{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T18:54:53Z","timestamp":1781722493026,"version":"3.54.5"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a novel suspension bending cast (SBC) technique for early-onset scoliosis (EOS) that enables coronal correction through suspension-assisted bending and facilitates derotational molding, and to identify factors associated with curve improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted on 49 patients with EOS who underwent SBC between 2011 and 2023. For inclusion, patients had to be\u2009&lt;\u200910\u00a0years at casting initiation and have\u2009\u2265\u20092\u00a0years of follow-up. Curves were measured before the first cast, after the first cast, at the end of casting, and at final follow-up. We analyzed curve improvement, scoliosis type, rib phase, and rib-vertebral angle difference (RVAD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median age at initial casting was 44\u00a0months (interquartile range [IQR] 25\u201378). The median number of casts was 3 (IQR 2\u20136); the median follow-up was 58\u00a0months (IQR 35.0\u201381.6). The median curve was 63\u00b0 before casting, corrected to 21\u00b0 in the first cast, and 67\u00b0 at final follow-up. Of the 49 patients, 30.6% went from casting to definitive fusion, and an additional 30.6% underwent additional surgery before definitive fusion, while the remaining 38.8% were \u201ccured\u201d or remain under non-operative management. Time from first cast application to any surgery was 38.6\u00a0months (IQR 21.9\u201358.5). Curve improvement (from initial to final) was associated with higher initial correction rates. Idiopathic scoliosis demonstrated greater initial correction than non-idiopathic scoliosis. No differences were observed in final curve or correction rate based on rib phase or RVAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Suspension bending casts showed high initial correction in patients with moderate to severe EOS and contributed to delayed surgical intervention. A higher correction rate after the first cast was associated with long-term curve improvement, indicating that initial correction of casting may be an important prognostic factor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-026-01475-y","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T18:48:20Z","timestamp":1781722100000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of suspension bending cast for early-onset scoliosis"],"prefix":"10.1007","author":[{"given":"Keisuke","family":"Masuda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2635-9823","authenticated-orcid":false,"given":"Vidyadhar V.","family":"Upasani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9236-2284","authenticated-orcid":false,"given":"Burt","family":"Yaszay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3893-5429","authenticated-orcid":false,"given":"Carrie E.","family":"Bartley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9437-7973","authenticated-orcid":false,"given":"Peter O.","family":"Newton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"1475_CR1","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1302\/0301-620x.37b3.400","volume":"37-b","author":"JC Scott","year":"1955","unstructured":"Scott JC, Morgan TH (1955) The natural history and prognosis of infantile idiopathic scoliosis. 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Vidyadhar V. Upasani reports no direct conflicts of interest. Outside of the submitted work, he serves as a board or committee member for AAOS, POSNA, and the Scoliosis Research Society; holds patents and is an employee of Daedalus Medical Solutions, Inc.; receives royalties, licenses, consulting fees, and\/or research support from DePuy (Johnson & Johnson), Orthofix, OrthoPediatrics, Stryker, ZimVie, and nView; has stock or stock options in Imagen; serves as an unpaid consultant for Indius; receives publishing royalties from Wolters Kluwer Health\u2013Lippincott Williams & Wilkins; and serves on editorial boards including\n                      Spine Journal\n                      . Burt Yaszay reports no direct conflicts of interest. Outside of the submitted work, he serves as a board or committee member for AAOS, POSNA, and the Scoliosis Research Society; receives consulting fees, royalties, and\/or research support from Biogen, DePuy, Globus Medical, K2M, Nuvasive, Orthopediatrics, Pacira, and Stryker; and serves on the editorial board of\n                      Spine Deformity\n                      . Carrie E. Bartley reports no conflicts of interest. Peter O. Newton reports no direct conflicts of interest. Outside of the submitted work, his institution has received grants from DePuy Synthes Spine, EOS Imaging, Nuvasive, Orthopediatrics, Stryker\/K2M\/VB Spine, Alphatech, and the Scoliosis Research Society. He receives royalties from DePuy Synthes Spine, Thieme Publishing, and Stryker\/K2M\/VB Spine; consulting fees from Globus Medical, Stryker\/K2M\/VB Spine, Pacira, Orthofix, and Medtronic; and honoraria for lectures and educational events from Stryker\/K2M\/VB Spine. He holds multiple patents related to spinal instrumentation and devices. He has served in leadership roles for the Setting Scoliosis Straight Foundation, Rady Children\u2019s Specialists of San Diego, and the International Pediatric Orthopedic Think Tank (all uncompensated). He also holds stock or stock options in Accelus, Spinology, and SeeAll_AI.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"IRB approval was obtained for this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research involving human participants"}},{"value":"A waiver of written consent was obtained from the IRB.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}