29015 Application of Risser jacket, localizer, body; including head

Name of the Procedure:

Application of Risser Jacket, Localizer, Body; Including Head
Common Name: Risser Jacket Application
Technical Term: Spinal Orthosis Application

Summary

The Risser jacket is a type of body brace used to immobilize the spine and torso, including the head, to treat or manage spinal conditions. It is custom-fitted to provide stabilization and support, especially in cases of scoliosis or spinal fractures.

Purpose

The Risser jacket is primarily used to treat and manage conditions affecting the spine, such as scoliosis, spinal fractures, or other spinal deformities. The primary goal is to provide immobilization, stabilize the spine, and prevent further injury or deformity.

Indications

• Severe scoliosis requiring spine stabilization
• Spinal fractures or trauma
• Spinal deformities needing correction and support
• Post-surgical immobilization of the spine

Preparation

• Patients may need to undergo initial imaging studies like X-rays or MRI to assess the spine's condition.
• Pre-fitting measurements and moldings of the torso and head are often required.
• No specific fasting or medication changes are usually necessary unless otherwise directed by the healthcare provider.

Procedure Description

1. The patient stands or lies while measurements and molds of their torso and head are taken.
2. The custom-made Risser jacket is fabricated based on these molds.
3. Once ready, the jacket is carefully fitted onto the patient’s body, ensuring full coverage and proper alignment.
4. Adjustments are made to ensure a snug fit that immobilizes the spine without causing discomfort.
5. Patients are instructed on how to wear, adjust, and care for the jacket.

Tools/Equipment: Measurement tools, molding materials, custom fabrication tools.
Anesthesia: Not typically required.

Duration

The fitting process for the jacket typically takes 1-2 hours. Production of the jacket may take several days.

Setting

The procedure is usually conducted in a hospital or outpatient clinic specialized in orthotics.

Personnel

• Orthotist (specialist who fits and fabricates orthopedic braces)
• Nurses or medical assistants
• Orthopedic surgeon or physician (for prescribing and overseeing the process)

Risks and Complications

• Skin irritation or sores due to prolonged wear
• Discomfort and reduced mobility
• Potential pressure points that need adjustment
• Rare risk of breathing difficulties if the jacket is too tight

Benefits

• Effective stabilization of the spine
• Prevention of further spinal curvature or deformity
• Pain relief from spinal stabilization
• Improved posture and overall spinal alignment

Recovery

• The brace is generally worn for several months; specific duration depends on the condition being treated.
• Regular follow-up appointments are necessary for adjustments.
• Skin care and hygiene measures should be adhered to prevent irritation.

Alternatives

• Observation and regular monitoring (for mild cases)
• Physical therapy to strengthen supporting muscles
• Surgical intervention (in severe cases)
• Pros: Less restrictive options like physical therapy can improve muscle strength without immobilization.
• Cons: Surgery can be invasive with longer recovery times, while monitoring does not provide immediate stabilization.

Patient Experience

• Initial discomfort as the body adjusts to the brace.
• Restricted movement and possible difficulty performing daily tasks.
• Pain management typically not required, but adjustments can help enhance comfort.
• Skin care and realization of wearing schedules are essential for long-term use.