Abstract
Objectives: 1. To assess the results of early intervention in patients with infantile idiopathic scoliosis. 2. To determine prognostic factors
Design: Retrospective cohort study
Subjects: 16 consecutive patients with infantile idiopathic scoliosis who have completed a serial casting programme
Outcome measures: Curve progression, rib asymmetry and the occurrence of surgery
Results Of 16 patients 6 were male, 5 had plagiocephaly and there were 9 left sided curves. The size of the curve of all except one patient improved by casting – 4 curves resolved completely and a further 4 improved by more than 50%. Sex, the presence of plagiocephaly and the size of the curve did not influence outcome. Rib asymmetry was a negative prognostic sign. Early treatment was associated with a significantly better outcome. One child has had surgical treatment.
Conclusions Most children with infantile idiopathic scoliosis can be improved by serial casting.
Rib asymmetry is confirmed as a negative prognostic sign. Early treatment gives better results.
The abstracts were prepared by Mr Peter Millner. Correspondence should be addressed to Peter Millner, Consultant Spinal Surgeon, Orthopaedic Surgery, Chancellor Wing, Ward 28 Office Suite, St James’ University Hospital, Beckett Street, Leeds LS9 7TF.
