Dr. Michelle Welborn, EDF/Mehta Casting for Infantile Idiopathic Scoliosis, with Dr. Derek Lee
This interview is for educational purposes and covers information provided by Dr. Michelle Welborn regarding her opinions on EDF/Mehta Casting. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.
00:00 Introduction
00:44 EDF casting "cures" 35-69% of patients with infantile idiopathic scoliosis.
1:18 Evolution of EDF casting.
2:05 Research shows bracing works with compliance. Casting is 100% compliance.
2:39 Casting harnesses the power of growth.
4:42 Defining Early Onset Scoliosis.
6:19 Infantile Idiopathic Scoliosis. Best demographic for successful EDF casting and a possible cure.
6:42 IOS severely impacts lung development leading to severe restrictive lung disease if unresolved.
7:50 Congenital scoliosis.
8:13 Neuromuscular and Syndromic scoliosis.
8:37 Risk Factors for progression for non-congenital scoliosis.
10:11 Treatment - when to watch, brace, cast or surgery.
12:11 150 year history and evolution of casting.
13:57 EDF Casting designed to untwist scoliosis deformity.
14:44 When to EDF cast?
15:19 Importance of delaying or avoiding surgery if possible.
15:58 History/Background of EOS casting.
19:02 EDF casting results.
21:13 EDF Casting - Biomechanics.
22:34 EDF Casting - Upside.
23:15 Caring for your child in an EDF cast.
25:16 EDF Casting - Downside.
28:46 EDF Casting - Dr. Welborn's Protocol.
29:53 EDF Casting - Case Study. 55 degree curve, 12 months of age
31:27 EDF Casting - Congenital Scoliosis Case Study.
32:59 Relationship between curve flexibility and curve correction.
34:37 What to expect when wearing the first cast.
35:46 Bracing compliance is a key to successful curve correction.
36:35 Bracing and muscle atrophy.
38:01 How do parents manage toddlers in a cast?
42:04 How are surgeons taught EDF casting techniques?
44:45 How many EDF casts has Dr. Welborn made?
45:38 Managing the sagittal curve in a cast.
46:08 The use of x-rays during casting.
47:25 Elongation, De-rotation and Flexion in EDF casting.
50:16 "Master Caster"!!
51:42 What determines when a new cast is required?
53:35 A list of surgeons who do EDF casting?
55:09 Update on Collagen Biomarker test for bone growth velocity and maturity.
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This interview is for educational purposes and covers information provided by Dr. Michelle Welborn regarding her opinions on EDF/Mehta Casting. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below. 00:00 Introduction 00:44 EDF casting "cures" 35-69% of patients with infantile idiopathic scoliosis. 1:18 Evolution of EDF casting. 2:05 Research shows bracing works with compliance. Casting is 100% compliance. 2:39 Casting harnesses the power of growth. 4:42 Defining Early Onset Scoliosis. 6:19 Infantile Idiopathic Scoliosis. Best demographic for successful EDF casting and a possible cure. 6:42 IOS severely impacts lung development leading to severe restrictive lung disease if unresolved. 7:50 Congenital scoliosis. 8:13 Neuromuscular and Syndromic scoliosis. 8:37 Risk Factors for progression for non-congenital scoliosis. 10:11 Treatment - when to watch, brace, cast or surgery. 12:11 150 year history and evolution of casting. 13:57 EDF Casting designed to untwist scoliosis deformity. 14:44 When to EDF cast? 15:19 Importance of delaying or avoiding surgery if possible. 15:58 History/Background of EOS casting. 19:02 EDF casting results. 21:13 EDF Casting - Biomechanics. 22:34 EDF Casting - Upside. 23:15 Caring for your child in an EDF cast. 25:16 EDF Casting - Downside. 28:46 EDF Casting - Dr. Welborn's Protocol. 29:53 EDF Casting - Case Study. 55 degree curve, 12 months of age 31:27 EDF Casting - Congenital Scoliosis Case Study. 32:59 Relationship between curve flexibility and curve correction. 34:37 What to expect when wearing the first cast. 35:46 Bracing compliance is a key to successful curve correction. 36:35 Bracing and muscle atrophy. 38:01 How do parents manage toddlers in a cast? 42:04 How are surgeons taught EDF casting techniques? 44:45 How many EDF casts has Dr. Welborn made? 45:38 Managing the sagittal curve in a cast. 46:08 The use of x-rays during casting. 47:25 Elongation, De-rotation and Flexion in EDF casting. 50:16 "Master Caster"!! 51:42 What determines when a new cast is required? 53:35 A list of surgeons who do EDF casting? 55:09 Update on Collagen Biomarker test for bone growth velocity and maturity. drdereklee.com Facebook VBT/ASC/Tethering Support Groups: Canada: facebook.com/groups/60224... USA: facebook.com/groups/Scoli... UK: facebook.com/groups/12878...
Man I wish she was doing my sons casts.