Derotational casting is beneficial for infantile idiopathic scoliosis even when the curve is more severe

In an article published ahead of print in the Journal of Pediatric Orthopaedics, titled “Results of Casting in Severe Curves in Infantile Scoliosis,” Stasikelis and Carpenter report the outcome of serial derotational casting for children with severe infantile scoliosis (curves greater than 50 degrees). They report that even at this magnitude, the treatment led to curve resolution in nine of 26 idiopathic cases and 3 of 18 non-idiopathic cases, and in all cases the casting was effective in delaying surgical procedures of instrumentation. This study suggests that the option of EDF casting may be considered a useful strategy even with later diagnosis or initiation of treatment in cases of infantile scoliosis.