Describe orthotic treatment for earlyonset scoliosis

Orthotic treatment typically consists of initial cast treatment to obtain maximum deformity correction followed by brace treatment. A cast is applied under general anesthesia and changed every 6 to 12 weeks until ultimate correction is achieved. In the next treatment phase, a Milwaukee brace is continued for 2 years until the Cobb angle and RVAD are stable. A Milwaukee brace (cervicothoracolumbar orthosis, CTLSO) is preferred over an underarm thoracolumbosacral orthosis (TLSO) due to the tendency of underarm braces to cause chest wall deformity secondary to rib cage compression.

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