Debate: Correction by traction followed by cast or brace is the treatment of choice for syndromic deformity under the age of 6 years Against Gerard Bollini.

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Presentation transcript:

Debate: Correction by traction followed by cast or brace is the treatment of choice for syndromic deformity under the age of 6 years Against Gerard Bollini MD PhD Marseille, France George Thompson MD Cleveland, OH, USA For Charles Johnston II MD Dallas, TX, USA Reinhard Zeller MD Toronto, Canada Moderator: Suken A. Shah MD Wilmington, DE, USA 1

Case 1: Age 12 months

Age 23 months

Clinical Photos

Clinical Photos

Normal MRI

Bending X-rays

Traction film

Post – cast X-ray

Case 2 Child presents at 6 months Significant curve, detected by pediatrician Pierre-Robin syndrome Failure to thrive Geneticist doesn’t know what else he has

Initial Xrays – 6 months

In brace X-ray at 10 months

Normal MRI

1st EDF Cast

2nd EDF cast

3rd EDF cast – 2 years old

Case 3: Severe Kyphoscoliosis