Name of the Procedure:

Common Names:

• Lumbar-Sacral Orthosis
• Back Brace

Technical/Medical Term:

• Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on the spinal column (L0633).

Summary

A lumbar-sacral orthosis (LSO) with sagittal-coronal control is a specialized back brace designed to support and stabilize the lower and mid-back. This device features a rigid frame and panels that extend from the sacrococcygeal junction (bottom of the spine) to the T-9 vertebra (mid-back), providing rigid lateral and posterior support. It helps reduce spinal load and improve posture.

Purpose

The LSO is used to:

• Stabilize the spine.
• Reduce pain.
• Correct or support alignment.
• Aid in recovery from surgeries or injuries affecting the lumbar-sacral region.

Indications

• Lower back pain.
• Spinal fractures.
• Postoperative recovery.
• Spondylolisthesis.
• Degenerative disc disease.
• Other spinal conditions requiring external stabilization.

Preparation

• Follow specific instructions from your healthcare provider.
• No special fasting or medication adjustments typically required.
• Imaging studies (e.g., X-rays, MRI) may be requested to tailor the brace to your condition.

Procedure Description

1. Assessment: A healthcare provider evaluates your spine and takes measurements.
2. Fitting: Custom fitting of the brace to ensure proper support and comfort.
3. Instruction: You will be instructed on how to wear and adjust the brace.
4. Adjustment: Regular follow-ups to adjust the brace as needed for comfort and effectiveness.

Tools/Equipment:

• Custom-fitted rigid LSO with posterior and lateral panels.

Anesthesia/Sedation:

• Not applicable.

Duration

Fitting the brace typically takes 30 minutes to 1 hour, though the duration of use varies based on medical conditions.

Setting

• Outpatient clinic
• Orthotics and prosthetics facility

Personnel

• Orthotists
• Physiotherapists
• Healthcare providers experienced in spinal care

Risks and Complications

• Skin irritation or sores from prolonged use.
• Discomfort if not properly fitted.
• Limited range of motion.
• Potential for muscle atrophy if used long-term without physical therapy.

Benefits

• Alleviates pain and discomfort.
• Stabilizes and supports the spine.
• Promotes healing in postoperative or injury scenarios.
• Prevents worsening of spinal conditions.

Benefits might be felt immediately, though some patients find relief after several days to weeks of consistent use.

Recovery

• Wear the brace as instructed.
• Gradually increase physical activity as tolerated.
• Follow up with your healthcare provider for adjustments.
• Physical therapy might be recommended to strengthen back muscles.

Alternatives

• Physical therapy alone.
• Other types of back braces.
• Medications for pain management.
• Surgical options if conservative treatments fail.

Pros and Cons of Alternatives:

• Physical therapy: Effective but requires commitment.
• Medications: May not provide structural support.
• Surgery: Invasive with longer recovery but may be necessary for severe cases.

Patient Experience

• Initial discomfort as you get used to the brace.
• Relief from pain with proper usage.
• Some restrictions in mobility.
• Importance of maintaining skin care to prevent irritation.

Pain management may include over-the-counter pain relievers or prescribed medication as necessary. Additionally, regular consultations with your healthcare provider will ensure the brace remains effective and comfortable.