“…Infants who must lie prone after surgical repair of myelomeningocele or infants who must lie prone to maintain an open airway, such as those with Pierre Robin sequence, may require a restraint that allows prone positioning. 5,11,12 SPICA CASTS 1. For children with spica casts, a specially modified convertible car safety seat, the Spelcast (Snug Seat, Inc, Matthews, NC), has cut-away sides and seat bottom that provide room for a comfortable and snug fit into the restraint system (Fig 4).…”