Serial elongation, derotation, and flexion(EDF) casting is an effective treatment for early onset scoliosis. Most described casting techniques call for the use of a specialized frame or casting table, not available at many institutions. We describe a novel technique for EDF casting on a Jackson table modified to function as a traction frame(MJ). A retrospective review of patients casted on either the MJ or the traditional Risser frame at our institution demonstrates no difference in complication rates or initial in-cast correction between groups. The MJ is a safe and effective alternative for applying EDF casts under traction.
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