View Full Version : Doctors who Cast Infant/Young Children for Progressive Infantile Idiopathic Scoliosis

01-17-2007, 01:14 PM
In the hopes of helping parents whose infant or young children are diagnosed with progressive infantile idiopathic scoliosis, it would be a good idea for us to keep a running list of doctors who are known to treat infant/young children with serial corrective casts. If any of you are aware of more doctors, please add to the list. Many a parent whose infant child has progressed to surgery is painfully aware of the inadequacy of the status quo of watchful waiting/plastic bracing in the treatment of progressive infantile scoliosis. It's my hope that with time, the list will increase and *all* parents will have access to early treatment regardless of where they live.

Royal National Orthopaedic Hospital at Stanmore, Middlesex. England
Contact person: Susan Lister, Senior Nurse,
Spinal Deformity Unit
0208 909 5328 bleep 704
General Manager 0208 909 5587
All doctors at this hospital routinely cast children

John E. Lonstein, MD
Twin Cities Spine Center
(612) 775-6200
913 E 26th St #600
Minneapolis MN 55404-4515
Adolescent, Adult Scoliosis, Juvenile/Infantile

Charles E. Johnston II, MD
Texas Scottish Rite Hospital
2222 Welborn St
Dallas TX 75219-3993
http://www.tsrhc.org/m_orthopedicsstaff.cfm - johnston
Adolescent, Juvenile/Infantile

James O. Sanders, MD
Shriners Hospitals for Children
1645 W. 8th Street
Erie PA 16505
Adolescent, Juvenile/Infantile

Michelle Prince, MD
Children's Hospial of Austin, Texas
(512) 478-8116
Fax: (512) 478-9368
1410 N IH-35, Ste 300
Austin, TX 78701

Cincinnati Children's Hospital Medical Center
First floor
3333 Burnet Avenue
ML 2017
Cincinnati, OH 45229

Ronald Moskovich, MD
Hospital for Joint Diseases
(212) 598-6622
301 E. 17th Street
New York NY 10003-3804
Adolescent, Adult Scoliosis, Juvenile/Infantile

The Hospital for Sick Children

Division of Orthopaedic Surgery
Phone: (416) 813-6439
Fax: (416) 813-6414
S107 - 555 University Avenue
Toronto, Ontario

Douglas M Hedden, MD, FRCSC
Stollery Children's Hospital
(780) 407-6870
8440 - 112 Street
Edmonton, Alberta

Jacques D'Astous, M.D., FRCS(C)
Intermountain Shriners Hospital
Fairfax Road at Virginia St.
Salt Lake City, UT 84103

Linda P. D'Andrea, MD

Brandywine Orthopaedics


600 Creekside Drive, Suite 611

Pottstown, PA 19464


1 day a week, Dr. D’Andrea is at the Shriners in Philadelphia

Shriners Hospital

(215) 430-4026

3551 N Broad Street

Philadelphia PA 19140-4105


Karl E. Rathjen, MD

Texas Scottish Rite Hospital

(214) 559-7555

Department of Orthpaedics

2222 Welborn Street

Dallas TX 75219-3993

Adolescent, Juvenile/Infantile


Peter F. Sturm, MD

Shriner's Hospital

(773) 385-5500

2211 N. Oak Park Ave

Chicago IL 60707-3392

Adolescent, Juvenile/Infantile


J. Scott Doyle, M.D

UAB Orthopaedics

510 20th Street South

Birmingham, AL 35294



Douglas G. Armstrong, MD

Rainbow Babies and Children's Hospital

(216) 844-7613

Dept of Pediatric Orthopaedic Surgery

11100 Euclid Ave

Cleveland OH 44106

Adolescent, Juvenile/Infantile


Michael Timothy Hresko, MD

Children's Hospital Boston

(617) 355-4849

300 Longwood Ave

Boston MA 02115

Adolescent, Juvenile/Infantile


Shyam Kishan, MD

Loma Linda University Medical Center

Department of Orthopaedic Surgery

Faculty Medical Offices

11370 Anderson Street, Suite 1500

Loma Linda, CA 92354

(909) 558-2808 (for appointments)


Mark A. Erickson, MD

Orthopaedic Center

The Children's Hospital

1056 East 19th Avenue

Denver, CO 80218

(303) 861-6615


Charles R. d'Amato, MD,FRCSC

Shriners Hospital for Children

(503) 221-3424

3101 SW Sam Jackson Park Rd.

Portland OR 97239-3009


Joseph G. Khoury, MD

The Children's Hospital of Alabama

ACC 316

1600 7th Ave S

Birmingham, AL 35233-1711

(205) 939-9100


01-18-2007, 07:21 AM

Can serial casting help with congenital scoliosis as well?
I did not mean to cover your post can you move yours up so people see it?


01-18-2007, 10:55 AM

What do you mean cover the post? :D To answer your other question....serial casting in the treatment of infantile idiopathic scoliosis has been shown in a few important studies to permanently correct the scoliosis. Congenital scoliosis is very different, there could be multiple vertebral anomalies or fused ribs. There is no way that casting could ever heal a hemivertebrae, however some doctors have used casting or bracing to stabilize the healthy vertebrae above or below a congenital anomaly with the intent to improve overall balance in the growth of the vertebrae. Casting or bracing congenital curves really depends on the doctor, some are strongly against it - others not.
* * * * * * *

01-18-2007, 03:30 PM
Hi Celia, I just found out my 7 year old nephew has "emerging scoliosis," is that considered young enough to be infantile i . . s. . .? I've read your posts before on casting, and I truly don't understand casting as opposed to bracing????? Thanks! Pat

01-18-2007, 09:22 PM
Oh Pat, I'm really sorry to hear about your nephew! If it's just emerging maybe he has the juvenile form and as you know, the spinecor brace is working really well for a few of us... so it's something to consider in his case. I'm also checking my 9 year old son's back on a monthly basis to make sure he doesn't develop it. The next time we go to Montreal, I'm bringing him along and have Dr. Rivard check him - his back looks really straight but I just want to make sure.

I think the reason why plastic braces are ineffective for infant children with progressive scoliosis is because these babies are going through rapid growth similar to adolescent children who are in the midst of the Peak Height Velocity period and as we all know this is a chaotic volatile phase. There are numerous studies pointing to the fact that conventional orthotic treatment or surgical intervention is ineffective in the management of infantile idiopathic scoliosis.

1: Orthop Clin North Am. 1999 Jul;30(3):331-41, vii

Infantile and juvenile scoliosis.
Dobbs MB, Weinstein SL.

Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

The diagnosis and treatment of scoliosis in the infantile and juvenile age groups is a challenging and demanding endeavor. The diagnosis must be firmly established. Once a deformity has proven to be progressive, surgical intervention will likely be necessary because orthotic treatment is less effective in these cases. The surgeon is then faced with the dilemma of deciding on the most appropriate surgical treatment.

PMID: 10393759 [PubMed - indexed for MEDLINE]

1: Spine. 2003 Oct 15;28(20):2397-406.

Respiratory function and cosmesis at maturity in infantile-onset scoliosis.

Goldberg CJ, Gillic I, Connaughton O, Moore DP, Fogarty EE, Canny GJ, Dowling FE.

Children's Research Centre, Our Lady's Hospital for Sick Children, Dublin, Ireland. caroline.goldberg@ucd.ie

STUDY DESIGN: Retrospective review of patient records, clinical and radiographic, and patient recall for full pulmonary function studies and surface topography. OBJECTIVES: Assessment of outcome of treatment policy after age 15 during the previous 30 years to establish the efficacy of management protocols in a group that is too small and too varied for more formal assessment. BACKGROUND DATA: Spinal deformity presenting during infancy or early childhood poses a clinical problem caused by small numbers, long growth period, variable presentation and treatment methods, and, finally, the length of time that must pass before meaningful outcome results can be assessed. The aims of treatment are to preserve respiratory function and cosmetic appearance. MATERIALS AND METHODS: The records of patients with infantile onset, nonsyndromic, and noncongenital scoliosis were reviewed. Thirty two were at least age 15 years at the time of review and 21 of these agreed to attend for full pulmonary function testing (spirometry, lung volumes, gas diffusion) and surface topography, whereas two more had recent spirometry results available in their record. Treatment had been serial casting with Risser jacket, bracing, or surgery. RESULTS: Those whose scoliosis resolved or was stabilized by nonoperative means (N = 6) at an acceptable Cobb angle had normal cosmesis and pulmonary function (mean FEV1 = 98.7%, mean FVC = 96.6%). Those who were managed by casting or bracing and underwent surgery after age 10 (N = 6, mean age at surgery 12.9 y) had variable cosmesis and acceptable pulmonary function (mean FEV1 = 79%, mean FVC = 68.3%). Those whose deformity necessitated early surgery (N = 11, mean age at surgery 4.1 y) had recurrence of deformity and diminished respiratory function (mean FEV1= 41%, range 14%-72%, mean FVC = 40.8%, range 12%-67%). CONCLUSIONS: Although these are small numbers and treatment methods have changed since the beginning of the series, the results indicate that this condition is not simple to treat and for some children still has the risk for serious deformity and respiratory compromise. There is, as yet, no evidence that early surgical intervention in this group of patients with infantile scoliosis has altered their prognosis in any meaningful way.

Journal of Bone and Joint Surgery - British Volume, Orthopaedic Proceedings
Vol 86-B, Issue SUPP II, 113.
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery

Leeds – 9–11 April, 2003
President – Mr John K. Webb

P Heaton, C C Ong and J B Williamson
Department of Spinal Surgery, Royal Manchester Children's Hospital, Hospital Road, Manchester M27 4HA

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.


05-14-2007, 07:29 AM
Just a suggestion, but you may want to clarify what type of casting each of these offer. Risser vs Mehta can be a significant difference especially for a younger infant. We found this out the hard way by seeing Dr. Dillilot in Indianapolis and Dr. Crawford in Cincinnati only to realize they didn't do Mehta casting. There are only approx. 4 places in the US that do (Erie, SLC, Denver, Philadelphia- I think). I know the Shriners in Chicago does not, but will be trained by Dr. Mehta in June.

From the research that I have read, Risser casts are not as effective in infants and do not treat the rotation. Since there are larger and without cutouts, they are more restrictive of movement and do not allow for development of chest cavity/rib expansion as well as Mehta.

I agree that any cast is better than no cast, but if you have a small infant (under a year) with progressive curve and rotation then I would suggest going with the Mehta cast over a Risser cast or brace.


05-14-2007, 08:18 AM
Hi Tina,

Scare tactics can be good because it can spur you to action or it can have the opposite effect and prevent you from doing anything. I've seen a lot of different casts and the casts currently being applied at Stanmore England where Miss Mehta practiced don't necessarily have chest cutouts - my daughter's casts didn't have chest cutouts and she didn't suffer rib cage compression because the casts were changed often. I witnessed one mom from California whose local doctor was willing to cast her infant six month old being told by some parents that the only place she could go for proper treatment was either Erie or SLC because the casts were more appealing etc. etc. They didn't have the "proper frame" at the time yet this mom was given this story! This particular mom waited three months and in the meantime the child's curve progressed and by the time she got her kid seen by the doctors in SLC it was too late... she's now looking at surgical alternatives. I could list many more parents who were given the same B.S. and are in the same boat!

Dr. D'Astous has written to other doctors stating that the casts he currently applies are Risser type casts! Dr. Sanders has advised parents whose children are getting great results at other centres to continue treatment there because they're doing well! Why is this????? Are we not to believe the doctors themselves ???? In the summer of 2003 when my daughter had been in casts for a year and a half and her in brace curve was down to 10 degrees, I was told to "grow a spine" and travel to SLC and see Dr. D'Astous because we weren't getting good enough results and my doctor at the time, Dr. Hedden didn't know what he was doing because the casts were not completely made of plaster and had some fibreglass in it. This was coming from a mom whose child's curve had already progressed to 90 degrees!!!! Needless to say this caused me a lot of stress because I started questioning the kind of treatment my daughter was getting and I started feeling like a bad mom! What's ironic about this story is that I contacted this particular mom a year before to tell her of the wonderful results we were getting with serial casting at Sick Kids and was hopeful that her daughter could be helped by the information!

You have to be very careful whose advice you listen to because if you're not, your kid could end up in the same predicament. What corrects the deformity is growth hence the title of Dr. Mehta's article "Growth as a Corrective Force"


05-14-2007, 07:19 PM
Thanks Celia,
I in no way meant to imply that the Mehta casts were the only option. It is so hard to determine the right treatment for your child with different docs telling you conflicting treatment strategies and theories. The stories of parents that made a choice and then their child's condition worsened or was put in a life threatening situation (lung and heart problems, etc.) make it even harder to know what to do or what information to believe. Obviously, your daughter has had amazing success with her casting and I am so thankful for that. Dr. Crawford told us that his style of cast (Risser) does not allow for enough chest/rib expansion for someone as small as Sophia and we should try to postpone casting for as long as possible, so that was what I was going on- in addition to information from other parents in the Yahoo group. I realize that each case is different and may respond differently to various treatment options. He wants to wait one month then put her is a Risser cast June 20th since her curve is progressing pretty quick (40 degrees now with RVAD of 35). The ortho in Indy said to do a brace for a couple of months first, but Dr. Crawford said that was not a good idea.

We should find out tomorrow when Dr. Sanders in Erie can see her. If before June 15th, then we will go with him. We are also trying to get her into the Chicago session with Dr. Mehta June 14-15. If neither of them can cast her before June 20th, then we will go with the Risser cast and Dr. Crawford since I agree that the most important thing is to get her into some sort of treatment ASAP. Thanks so much for your insight and always helpful information.

05-15-2007, 07:14 AM
You're welcome Tina! It's really difficult when you're give conflicting information which causes you to stress over minor details but common sense should prevail in the end. I wish you only the best! :)


07-10-2007, 09:27 PM
Did you say that the Shriner's in Chicago will be doing casting soon?

07-11-2007, 06:22 AM
May I ask, please, what the difference is between a Risser cast, a cast applied on an EDF frame and a Mehta cast?

As a child, from 1976 to 1986, I wore casts that were applied on an EDF frame at the RNOH in Stanmore, England, where Min Mehta worked. I knew her, but was under the care of her colleague Mr Edgar. The casts were solid POP covered in a layer of Scotchcast (fibreglass) with a tummy hole cut out. I had them changed every two months, though in the summer months I would wear high-profile Milwaukee braces.

Today I know of a little girl who wears exactly the same casts as I had, who is cast on the same EDF frame at Stanmore. Her casts are said to be "serial casts" and I assume they are following Mehta's Serial Casting technique, but I can't see what the difference is between the casts she wears and the casts that I wore up until the age of ten.

Any ideas? I know that Mehta started her serial casting in 1977 or 1978 and that the children she cast during her initial trial had much smaller curves than I did (diagnosed as a six month old with 62/40+ double curve, and originall put into Minerva casts that came up round my head).


07-12-2007, 06:25 AM
Hi Toni :)

I honestly don't know the difference but one mom reported that doctor D'Astous who routinely applies the EDF casts referred to the casts as Risser type casts. In fact I remember seeing a picture of a child with a cast in one of Mehta's articles and the cast is very much like the one Erin and Deirdre wore with no cutouts in the front. In the following article "Non-Operative Treatment of Infantile Idiopathic Scoliosis" by Mehta and Morel they state:

"the choice of the type of corrective POP cast can be a matter of individual preference but we have found that thoracic and thoraco-lumbar curves correct best by lateral bending or by wedged casts and combined thoracic and lumbar curves by the distraction type cast. We have also found that thoraco-lumbar curves are easier to correct but thoracic curves are generally less flexible and need to be held in plaster jackets for a longer time. Combined curves can be helped to regress more speedily when active dynamic traction is also prescribed during the first stage of treatment."

You tell me whether this obsessive preoccupation by some people with the appearance of the cast is well founded!!!! :p

07-12-2007, 07:34 AM
Thanks Celia :)

I always thought that "Risser casts" and "EDF casts" were the same thing (after all, they are applied on a Risser-Cotrel frame, and apply elongation-distraction-flexion), so it is very confusing when I read that some people believe they are different!

The Risser casts I wore as a child certainly addressed my rotation. The Risser-Cotrel casting frame has de-rotation straps for both thoracic and lumbar curves.

I wonder if there is a difference between "Risser casts" that perhaps are simple body casts that don't address the rotation, and "Risser-Cotrel" casts that do?

Tina, what are your thoughts on this? :-)

07-12-2007, 08:15 AM
Hi Toni,
I really don't know much about the various types of casts or the correct terminaology beyond what other parents has shared. I just know that Dr. Crawford in Cincinnati told us the type of casting he did was "Risser" style. The photos I saw showed a cast that went lower on the hips with a neck brace an cut outs. He told us that we shoudl postpone the casting as long as possible because of her age (6 months at the time) and the risk of not allowing for adequate rib expansion. However, since her curve was progressing rapidly and was hitting the 40 degree+ mark, he went ahead and scheduled her for the next month. I do not know what kind of table or equipment he used. When I asked how his cast was different from "Mehta" casts, he replied "A rose by anyother name...."?! I know there are other parents in the Yahoo chat group that went to him and had great results with is style of casting. However, the kids were a little older (2yrs approx.).

Dr. Sanders in Erie and his staff told us that the cutouts of the "Mehta" style casts allow for better rib expansion in infants and result in better correction of the rotation. I have seen the "Mehta" style casts with under arm, over arm, and over just one arm styles. Our daughter's is under the arms with a large cut out in front and a small cut out in the back. We will see how well it is working when we go back for #2 in early August.

07-12-2007, 08:53 AM
Hi Tina,

I had Minerva casts (basically solid POP, no cut-outs, came up round the chin and ears and down to the hips) from the age of 6 months. I think I had these until the age of 2 and then switched to EDF/Risser-Cotrel casts, which had a cutout in the tummy but none at the back so I don't see how they'd allow for much expansion of the ribcage - I had a 62 degree high thoracic curve at 6 months so the cast had to be tight around my chest anyway. NB these casts (plus Milwaukee braces during the summer months) held my thoracic curve more or less stable until I was ten, when I had my first surgery.

No matter what the casts are called, I think the main thing is that they are applied on the EDF frame :-)

Toni x

07-23-2007, 05:34 PM
Hi Toni.
I dont really know the difference in casts. I was in Minerver casts from age four solid plaster, very heavy with no openings with neck extension and slight head tilt

07-26-2007, 04:53 PM
after all, they are applied on a Risser-Cotrel frame,

Actually, the Mehta casts are not applied on a Risser-Cotrel frame. They are applied on an AMIL frame specificallly designed for infants and children whereas the cotrel frames are for adults and therefore are not as effective for small children. The mehta style casts have the mushroom designed cutouts to prevent chestwall deformities as well as the hole that is in the back. The hole in the back allows the flattened ribs to go back in to the more "normal" shape while the cast helps to reduce the rib hump.


07-27-2007, 03:01 AM
Thanks IansMommy, that is very helpful information!

I assumed that Mehta casts were applied on the Risser-Cotrel frame because at the Royal National Orthopaedic Hospital in Stanmore, where Miss Mehta was based before she retired, they only have that sort of frame and all children are cast upon it. I was cast on it over twenty years ago and they still use it today - I have a young friend who has been undergoing serial casting and she is also cast on the same frame.

Have you any idea how the AMIL frame differs from the Risser-Cotrel frame please? I don't understand how it would make any difference whether the R-C frame is used for a child or for an adult. From what I have found on the net, the AMIL frame is a relatively new invention but I know Miss Mehta has been doing serial casting of infants as far back as 1977. Maybe the AMIL frame was just created to be more convenient as it is child-sized?

It sounds like the main difference between a Mehta cast and the R-C cast is that there are cutouts at the back to allow for ribcage expansion, but not all children I know who are undergoing serial casting have these, so I am confused again!

Thanks for your help! :)

Toni xx

07-27-2007, 06:13 AM
From what I was told, the adult sized frames don't have the capabilities to properly elongate, or derotate, and holding the infant in traction for optimal correction. I don't know physically how they differ, but I can find out for you and let you know.

If I remember correctly from her study, Mehta did start out using adult sized frames, but then found that the frame designed for a child yielded her better results.

She actually has examined my son and she was/is using the AMIL frame when she casted.

07-27-2007, 06:57 AM
That's excellent news :) I think Min Mehta is amazing - I met her a few times when I was being treated at Stanmore in the 70s and 80s.

It sounds like serial casting can be done on a R-C frame, but the new AMIL frame is much preferable. Can you describe it for us? It would be interesting to know how they differ, so thanks for offering to find out :)

I wasn't given a general anaesthetic when I was cast as a child so I can remember the whole experience....it was uncomfortable rather than painful for me, though they pushed and pulled me about a lot. Most other kiddies my age did have GAs for their casting but I was well known for just shutting up and putting up with it. I remember always feeling like I might fall off the thin strip of canvas that I was lying on, except my head and feet were in traction!

07-27-2007, 07:25 AM
I haven't seen the table. Ian is always under anesthesia when they do the casting, so I am not in the room when they do it although I would have loved to have been in there to see exactly what they do!

I will try to find out for you what it looks like...I know that it is smaller, but other than that I am not sure.

I quick glanced at her article and she did use the Cotrel table although I know she uses the AMIL table now.

The doctor who was treating Ian left Shriners to go to another hospital. They were trying to purchase the AMIL frame for the hospital that he was moving to, but were having trouble getting it (I think problems with the manufacturer). He told me he felt he could modify the table they had until they could get the AMIL. I never thought to ask what sort of changes would be needed.

I wonder if there are any pictures of it out there? I tried to google the AMIL table and could not find anything. I do remember finding something on it several months ago, but it was mostly in a foreign language (german maybe?). I'm asking around though. I'll let you know when I find out exactly what the differences are.

07-28-2007, 03:29 PM
From what I was told, the adult sized frames don't have the capabilities to properly elongate, or derotate, and holding the infant in traction for optimal correction.

Hi Jennifer :)

Who told you this? Deirdre was not cast on an AMIL frame at 19 months of age and yet her curve was reduced from 68 degrees to 8 incast with serial casting before going into the Spinecor which further reduced her curve to 1 degree. Dr. Sanders was casting young children at the Shriners in Erie for two years before getting the AMIL frame with equally good results so I don't understand.

07-28-2007, 04:06 PM
I learned about the AMIL frame when Ian was participated in the ETP conference headed by Mehta. The conference was held at the Shriners in Erie, PA and doctors from all different parts of the country participated either in person or via teleconferencing. (Mehta will be in Chicago in a few weeks for another ETP by the way).

Okay, this is my understanding of the differences. The Striker and Risser frames do not have a traction mechanism or derotation ability and therefore cannot correct the scoliosis 3 dimensionally. The Cotrell frames do have these abilities, but infants are too small for the huge frame to get the best results.

When we saw Mehta, she told me that even though Ian's RVAD was borderline (21 degrees) she was certain that he would progress due to the significant amount of rotation he had (45 degrees). She told me she had never seen that much rotation with a Cobb angle as low as what Ian had (36 degrees). She would have expected a much more severe curve. Anyway, she was right and when the new films were taken he was 43 degrees.

The thing I learned there was how significant the rotation is. Basically, what I learned is that if the rotation is not addressed, you are treating the effect and not the cause.

Anyway, I am not wanting to debate...just sharing what I know about the AMIL frame and our experience with it. I'm glad Deirdre is doing so well. I have heard good things about the Spinecor.

Ian is now straight and we finished casting back in May. He's in a brace and doing well.

07-28-2007, 04:35 PM
Hi Jennifer,

Was it dr. Mehta that told you the AMIL frame is absolutely necessary for young children? If so, I don't understand why Deirdre did so well without it. For all intents and purposes she shouldn't be straight, right? :rolleyes: It's quite a stretch of the imagination to think that doctors in the U.S. can go to medical school for countless years and yet not know how to apply a basic torso cast ?! This doesn't say very much about U.S. doctors, does it? They are after all, specialists in orthopaedics????! Why create these artificial barriers to treatment? This is an absolute joke! Are we to believe that all the doctors who have written articles on serial casting or have successfully treated children with progressive infantile scoliosis were personally trained by Min Mehta?? What about people who can't travel long distances for treatment because of financial constraints or family obligations? Do these children just fall through the cracks? Obviously they do AND they are... I find it odd that Dr. Mehta would be summoned given her frail health to travel clear across the Atlantic Ocean to teach these doctors a basic cast technician technique!!! However, I'm not surprised given her generous nature and wonderful character that she would donate her time freely over and again if requested to do so, to a cause such as infantile scoliosis despite her age and failing health.

By the way, I'm sooooo happy for Ian and especially for you !!!! What is his in brace curve now ?

12-20-2007, 08:13 PM
I recently learned that Dr. John Asghar at Shriners Hospital for Children in Philadelphia does serial casting on infants and young children as well. He can be reached at 1-800-281-4050. He informed me that he, along with Dr. D'Andrea, learned the technique from Dr. Mehta and that it is becoming an increasingly large part of his practice. Dr. Asghar also happens to have a great bedside manner.

12-21-2007, 12:27 PM
And another - Dr. Albert Sanders at Christus Santa Rosa in San Antonio, TX.

04-20-2011, 03:14 PM
Boston Children's is also doing serial casting for scoliosis. They are using a modified Risser frame to the best of my knowledge. The drs. are not as experienced with it but time will help and they are learning from other casting doctors..yes they are using the Metha method with the mushroom cutouts, they call them Risser casts though and bill them as Risser casts because insurance will not cover them otherwise...so for some of you who are confused about the difference in name, much of it is simply for insurance purposes (disclaimer: still check w/ your doctor though).