Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, m...
HCPCS code
Name of the Procedure:
Common Names: Lumbar-Sacral Orthosis (LSO)
Technical Terms: L0648 Orthosis, Sagittal Control Orthosis, Intracavitary Pressure Lumbar Support
Summary
A Lumbar-Sacral Orthosis (L0648) is a medical device designed to provide support and stabilization to the lower back (lumbar) and sacral regions of the spine. It features rigid anterior and posterior panels extending from the sacrococcygeal junction to the T-9 vertebra. This orthosis also uses intracavitary pressure to reduce the load on intervertebral discs, often aiding patients with lower back pain or spinal disorders.
Purpose
Medical Conditions or Problems Addressed:
- Lower back pain
- Spinal instability
- Herniated discs
- Degenerative disc disease
Goals or Expected Outcomes:
- Provide anatomical support
- Reduce pain and discomfort
- Improve posture
- Decrease the load on intervertebral discs
Indications
Symptoms or Conditions Warranting the Procedure:
- Chronic lower back pain
- Acute back injuries
- Post-surgical spine stabilization
- Spinal deformities or degenerative conditions
Patient Criteria or Factors Making the Procedure Appropriate:
- Diagnosed lumbar or sacral spine conditions
- Poor spinal stability
- Need for post-operative support
Preparation
Pre-procedure Instructions for the Patient:
- No specific fasting or medication adjustments required
- Ensure clean, dry skin where the orthosis will be applied
- Wear a thin layer of clothing underneath the device
Diagnostic Tests or Assessments Required Beforehand:
- Physical examination by a healthcare provider
- Diagnostic imaging (e.g., X-rays, MRI) to identify the specific spinal issues
Procedure Description
Detailed Step-by-Step Explanation:
- Assessment of the patient's spine and comfort levels.
- Selection and fitting of the appropriate size of the orthosis.
- Instruction on proper application and usage of the orthosis.
- Application of the orthosis starting with placement of the posterior panel.
- Securing the anterior panel to ensure proper fit and alignment.
- Adjusting straps and closures to ensure the device is snug but comfortable.
Tools, Equipment, or Technology Used:
- L0648 Orthosis with anterior and posterior rigid panels
- Straps and closures
Anesthesia or Sedation Details:
- Not applicable (non-invasive procedure)
Duration
How Long the Procedure Typically Takes:
- Initial fitting and instruction: Approximately 30 minutes
Setting
Where the Procedure is Performed:
- Outpatient clinic
- Orthopedic or rehabilitation center
Personnel
Healthcare Professionals Involved:
- Orthopedic specialist
- Physical therapist
- Trained medical technician
Risks and Complications
Common and Rare Risks Associated with the Procedure:
- Skin irritation from device contact
- Discomfort from improper fit
Possible Complications and Their Management:
- Monitor for skin issues; adjust fit as necessary
Benefits
Expected Benefits:
- Immediate reduction in back pain
- Improved spinal stability
- Enhanced mobility and function
How Soon They Might Be Realized:
- Benefits can be noticed immediately upon correct application and proper use of the orthosis.
Recovery
Post-Procedure Care and Instructions:
- Wear the orthosis as instructed
- Periodic check-ups for adjustments and monitoring
- Gradual weaning off as approved by healthcare provider
Expected Recovery Time and Restrictions:
- Varies based on individual condition, typically several weeks to months with consistent follow-up
Alternatives
Other Treatment Options Available:
- Physical therapy
- Pain medication
- Surgical interventions
- Chiropractic care
Pros and Cons of Alternatives Compared to the Described Procedure:
- Physical therapy: Non-invasive but requires time and commitment
- Pain medication: Provides relief but does not address structural support
- Surgery: More permanent but carries higher risks and longer recovery
- Chiropractic care: Less invasive but results may vary
Patient Experience
What the Patient Might Feel or Experience During and After the Procedure:
- Initial discomfort as they adjust to wearing the orthosis
- Relief from pain and improved posture
- Adjustments for comfort management
Pain Management and Comfort Measures:
- Tailored fit and periodic adjustments
- Wearing the orthosis over thin clothing to prevent skin irritation