Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal n...
HCPCS code
Name of the Procedure:
- Common Name: TLso Brace
- Technical Term: Thoracolumbosacral Orthosis (Triplanar Control, Two-Piece Rigid Plastic Shell)
Summary
A Thoracolumbosacral Orthosis (TLso) brace is a rigid plastic device used to support and stabilize the spine. It consists of two pieces that are fitted around the torso, secured with multiple straps and closures. The brace extends from the lower back (sacrococcygeal junction) to just below the shoulder blades (scapular spine) in the back, and from the pubic area to the sternal notch in the front.
Purpose
The TLso brace is used to treat various spinal conditions by immobilizing and supporting the spine:
- Reduces pain by limiting motion.
- Promotes healing in spinal fractures or surgeries.
- Helps in correcting and maintaining spinal alignment.
Indications
The TLso brace is indicated for:
- Spinal fractures
- Post-operative stabilization
- Severe osteoarthritis
- Spondylolisthesis
- Degenerative disc disease
- Spinal deformities (e.g., scoliosis)
Preparation
- Consult with your physician.
- No specific fasting requirements.
- Ensure any diagnostic imaging (like X-rays or MRIs) is completed.
Procedure Description
- Evaluation: Measurement and fitting assessment by a medical professional.
- Mold Creation: A mold of the patient's torso might be made to ensure a custom fit.
- Brace Fabrication: The two-piece rigid plastic shell is created.
- Fitting: The patient is fitted with the brace.
- Instruction: The patient receives instructions on how to wear and adjust the brace, as well as care and maintenance tips.
No anesthesia or sedation is involved.
Duration
The fitting and instruction session typically takes about 1-2 hours.
Setting
The procedure is usually carried out in an outpatient clinic or an orthotic facility.
Personnel
- Orthopedic or Rehabilitation Specialist
- Clinical Orthotist
Risks and Complications
- Skin irritation or pressure sores
- Discomfort or pain from improper fit
- Limited range of motion and muscle atrophy with long-term use
Benefits
- Immediate pain relief and support
- Enhanced healing and recovery of spinal injuries
- Improved postural alignment and function
Recovery
- Follow-up visits for adjustments.
- Gradual weaning off the brace as healing occurs.
- Physical therapy may be recommended to maintain strength and flexibility.
Alternatives
- Soft lumbar support braces
- Physical therapy
- Medications for pain management
- Surgical intervention (if applicable)
Patient Experience
During the Procedure:
- The fitting might be slightly uncomfortable.
- The clinician will ensure the brace fits well and is not overly tight.
After the Procedure:
- Patients may experience initial discomfort as they adapt to wearing the brace.
- Pain can usually be managed with over-the-counter pain relievers.
- Regular checks for skin irritation are essential to prevent sores.