Guest guest Posted October 26, 2007 Report Share Posted October 26, 2007 Yes, Dr. Stasikelis has an appropriate frame. , please send Coles update when you can, and I'll get it up on site asap. Thanks ! HRH > Jeff, > Welcome to the group. Your daughter is the same age as our son Cole. He > started casting almost 2 years ago, probably right around the time you > found out Sydney had IS. I am so sorry Dr. Pete told you that about > casting a year ago. Seems to be a common conversation amongst many others > with their ped. ortho. surg. Our original ortho. ped. surg. said the same > thing at the time and he was the pres. of the American Scioliosis Research > Group and we went against his recommendations and thinking. Many are > finally changing their thoughts and realizing this certain type of casting > can correct the curve. > Wow, I am shocked to hear about your son having it too. Just goes to show > scoiliosis is very hereditary. > Here are my answers to your questions: > 1. A few have started casting later than age 2. Yes, it is a little past > the opportune time, but it is at least worth a try. It may take a lot > longer or at least correct/hold her long enough to hold off future > surgeries. Maybe it will still work if she has a few great growth spurts > and is still flexible. Every child is different, so there is no definitive > answer. Maybe someone else will chime in who has started this late to > respond about their results. > > 2. Most docs will not castuntil the curve is greater than 20 degrees. You > should find out what the RVAD number is. A number greater than 20 usually > indicates progressive IS, while under 20 may be a good indication of it > resolving. Either way, I would keep a VERY close eye on it. Even though > most docs say the curves are slow to worsen, I have seen curves go from 20 > degrees to 50 in 3 months. > > 3. ISOP has the BEST site for IS. It has the most info. for IS, Mehta's > casting technique, and success stories (Cole is on that site, but we need > to update the outcome of his story), including links to other articles > and important information. IS is still very rare and not a lot of info. > out their on it, especially in regards to successful treatment. The only > other place you will find really GOOD info. is from the parents and > caregivers on this board. You will get the most experience, knowledge, and > insight from this board, so ask as many questions as you have. > > Is Dr. Pete using an AMIL table when he casts Sydney? When is her next > cast change, and how long has she been in the current cast? From the > original curve numbers, does she have two curves? Best of luck and keep us > posted. > , Cole's mom > boxflyer1 wrote: Hi, > > I'm new to this forum and still trying to figure it out. Our daughter > Sydney was diagnosed > with Infantile Scoliosis at 6 months old. We started seeing Dr. Pete a > couple of months > later at Shriner's in Greenville. He put her in a TLSO with a curve of > 65-67 degrees. This > was 19 months ago. We mentioned casting last year but were told that it > probably > wouldn't correct any better than the TLSO. That thinking has now > changed. Dr. Pete said > that the American medical field was hesitant to change their line of > thinking on this but > have since changed their mind. He is now trained by Dr. Mehta with > casting and Sydney > just received her first cast this past Mon. He seemed pretty pleased with > her correction in > the first cast (25 degrees). He said we were number 11, I think, for > him. I just hope we > haven't waited too late. She is still very flexible and we got no > improvement in the brace. > It did prevent it from getting worse though. > Now our son Brayden, 5 months, has been diagnosed with IS. He will > see Dr. Pete next > week for the first time. His curve was at 20 degrees a couple of weeks > ago. > > So I have a couple of questions. > > 1. Has anyone else waited this long, now 2 1/2 years, to get started > casting? Results? > > 2. What is the min. curve for casting? Our initial Ortho. did not > mention casting, but said > he didn't usually brace til 25-30 degrees? > 3. I have been to ISOP website. Are there any others anyone recommends? > > Thanks > > jeff > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
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