的历史,并对骨科文献进行了简要回顾。描述了当前石膏应用的适应症以及作者偏好的技术。
连续石膏矫形是早发性脊柱侧弯的一种有效治疗方法。对于大多数特发性侧弯,它可能是决定性的治疗方法,或者用于延迟更严重的特发性、综合征性甚至先天性侧弯的手术干预。
治疗早发性脊柱侧弯患儿的外科医生应熟悉连续石膏矫形技术。