Guest guest Posted September 1, 2009 Report Share Posted September 1, 2009 You are so right. Thanks honey. HRH > > > > Subject: RE: Our Doctors Do it Again! > To: infantile_scoliosis > Date: Friday, August 28, 2009, 10:03 AM > > > > > > > I'm sure it's what our kids are receiving. Probably just using another name to confuse us : ) > > I think the thing that blew me away was 55 patients. ONLY 55 patients?! Wow - that really hit home as to how very rare this condition really is. > > ~ > Noah 4 years old > 9 months of casting in SLC; Currently on 1 1/2 years of bracing > And Mariella 7 months old currently waiting and watching at 11* > > > > > > > To: infantile_scoliosis @yahoogroups. com > From: dmcmowshaw (DOT) ca > Date: Fri, 28 Aug 2009 01:38:34 -0600 > Subject: Re: [infantile_scoliosi s] Our Doctors Do it Again! > > > > > > Maybe its only me but what exactly is the Cotrel Derotation Technique? > Never heard that terminology before. > > Thanks for posting that can't wait to read the whole article! > > Darrell > > > > > [infantile_scoliosi s] Our Doctors Do it Again! > > > > > I'm excited to see another article published. I can't wait to read the full study. > > Derotational Casting for Progressive Infantile Scoliosis. > > Lower Extremity > > Journal of Pediatric Orthopaedics. 29(6):581-587, September 2009. > , O. MD *; D'Astous, Jacques MD +; Fitzgerald, Marcie PA-C ++; Khoury, ph G. MD ; Kishan, Shyam MD [//]; Sturm, F. MD [P] Abstract: > Background: Serial cast correction by using the Cotrel derotation technique is one of several potential treatments for progressive infantile scoliosis. This study reviews our early experience to identify which, if any, patients are likely to benefit from or fail this technique. Methods: We followed all patients treated at our institutions for progressive infantile scoliosis since 2003 prospectively at 1 institution and retrospectively at the other 2. Data, including etiology, Cobb angles, rib vertebral angle difference, Moe-Nash rotation, and space available for the lung, were recorded over time. > Results: Fifty-five patients with progressive infantile scoliosis had more than 1 year of follow-up from the initiation of casting. The diagnosis of progressive scoliosis was made based upon either a progressive Cobb angle or a rib vertebral angle difference of more than 20 degrees at presentation. All but 6 patients responded to cast correction. Nine patients have undergone surgery to date, 6 because of worsening and 3 by parent choice. As shown in the table, initiation of cast correction at a younger age, moderate curve size (<60 degrees), and an idiopathic diagnosis carry a better prognosis than an older age of initiation, curve >60 degrees, and a nonidiopathic diagnosis. The space available for the lung improved from 0.89 to 0.93. No patient experienced worsening of rib deformities. > Conclusions: Serial cast correction for infantile scoliosis often results in full correction in infants with idiopathic curves less than 60 degrees if started before 20 months of age. Cast correction for older patients with larger curves or nonidiopathic diagnosis still frequently results in curve improvement along with improvement in chest and body shape. > Significance: Derotational cast correction seems to play a role in the treatment of progressive infantile scoliosis with cures in young patients and reductions in curve size with a delay in surgery in older and syndromic patients. > Level of Evidence: Level 4, therapeutic study. > > ~ > Noah 4 years old > 9 months of casting in SLC; Currently on 1 1/2 years of bracing > And Mariella 7 months old currently waiting and watching at 11* > > > > With Windows Live, you can organize, edit, and share your photos. Click here. > > > > > > > Windows Live: Keep your friends up to date with what you do online. Find out more. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2009 Report Share Posted September 1, 2009 ...what are you waiting for? Did the doctor tell you to watch it and come back in a few months? Just asking because my son at 4 month old had an 18 degree curve and the Ortho suggested I wait 6 months to see if it get better. Well...it didn't!!! it went up to 30 degrees and by the time I had him examined again and x-rayed, and MRI'ed, he was 17 months when he got his first cast at 54 degrees!!!! Jeannette McNally Subject: Re: ShellieTo: infantile_scoliosis Date: Tuesday, September 1, 2009, 2:07 PM You are so right. Thanks honey. HRH> > > From: Borlik <christina_borlik@ ...>> Subject: RE: [infantile_scoliosi s] Our Doctors Do it Again!> To: infantile_scoliosis @yahoogroups. com> Date: Friday, August 28, 2009, 10:03 AM> > > > > > > I'm sure it's what our kids are receiving. Probably just using another name to confuse us : ) > > I think the thing that blew me away was 55 patients. ONLY 55 patients?! Wow - that really hit home as to how very rare this condition really is.> > ~> Noah 4 years old> 9 months of casting in SLC; Currently on 1 1/2 years of bracing> And Mariella 7 months old currently waiting and watching at 11*> > > > > > > To: infantile_scoliosis @yahoogroups. com> From: dmcmowshaw (DOT) ca> Date: Fri, 28 Aug 2009 01:38:34 -0600> Subject: Re: [infantile_scoliosi s] Our Doctors Do it Again!> > > > > > Maybe its only me but what exactly is the Cotrel Derotation Technique?> Never heard that terminology before. > > Thanks for posting that can't wait to read the whole article!> > Darrell> > > > > [infantile_scoliosi s] Our Doctors Do it Again!> > > > > I'm excited to see another article published. I can't wait to read the full study.> > Derotational Casting for Progressive Infantile Scoliosis. > > Lower Extremity > > Journal of Pediatric Orthopaedics. 29(6):581-587, September 2009.> , O. MD *; D'Astous, Jacques MD +; Fitzgerald, Marcie PA-C ++; Khoury, ph G. MD ; Kishan, Shyam MD [//]; Sturm, F. MD [P] Abstract: > Background: Serial cast correction by using the Cotrel derotation technique is one of several potential treatments for progressive infantile scoliosis. This study reviews our early experience to identify which, if any, patients are likely to benefit from or fail this technique. Methods: We followed all patients treated at our institutions for progressive infantile scoliosis since 2003 prospectively at 1 institution and retrospectively at the other 2. Data, including etiology, Cobb angles, rib vertebral angle difference, Moe-Nash rotation, and space available for the lung, were recorded over time. > Results: Fifty-five patients with progressive infantile scoliosis had more than 1 year of follow-up from the initiation of casting. The diagnosis of progressive scoliosis was made based upon either a progressive Cobb angle or a rib vertebral angle difference of more than 20 degrees at presentation. All but 6 patients responded to cast correction. Nine patients have undergone surgery to date, 6 because of worsening and 3 by parent choice. As shown in the table, initiation of cast correction at a younger age, moderate curve size (<60 degrees), and an idiopathic diagnosis carry a better prognosis than an older age of initiation, curve >60 degrees, and a nonidiopathic diagnosis. The space available for the lung improved from 0.89 to 0.93. No patient experienced worsening of rib deformities. > Conclusions: Serial cast correction for infantile scoliosis often results in full correction in infants with idiopathic curves less than 60 degrees if started before 20 months of age. Cast correction for older patients with larger curves or nonidiopathic diagnosis still frequently results in curve improvement along with improvement in chest and body shape. > Significance: Derotational cast correction seems to play a role in the treatment of progressive infantile scoliosis with cures in young patients and reductions in curve size with a delay in surgery in older and syndromic patients. > Level of Evidence: Level 4, therapeutic study.> > ~> Noah 4 years old> 9 months of casting in SLC; Currently on 1 1/2 years of bracing> And Mariella 7 months old currently waiting and watching at 11*> > > > With Windows Live, you can organize, edit, and share your photos. Click here. > > > > > > > Windows Live: Keep your friends up to date with what you do online. Find out more.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2009 Report Share Posted September 1, 2009 Believe me I understand the urgency of the condition. Noah's curve was first detected at 6 months old. We were never told. He wasn't diagnoised until 21 mo. We started casting at 22 mo (just barely before the 2 year old "ideal" window.) We will not allow the docs to make the same mistakes with our daughter. Mari is being seen in SLC. I trust her doc completely. Her doc said that we'll check back in 4 months to see if there is progression. They will not treat an 11* curve and especially since they do not know whether she has resolving or progressive. Let's hope she will never need treatment and will resolve on her own! ~Noah 4 years old9 months of casting in SLC; Currently on 1 1/2 years of bracingAnd Mariella 7 months old currently waiting and watching at 11* To: infantile_scoliosis From: jmcnally4171@...Date: Tue, 1 Sep 2009 11:20:11 -0700Subject: Re: Re: Shellie ...what are you waiting for? Did the doctor tell you to watch it and come back in a few months? Just asking because my son at 4 month old had an 18 degree curve and the Ortho suggested I wait 6 months to see if it get better. Well...it didn't!!! it went up to 30 degrees and by the time I had him examined again and x-rayed, and MRI'ed, he was 17 months when he got his first cast at 54 degrees!!!! Jeannette McNally From: hrhandco <heatherinfantilescoliosis (DOT) org>Subject: Re: ShellieTo: infantile_scoliosis Date: Tuesday, September 1, 2009, 2:07 PM You are so right. Thanks honey. HRH> > > From: Borlik <christina_borlik@ ...>> Subject: RE: [infantile_scoliosi s] Our Doctors Do it Again!> To: infantile_scoliosis @yahoogroups. com> Date: Friday, August 28, 2009, 10:03 AM> > > > > > > I'm sure it's what our kids are receiving. Probably just using another name to confuse us : ) > > I think the thing that blew me away was 55 patients. ONLY 55 patients?! Wow - that really hit home as to how very rare this condition really is.> > ~> Noah 4 years old> 9 months of casting in SLC; Currently on 1 1/2 years of bracing> And Mariella 7 months old currently waiting and watching at 11*> > > > > > > To: infantile_scoliosis @yahoogroups. com> From: dmcmowshaw (DOT) ca> Date: Fri, 28 Aug 2009 01:38:34 -0600> Subject: Re: [infantile_scoliosi s] Our Doctors Do it Again!> > > > > > Maybe its only me but what exactly is the Cotrel Derotation Technique?> Never heard that terminology before. > > Thanks for posting that can't wait to read the whole article!> > Darrell> > > > > [infantile_scoliosi s] Our Doctors Do it Again!> > > > > I'm excited to see another article published. I can't wait to read the full study.> > Derotational Casting for Progressive Infantile Scoliosis. > > Lower Extremity > > Journal of Pediatric Orthopaedics. 29(6):581-587, September 2009.> , O. MD *; D'Astous, Jacques MD +; Fitzgerald, Marcie PA-C ++; Khoury, ph G. MD ; Kishan, Shyam MD [//]; Sturm, F. MD [P] Abstract: > Background: Serial cast correction by using the Cotrel derotation technique is one of several potential treatments for progressive infantile scoliosis. This study reviews our early experience to identify which, if any, patients are likely to benefit from or fail this technique. Methods: We followed all patients treated at our institutions for progressive infantile scoliosis since 2003 prospectively at 1 institution and retrospectively at the other 2. Data, including etiology, Cobb angles, rib vertebral angle difference, Moe-Nash rotation, and space available for the lung, were recorded over time. > Results: Fifty-five patients with progressive infantile scoliosis had more than 1 year of follow-up from the initiation of casting. The diagnosis of progressive scoliosis was made based upon either a progressive Cobb angle or a rib vertebral angle difference of more than 20 degrees at presentation. All but 6 patients responded to cast correction. Nine patients have undergone surgery to date, 6 because of worsening and 3 by parent choice. As shown in the table, initiation of cast correction at a younger age, moderate curve size (<60 degrees), and an idiopathic diagnosis carry a better prognosis than an older age of initiation, curve >60 degrees, and a nonidiopathic diagnosis. The space available for the lung improved from 0.89 to 0.93. No patient experienced worsening of rib deformities. > Conclusions: Serial cast correction for infantile scoliosis often results in full correction in infants with idiopathic curves less than 60 degrees if started before 20 months of age. Cast correction for older patients with larger curves or nonidiopathic diagnosis still frequently results in curve improvement along with improvement in chest and body shape. > Significance: Derotational cast correction seems to play a role in the treatment of progressive infantile scoliosis with cures in young patients and reductions in curve size with a delay in surgery in older and syndromic patients. > Level of Evidence: Level 4, therapeutic study.> > ~> Noah 4 years old> 9 months of casting in SLC; Currently on 1 1/2 years of bracing> And Mariella 7 months old currently waiting and watching at 11*> > > > With Windows Live, you can organize, edit, and share your photos. Click here. > > > > > > > Windows Live: Keep your friends up to date with what you do online. Find out more.> Windows Live: Keep your friends up to date with what you do online. Find out more. Quote Link to comment Share on other sites More sharing options...
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