Name of the Procedure:

Thoracolumbosacral Orthosis (TLSO), Flexible

Common Name(s): Flexible Back Brace, Thoracic Back Support
Technical Term: Thoracolumbosacral Orthosis (TLSO) - Flexible

Summary

This flexible back brace supports the trunk and thoracic region of the spine. It features a rigid posterior panel and a soft anterior apron, extending from the lower back (sacrococcygeal junction) up to just below the shoulder blades (scapular spine). It works by restricting excessive movement of the spine in the forward and backward directions (sagittal plane).

Purpose

Medical Conditions Addressed:

• Spinal injuries
• Post-surgical stabilization
• Degenerative spine conditions
• Scoliosis or other spinal deformities

Goals:

• Support and stabilize the spine
• Promote healing and proper spinal alignment
• Reduce pain and discomfort associated with movement

Indications

Symptoms/Conditions:

• Severe back pain
• Spinal instability
• Post-operative recovery
• Poor posture management
• Movement restriction due to injury or surgery

Patient Criteria:

• Prescribed by a physician
• Patient should be physically able to wear and manage the brace

Preparation

Pre-procedure Instructions:

• No specific fasting or medication adjustments required
• May involve initial assessment by a healthcare provider to measure and fit the brace

Diagnostic Tests:

• X-rays or MRI may be necessary for accurate fitting and to assess the spine condition

Procedure Description

Steps:

1. A healthcare professional will perform an initial assessment and measurement.
2. The individual will be fitted with a custom-manufactured or pre-fabricated brace.
3. Instructions are given for donning, doffing, and adjusting the brace.
4. Follow-up appointments may be scheduled to ensure fitting and effectiveness.

Tools/Equipment:

• TLSO brace with rigid posterior panel and soft anterior apron

Anesthesia/Sedation:

• Not applicable

Duration

• Fitting and initial instruction: Approximately 1-2 hours
• Usage duration varies by medical need, often worn for several weeks to months

Setting

• Orthopedic clinic, outpatient setting

Personnel

• Orthopedic specialist, physical therapist, or certified orthotist

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Discomfort while wearing the brace

Rare Risks:

• Reduced muscle strength due to prolonged use
• Allergic reaction to materials

Complications Management:

• Regular monitoring and adjustment of the brace
• Managing skin care and hygiene

Benefits

• Enhanced spinal support and stability
• Pain reduction and improved comfort
• Faster recovery and better healing outcomes

Recovery

Post-procedure Care and Instructions:

• Regular use as advised by the healthcare provider
• Skin care to prevent irritation
• Physical therapy exercises for muscle strength

Recovery Time:

• Varies; immediate support with gradual spinal improvement over weeks to months
• Follow-up appointments for monitoring progress

Alternatives

Other Treatment Options:

• Rigid braces
• Soft braces
• Physical therapy
• Surgery (in severe cases)

Pros and Cons:

• Flexible brace may offer more comfort and better mobility but may provide less support compared to rigid options

Patient Experience

During Procedure:

• Measurement and fitting should be painless
• Mild discomfort may be experienced initially as the patient gets used to the brace

After Procedure:

• May feel restricted in movement but generally comfortable
• Pain management may not be necessary but any discomfort can be discussed with a healthcare provider