Abstract: A modular table is described for supporting a patient during application of a spica cast. In various embodiments, the table is modular, having a support for the patient's upper body and a separate support for the patient's lower body. The supports have coupling members that interface with existing examination or operating tables, or with additional members attached thereto. The coupling members may be placed into features shaped to receive them in one or more spaced-apart positions, or in other embodiments may slide through T-shaped slots or tracks that guide relative alignment of the supports. The tracks for the two supports may be the same or different; straight or curved; and parallel, perpendicular, or skew. Additional fixtures attach to the table or additional members to assist in applying traction to the patient during the application.