A report of two conservative approaches to early onset scoliosis: serial casting and bracing

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A report of two conservative approaches to early onset scoliosis: serial casting and bracing Ying Li1   · Jennylee Swallow1 · Joel Gagnier1 · George H. Thompson2 · Peter F. Sturm3 · John B. Emans4 · Paul D. Sponseller5 · Michael P. Glotzbecker2 · Pediatric Spine Study Group Received: 14 February 2020 / Accepted: 12 September 2020 © Scoliosis Research Society 2020

Abstract Purpose  Previous reports have demonstrated the effectiveness of casting for EOS. Brace treatment for EOS has not been studied. The purpose of this multicenter retrospective study was to compare radiographic outcomes, complications, and rates of conversion to surgery in children with EOS treated with casting or bracing. Methods  Children aged 2–6 years with idiopathic or neuromuscular EOS treated with casting or bracing with minimum follow-up of 2 years were identified. Results  68 patients (36 cast, 32 brace) were analyzed. Diagnosis, age at start of treatment, and duration of follow-up were similar. Although the cast patients had a larger pre-treatment major curve magnitude (50° vs 31°, p 

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