spica cast, an orthopedic cast applied to immobilize part or all of the trunk of the body and part or all of one or more extremities. It is used to treat various fractures, such as of the hip and the femur, and to correct or maintain the correction of hip deformities. Kinds include bilateral long-leg spica cast, one-and-a-half spica cast, shoulder spica cast, unilateral long-leg spica cast. See also cast.