Casting is typically used as an effective technique for correcting the spinal curvature and preventing it from worsening in very small children. Casting is commonly used for infants and toddlers who develop scoliosis. Scoliosis casting involves a series of plaster casts applied to the patient usually every eight to 16 weeks, depending on the age and growth until the spinal curvature improves.

3 Goals of Scoliosis Surgery

Scoliosis casting is performed in an operating room with your child placed under anesthesia. No incisions or surgery is performed during the procedure, however the child needs to be asleep so the surgeon can correctly position the spine and apply the cast.

After this procedure:

  • Once your child is awake and moving after surgery, the cast may need to be further trimmed and customized for comfort and to ensure good range of motion for the arms and legs.
  • Typically, casts are worn anywhere from two to six months, depending on the age and rate of growth.

How is the Cast Worn

Scoliosis casts are worn 24/7 and cannot get wet. The cast is removed by your child’s doctor to assess progress at the appointment for the next cast or brace. It’s important to remember that the cast must stay dry – Children do not shower, take baths or swim in their casts.

After your child’s final cast is removed, he or she may be placed into a back brace. Depending on the severity of your child’s scoliosis, bracing can be used to maintain the correction obtained with casting, continue to control curvature progression or keep it from worsening until your child is old enough to undergo corrective spinal surgery.