Name of the Procedure:

• Common Name(s): Lumbar-Sacral Orthosis (LSO)
• Technical Term: Lumbar-Sacral Orthosis, sagittal-coronal control with rigid anterior and posterior frame/panels (L0638)

Summary

A Lumbar-Sacral Orthosis (LSO) is a medical device used to support and stabilize the lower regions of the spine. It features a rigid frame and panels that provide comprehensive support to prevent unwanted movement and promote spinal health.

Purpose

• Medical Conditions Addressed: Spinal instability, post-operative recovery, spinal fractures, degenerative disc disease, and other lower spinal conditions.
• Goals: To provide stability and support to the lumbar and sacral regions, promote healing, alleviate pain, and prevent further injury.

Indications

• Severe lower back pain
• Spinal fractures or injuries
• Post-surgical recovery for spinal surgeries
• Degenerative disc disease
• Spinal deformities that require support

Preparation

• Instructions: Typically, no significant preparation is required. Patients should follow their doctor's advice about any restrictions.
• Assessments: Physical examination and possibly imaging tests like X-rays or MRIs to determine the suitability of the orthosis.

Procedure Description

1. Measurement: The patient is measured to ensure the orthosis fits properly.
2. Fitting: The LSO is carefully fitted around the lower spine, ensuring proper alignment and comfort.
3. Adjustment: Straps and panels are adjusted to achieve the desired support and restriction in movement.
4. Education: Patients are educated on how to wear and adjust the LSO and what to watch for in terms of discomfort or issues.

Tools and Equipment:

• Measuring tape
• Custom-fit LSO device with rigid panels

Anesthesia:

• None required for fitting and adjustment.

Duration

• The fitting and education process may take approximately 30 minutes to 1 hour.

Setting

• Typically performed in an outpatient clinic, orthopedic office, or rehabilitation center.

Personnel

• Orthotist or trained healthcare professional
• Physician oversight as necessary

Risks and Complications

• Common Risks: Discomfort, skin irritation
• Rare Risks: Pressure sores, limited mobility, poor fit leading to ineffective support

Benefits

• Expected Benefits: Pain relief, enhanced spinal stability, improved mobility, prevention of further injury
• Timeframe: Benefits may be felt immediately upon proper fitting, with continued improvement as healing progresses.

Recovery

• Post-Procedure Care: Regular check-ups to assess fit and function; skin care to prevent irritation.
• Expected Recovery Time: Varies; ongoing support might be needed for several weeks to months.
• Restrictions: Some limitations on physical activities to avoid aggravating spinal conditions.

Alternatives

• Other Options: Physical therapy, medications, other types of braces or orthoses, surgical interventions
• Pros and Cons: Bracing is less invasive than surgery and can be used in conjunction with physical therapy; however, it requires consistent wear and maintenance.

Patient Experience

• During Procedure: Minimal discomfort during fitting
• After Procedure: May experience initial discomfort as they adjust to the orthosis; skin care is important to prevent irritation. Staff will ensure the patient is comfortable, providing pain management tips and comfort measures.

By wearing the LSO as directed, patients can expect significant support for their lumbar-sacral region, leading to improved outcomes and relief from discomfort.