Name of the Procedure

• Common Names: Thoracolumbosacral Orthosis (TLSO), TLSO Brace
• Technical/Medical Term: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells (L0460)

Summary

A TLSO brace is a custom-fitted, rigid device designed to provide support and immobilize the spine. It consists of two rigid plastic shells and supports the spine from the lower back to just below the shoulder blades in the back and from the pubic area to the chest in the front.

Purpose

• Medical Conditions: Spinal fractures, post-surgical recovery, scoliosis, severe back pain, spinal deformities, and other spinal anomalies.
• Goals/Outcomes: Stabilize the spine, promote healing, provide pain relief, prevent further injury, and enhance functional mobility.

Indications

• Symptoms/Conditions: Severe back pain, spinal fractures, degenerative disc disease, scoliosis, post-surgical immobilization.
• Criteria: Diagnosed spinal issue requiring immobilization and support, as determined by a healthcare provider.

Preparation

• Pre-procedure Instructions: No specific preparation required for fitting. Follow any guidelines given by healthcare providers, such as wearing comfortable clothing.
• Diagnostic Tests: Imaging tests like X-rays, MRI, or CT scans might be conducted to tailor the brace to the patient's specific needs.

Procedure Description

• Steps:
  1. Measuring the patient's torso and spine.
  2. Custom fitting the brace to ensure comfort and effectiveness.
  3. Adjusting the brace for proper alignment and stability.
  4. Educating the patient on how to wear, remove, and care for the brace.
• Tools/Equipment: Rigid plastic shells, Velcro straps, modular components.
• Anesthesia: Not applicable, as this is a non-invasive process.

Duration

• Typically less than an hour for fitting and instructions.

Setting

• Settings: Hospital orthotics lab, outpatient clinic, specialized orthotic center.

Personnel

• Healthcare Professionals: Orthotist, physical therapist, possibly a physician overseeing the procedure.

Risks and Complications

• Common Risks: Skin irritation, pressure sores, discomfort.
• Rare Risks: Improper fit leading to muscle atrophy or skin breakdown.
• Management: Regular follow-ups to adjust the fit and address any issues.

Benefits

• Expected Benefits: Pain relief, spinal stabilization, improved postural support, enhanced recovery.
• Realization: Benefits can often be noticed immediately, with ongoing improvements during use.

Recovery

• Post-procedure Care: Regularly monitor for skin issues, practice proper brace hygiene, physical therapy.
• Recovery Time: Varies depending on the underlying condition; follow healthcare provider guidance.
• Restrictions: Limitations on activities that could strain the back; adhere to specific movement guidelines.

Alternatives

• Other Options: Soft lumbar supports, physical therapy, medications, surgical interventions.
• Pros/Cons: TLSO provides more rigid support compared to soft braces and can be crucial for severe conditions but may be less comfortable than other options.

Patient Experience

• During Procedure: Patient may experience slight discomfort during fitting.
• After Procedure: Initial adjustment period with some discomfort; pain management strategies and regular follow-ups can improve comfort.