Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel...
HCPCS code
Name of the Procedure:
Common Name(s): TLso, Flexible Back Brace
Technical/Medical Term: Thoracolumbosacral Orthosis (TLSO), Flexible
Summary
A TLso is a type of flexible back brace designed to provide support to the trunk. It extends from the sacrococcygeal junction (just above the tailbone) to above the T-9 vertebra (upper middle back). This brace restricts large movements of the trunk in the sagittal plane (front to back movements), and generates pressure within the abdominal cavity, helping to reduce the load on the spinal discs through the use of rigid stays or panels.
Purpose
The TLso flexible back brace is used primarily to manage conditions that involve the spine. It aims to provide support and stability to the trunk, reduce large movements that might exacerbate spinal issues, and alleviate pain by decreasing the pressure on intervertebral disks.
Indications
- Chronic lower or mid-back pain
- Lumbar or thoracic vertebral fractures
- Post-surgical support for spinal surgeries
- Degenerative disc disease
- Herniated discs
- Spondylolisthesis
Preparation
- No specific preparation is required for fitting the brace.
- Patients may need to undergo a physical assessment or imaging studies (like X-rays, MRI, or CT scans) to tailor the brace to their specific needs.
Procedure Description
- Initial Assessment: A healthcare provider assesses the patient's back condition and measurements for a custom fit.
- Fitting: The TLso is usually fitted while the patient is standing, sitting, or lying down.
- Adjustment: The brace is adjusted to ensure it provides appropriate support and comfort.
- Instruction: Patients are instructed on how to wear and remove the brace properly, and how to care for it.
Tools and Equipment Used:
- Flexible TLso brace
- Measuring tapes and markers for customization
- Adjustment tools for rigid stays or panels
Anesthesia or Sedation:
- Not applicable for this procedure.
Duration
Fitting and adjustment of the TLso typically take about 30 minutes to 1 hour.
Setting
The procedure to fit the brace is commonly performed in a hospital, outpatient clinic, or orthopedic office.
Personnel
- Orthopedic specialist or clinician
- Physical therapist, in some cases
- Nurse or medical assistant for support and instruction
Risks and Complications
- Common Risks:
- Discomfort during the initial adjustment period
- Skin irritation or pressure sores
- Rare Risks:
- Poorly fitted brace leading to inadequate support or further injury
Benefits
- Reduced pain and discomfort
- Improved mobility and stability
- Decreased stress on intervertebral discs
- Faster recovery and better outcomes post-surgery
Recovery
- Immediate Care: Follow the wearing schedule as prescribed by the healthcare provider
- Long-term Care: Regular follow-ups to assess the fit and function of the brace.
- Restrictions: Avoid activities that may compromise the integrity of the brace.
- Follow-up: Adjustments to the brace as needed.
Alternatives
- Non-Surgical:
- Physical therapy
- Pain management medications
- Alternative brace types (e.g., rigid)
- Pros and Cons:
- Non-surgical methods may offer fewer restrictions but might provide less support.
- Rigid braces provide more support but can be less comfortable and restrictive to movement.
Patient Experience
During Procedure:
- Minimal discomfort during fitting and adjustment
After Procedure:
- Initial discomfort as the body adjusts to the brace
- Gradual relief from pain and improved function with proper usage
- Pain management can often be addressed with over-the-counter analgesics and proper instruction on using the brace.