Name of the Procedure:

• Common Name(s): TLSO Brace
• Technical/Medical Term: Thoracolumbosacral Orthosis (TLSO), Triplanar Control, Modular Segmented Spinal System (L0458)

Summary

The TLSO brace is a medical device designed to stabilize and support the spine. It consists of two rigid plastic shells that encase the torso. The posterior shell extends from the lower back to just below the shoulder blades, and the anterior shell extends from the pubic area to the bottom of the breastbone.

Purpose

The TLSO brace is used to:

• Treat spinal fractures, scoliosis, and other conditions where spinal stability is needed.
• Immobilize the spine to promote healing and prevent further injury.
• Maintain alignment and support to reduce pain and enhance mobility.

Indications

• Symptoms or conditions such as spinal fractures, scoliosis, post-operative spinal fusion, or degenerative diseases of the spine.
• Patients who require external support for spinal stability.

Preparation

• Pre-procedure assessment may include X-rays, MRI, or CT scans to evaluate spinal conditions.
• Adjustments in medication or fasting instructions may be provided depending on the specific case.

Procedure Description

1. Patient evaluation to determine the appropriate size and fit of the brace.
2. Custom fitting of the brace, ensuring that the rigid plastic shells properly align with the body.
3. Education on how to wear, adjust, and remove the brace.
4. Instructions on wearing the brace consistently for the prescribed duration.

Tools:

• Custom-made modular segmented spinal system.
• Soft liners for patient comfort.

Anesthesia or sedation:

• Not typically required.

Duration

• Initial fitting and education session may take about 1-2 hours.
• The brace is usually worn for several hours a day, as prescribed by the physician.

Setting

• Outpatient clinic or orthopedic specialist office.

Personnel

• Orthopedic clinician or orthotist for fitting and adjustments.
• Physical therapists may be involved in follow-up care.

Risks and Complications

• Skin irritation or pressure sores.
• Discomfort or pain from improper fitting.
• Potential for muscle weakness if not worn properly.

Benefits

• Enhanced spinal stability and support.
• Pain reduction and improved mobility.
• Promotion of healing and prevention of further spinal injuries.

Recovery

• Regular follow-up appointments for adjustments and to monitor progress.
• Daily wearing of the brace as prescribed, usually involving gradual reduction over time.
• Restricted activities to prevent strain on the spine.

Alternatives

• Other types of spinal braces or supports, depending on the specific spinal condition.
• Physical therapy or medications for pain management.
• Surgical options in severe cases.

Patient Experience

• Initial discomfort or awkwardness while adjusting to wearing the brace.
• Potential relief from spinal pain and improved stability.
• Regular communication with healthcare providers to ensure proper fit and maximum benefit.