Name of the Procedure:

Lumbar-Sacral Orthosis
Common names: Back Brace, LSO
Medical term: Lumbar-Sacral Orthosis (L0628)

Summary

A Lumbar-Sacral Orthosis (LSO) is a flexible back brace designed to provide support to the lower back and pelvis. It extends from the lower part of the spine (sacrococcygeal junction) to the upper part (T-9 vertebra). By exerting pressure within the abdominal cavity, it helps reduce the load on the intervertebral discs.

Purpose

The LSO brace aims to:

• Alleviate lower back pain
• Stabilize the spine
• Facilitate healing post-surgery or injury
• Enhance posture and reduce further damage to the intervertebral discs

Indications

• Lower back pain (acute or chronic)
• Disc herniation or degeneration
• Lumbar fractures or injuries
• Post-operative support following spine surgery
• Lumbar scoliosis or other spinal deformities

Preparation

• Typically, no special preparation is needed.
• Patients should wear comfortable clothing and may need to undergo an initial fitting for the brace.
• Any instructions provided by the healthcare provider should be followed.

Procedure Description

1. Initial Assessment: The healthcare provider will assess the patient's condition and determine the appropriate size and type of brace.
2. Fitting: The LSO brace is placed around the lower back and secured with straps and closures.
3. Adjustments: Adjustments may be made to ensure proper fit and effective support. Stays or additional supports may be added if required.
4. Instruction: The patient will be instructed on how to wear and adjust the brace independently.

Duration

The fitting and adjustment process typically take about 30 minutes to an hour.

Setting

The procedure is generally performed in an outpatient clinic or orthotics and prosthetics center.

Personnel

• Orthotist or trained healthcare provider
• Occasionally, a physical therapist may be involved

Risks and Complications

• Skin irritation or pressure sores
• Discomfort or improper fit
• Muscle atrophy from prolonged use
• Rarely, allergic reactions to materials used in the brace

Benefits

• Significant reduction in pain within days to weeks
• Improved stability and lower back support
• Potentially faster recovery from surgery or injury
• Enhanced mobility and quality of life

Recovery

• Patients may need to wear the brace for several weeks to months, depending on their condition.
• Instructions on wearing duration, daily activities, and hygiene will be provided.
• Follow-up appointments may be needed to reassess fit and make adjustments.

Alternatives

• Physical therapy
• Medications (pain relievers, anti-inflammatories)
• Other types of back braces or orthotic devices
• Surgical options for severe cases

Patient Experience

• The patient might initially feel some discomfort or restriction in movement, which generally improves as they get accustomed to the brace.
• Pain management may be addressed with additional strategies, such as physical therapy or medication if needed.
• Regular monitoring and communication with the healthcare provider ensure optimal outcomes and comfort.