ArticleJournal of the Pediatric Orthopaedic Society of North America2024
Weight Percentile Is Maintained During Spica Casting: A Retrospective Cohort Study of Patients Treated with Closed or Open Reduction for Developmental Dysplasia of the Hip.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Weight changes during spica casting previously have not been reported. The primary aim of this study was to determine weight percentile change from cast initiation to cast removal. Secondary aims were to assess weight percentile changes from initiation to mid-term follow-up visits after cast removal and to assess the mean weight change from cast initiation to cast removal. Methods: Patients with developmental dysplasia of the hip (DDH) treated with closed or open reduction (± femoral/pelvic osteotomy) and spica cast were retrospectively reviewed from 2/2016-6/2023. Patients aged <4 years treated for ≥6 weeks in spica cast were included. Patients lacking weight measurements within the 4 weeks prior to cast initiation or within 2 weeks following cast removal were excluded. Demographics, weight, and weight percentiles at cast initiation, cast removal, and at follow-ups were collected. Mean weights and mean weight percentiles were compared across visits with dependent sample Results: Thirty-six hips in 31 infants (median age: 10.4 [interquartile range {IQR}: 9, 16.3] months, 86% female) were included. The median duration of casting was 9.2 [IQR: 7.9, 12.6] weeks; 2 hips had midpoint cast change. The mean weight was 9.8 ± 2.3 kg at cast initiation and 10.1 ± 1.9 kg at final cast removal, with a mean change of 0.3 ± 0.4 kg ( Conclusion: Weight percentiles were maintained during spica casting in the patients examined in this study, which should be reassuring to the family and treatment team; our study did not find that spica casting stunts weight gain. For surgeons who may consider maintaining the original spica cast throughout treatment, without cast change, a mean weight gain of 0.3 kg for a mean casting length of 9 weeks in infants of median age 10.4 months should be reassuring; many infants/toddlers may not require a cast change due to growth. Key Concepts: (1)Spica casting does not appear to stunt weight gain.(2)The weight percentile did not change during spica casting following open or closed reduction for developmental dysplasia of the hip.(3)The mean weight gain during typical spica casting is 0.3 kg, which was not statistically significant. Level of Evidence: III, retrospective cohort.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.