Name of the Procedure:

• Common Name: Thoracolumbosacral Orthosis (TLSO)
• Technical/Medical Term: Corset Front (L0970)

Summary

A TLSO, specifically a corset front, is a type of back brace that provides stabilization and support to the thoracic, lumbar, and sacral regions of the spine. It is designed to limit motion, alleviate pain, and promote healing in conditions that affect these areas of the spine.

Purpose

The TLSO corset front is used to:

• Provide immobilization and support to the mid and lower spine.
• Alleviate pain from injuries or degenerative conditions.
• Promote healing by limiting motion in the thoracic, lumbar, and sacral regions of the spine.

Indications

• Chronic back pain.
• Post-surgical stabilization.
• Fractures in the thoracic, lumbar, or sacral spine.
• Degenerative disc disease.
• Scoliosis or other spinal deformities.
• Spinal stenosis.

Preparation

• Patients may need to undergo a physical evaluation to determine the appropriate brace type and fit.
• No specific fasting or medication adjustments are typically required.
• Any recent diagnostic imaging (like X-rays or MRIs) should be reviewed by the healthcare provider.

Procedure Description

1. The patient is fitted for the TLSO corset front, ensuring proper size and comfort.
2. The brace is worn around the torso, extending from the upper thoracic to the lower lumbar regions.
3. Straps and laces are adjusted to secure the brace snugly, providing support.
4. The patient is instructed on how to wear, adjust, and remove the brace.

No anesthesia or sedation is necessary for this procedure.

Duration

The fitting and instruction session typically takes about 30 minutes to an hour.

Setting

• Outpatient clinic or orthopedic office.

Personnel

• Orthopedist or a specially trained healthcare provider.
• Orthotic specialist for fitting and adjustments.

Risks and Complications

• Skin irritation or pressure sores if not fitted properly.
• Discomfort or difficulty in wearing the brace initially.
• Muscle atrophy over long-term use if the brace is worn excessively without medical advice.

Benefits

• Pain relief and support for the affected spinal regions.
• Enhanced healing and recovery post-surgery or injury.
• Improved spinal alignment and posture.

Recovery

• Patients can expect to wear the brace for several weeks to months, depending on their condition.
• Regular follow-up appointments to monitor progress and make any necessary adjustments.
• Gradual weaning off the brace as instructed by the healthcare provider.

Alternatives

• Physical therapy for strengthening and pain relief.
• Medication for pain management.
• Other types of spinal braces or supports.
• In some cases, surgical intervention.

Patient Experience

• Initial discomfort may be felt while getting used to the brace.
• Pain management strategies, such as taking prescribed pain relievers or using cold/heat packs, can be helpful.
• Patients are encouraged to perform light activities as tolerated and follow care instructions to avoid skin issues.

Overall, the TLSO corset front is designed to provide necessary spinal support while allowing patients to continue with daily activities, promoting recovery and improving quality of life.