Spinal Orthosis Casting

Technique

By Luthfi Rizqi P
 Objctive
• By the end of this session, participants
understand the stages Casting Technique in
Scoliosis Orthotics Management
 Preparation For Casting
• Rolls of POP Bandage/Scotch Cast
• Plaster slab / plastic tube
• Stockinet or cling wrap
• Surgical glove
• Casting jig
• Cast scissors
• Indelible pencil/marker
• Bucket with water
• PVC Sheet
• Measurement Tools
1. Ask/assist the patient to don 2 layers 2. Mark the bony prominence and
of casting garment anatomical landmarks
• Anterior – illiac crest, ASIS,
Pubic Symphysis, umbilicus,
xiphoid process, Distal margin
of 10th ribs, axillar level
• Lateral – GT and above GT
(Glu Med)
• Posterior – Gluteal fold, PSIS,
Inferior edge of scapulae
• Any sensitive
areas/prominences
3. Measurement
• Important measurements
should be recorded accurately
to the measurement form
• Measure both circumferential
diameter and height as
indicated in the
measurements form

• Used as a reference during

positive cast modification
4. Force application practice
• Practice the force
application with your
partner before start casting

• Ideally the practice should

be done with X-ray film for
the preciseness
5. Instruct the patient proper position
• Maintain appropriate
position without lateral
trunk bending or rotation of
the trunk
6. Plaster application
• Start wrapping plaster
bandage from pelvis, low
enough to cover greater
trochanter (GT)
• Continue wrapping the plaster
bandage up to the estimated
proximal trimline
• Shape the waist and iliac crest
by pulling the plastic slab or
plastic tube anteriorly and
downward
7. Apply the corrective and counter
forces appropriately while stabilizing
the pelvis

• Control the position of the

trunk during force
application
• Double check with X-ray if
the forces are accurate
8. Check the coronal alignment

9. Remove the cast by cutting along

the tube, and help the patient to
clean and dress

10. Check general strength of the

negative model