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Thread: risser cotrel casting

  1. #1
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    If you go to http://www.srs.org/professionals/ and then to "Risser-Cotrel Cast Technique" (takes a bit to download) you'll see a presentation of the use of the Cotrel frame to correct a scoliotic curve whilst applying a cast. Sealy mentioned this before and I think it was used for her daughter.

    Has anybody had it used on themselves or seen it used on their child? It seems quite a "logical" way of going about it.

  2. #2
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    Gerbo,

    What reader are you using to access the cotrel cast technique because I can't seem to read it with my programs ?
    I shall be telling this with a sigh..... Somewhere ages and ages hence: two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference. - R. Frost

  3. #3
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    It's a PowerPoint file (.ppt).

    I've just converted it to .pdf and put it on my server for anyone who doesn't have PowerPoint. It's a 2MB file, so be prepared for that download.

    Click Here
    congenital scoliosis, thoracic fusion without instrumentation in 1974 (age 11mos), re-operated in 1975 (age 17mo.s) ~ lung volume 25-30%

  4. #4
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    What ???! You want a technical explanation ??! Do I look like a IT expert to you ???? LOL ( :P :P :P )

    anyway, on my computer I just open it when asked to do so, it is a powerpoint presentation if that helps


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    Kimberly,

    I can't wait to try it !


    Gerbo,

    That is sooooo sooooo funny ! Most won't understand the humour, but of course I do.
    I shall be telling this with a sigh..... Somewhere ages and ages hence: two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference. - R. Frost

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    That is a really fantastic article, shows so clearly how it all works - great find
    Diagnosed at 15 with 50 curve, but probably juvenile IS. Fused in kyphosis (by non-specialised ortho) with a/p surgery T10-L2 @ 21, posterior only revision surgery to correct kyphosis @ 29. Now 38 with further revision surgery and extension of fusion to sacrum required to correct residual kyphosis, restore lordosis and address spinal stenosis.

  7. #7
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    Kimberly,

    It worked!


    Gerbo,

    That's an excellent presentation on the Cotrel technique ! The poor little girl had to have a neck piece as well because her curve was so severe :-(
    I shall be telling this with a sigh..... Somewhere ages and ages hence: two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference. - R. Frost

  8. #8
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    is that what they used on your daughter??

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    Gerbo,

    They used a traction frame on Deirdre and from what Dr. Hedden told me, it sounded very much like a Cotrel frame - I don't know how many different traction frames there are There was always lots of padding to her casts and a plaster sheet beneath the fibreglass was always added. Her casts always went around her torso beneath the armpit area and never over the shoulders. He never cut out chest expansion windows or a hole in the back to allow for rib cage expansion and it was only with the last cast that I insisted on this - I wish I had been more vocal regarding this because I really see the benefit of rib cage expansion and lung growth during a very critical period of childhood development. If I had to do it all over again, that's one thing I would have changed about Deirdre's treatment. It's not easy to "tell" a specialist doctor what to do and I really had to watch myself so I wouldn't offend anyone. Looking at her today, you wouldn't think she has been through such an ordeal !
    I shall be telling this with a sigh..... Somewhere ages and ages hence: two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference. - R. Frost

  10. #10
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    tonibunny is offline T Sr: Admin, Big Sister and Da Police!
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    This is how I used to have my casts applied, and it is how Erin has hers applied - Stanmore are still using the same frame that they have had for at least 30 years

    My casts always went over my shoulders, with a hole for my tummy but no holes around my ribcage. As with Deirdre, I had padding (extra over my hips as they were so bony), then layers of plaster of paris, then a type of fibreglass known as "Scotchcast".
    37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.

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    Erin has a variety of holes. At the moment, she has one tummy hole, but the last one had a tummy hole and a chest hole, and she had ones that have a long thin hole (she liked that one). She's never had a hole in the back though.

    Sorry, i know that was a bit off topic. I got carried away with the subject of holes.
    Mum to Erin, 10, diagnosed with 62 degree curve in May 04, aged 21 months. Serial casting '04-'07. Growth rods inserted June '08 under Mr Tucker at RNOH, Stanmore, UK. Surgery October '11 to replace a broken rod.

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    It was really strange reading that article (I downloaded it last year so had already seen it) as my only experience of casting had been from a first-person viewpoint - so now I understand what all the fiddling about with my hips was
    37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.

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    I was wondering (and really, i do realise there is little purpose to it from my point of view as we are not even remotely going in that direction), like i said, i was wondering whether it would be possible to gain progressive improvement, if this proces would be repeated every 2 months or so (in an adolescent, like the girl on the slides)

    does anybody know whether this has ever been attempted??

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    Gerbo,

    There is a brace in France, I can't remember if it's the Lyon brace ??? Maybe someone else in the group knows, but what happens with this particular treatment is that the adolescent child goes through a period of serial casting where attempts are made to progressively correct the scoliosis and then move on to the brace. So to answer your question, serial casting in adolescent children is not unheard of.
    I shall be telling this with a sigh..... Somewhere ages and ages hence: two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference. - R. Frost

  15. #15
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    It's interesting - until I learned more about scoliosis in the past couple of years, I never really realised that they don't use serial casting for adolescents as they do for children.

    One thing I should say is that casts can get very smelly, and whilst that's not really a problem for young children, it might not be so easy for a casted adolescent to stay smelling fresh!
    37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.

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