Guest guest Posted December 20, 2008 Report Share Posted December 20, 2008 Welcome to CAST! May I recommend that you learn the differences between Risser casting and EDF (elongation, derotation, flexion) casting. Scoliosis is a 3-dimensional problem that should be corrected on all 3 planes. The EDF casting method has the ability to elongate the spine through traction, derotate the spine/pelvis, and to improve lordosis and over all body shape/alignment. EDF differs from Risser casting. EDF casts are over the shoulder, with a large mushroom opening on the front to allow for proper chest expansion. On the back, there is a small cutout on the concavity of the curve, not going past the midline. It was found that the spine became more aligned with this cutout than without and that it helped correct rotation. Early treatment w/ EDF is generally over a period of 9-12 months depending on age and childs specific situation....When the child's Cobb angle is under 10 deg, they are removed from their series of EDF plaster casts and placed into a removable brace. Early treatment EDF does not alternate with bracing as Risser plaster casting can. It is a solid block of casts to decrease the childs curvature(s), gently, slowly & permanently..... The biggest difference is the aim of treatment- which is cure,opposed to containment. Dr's Cotrel & Morel developed the EDF technique years ago in France and found that using one of these techniques in isolation has it's own drawbacks, yet using all three simultaneously potentialises the advantages of each.(Elongation, Derotation, Flexion). Please read related articles in the Files section of this group and feel free to ask this group any questions that you may have. Welcome. HRH > I'm so thrilled to have found this board. We are newly diagnosed and so > unsure of the road ahead. Our son Logan, he's four almost five, was > recently diagnosed with a 60 degree curvature. We took him in for his > preschool admittance physical and the dr. found it then. We are seeing > specialists at Akron Chilren's Hospital in Ohio and so far really like > the Dr's there. > Logan is scheduled to have his Risser cast put on February 20 and my > husband and I are just are so unsure about his road ahead. It seems the > Dr. can talk and show us pictures all day long but it just doens't help > with the fear. Reading your stories here does though and I'm grateful > to have a place where I can be related to. > > > Quote Link to comment Share on other sites More sharing options...
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