Name of the Procedure:

Tension-Based Scoliosis Orthosis and Accessory Pads, includes fitting and adjustment (L1005)

Summary

This procedure involves the custom fitting of a tension-based scoliosis orthosis (a type of brace) and accessory pads used to correct spinal curvature. The orthosis is designed to be worn externally and adjusted to apply corrective pressure to the spine.

Purpose

The purpose of the tension-based scoliosis orthosis is to manage and correct spinal curvature in individuals diagnosed with scoliosis. The goal is to prevent further progression of the curve and to improve physical alignment and posture.

Indications

• Diagnosed scoliosis with a spinal curvature that requires intervention.
• Rapid progression of scoliosis identified in growing children and adolescents.
• Moderate spinal curvature that has not responded adequately to other treatments.

Preparation

• No specific fasting or medication adjustments required.
• A thorough physical examination and imaging studies (e.g., X-rays) are necessary to assess the extent and specifics of the spinal curvature.
• Measurements and molds may be taken to ensure a proper fit.

Procedure Description

1. Initial Consultation: The patient consults with an orthopedic specialist to confirm the need for the orthosis.
2. Custom Molding: If deemed necessary, a mold or measurements of the patient’s torso are taken.
3. Manufacturing: The orthosis is custom-made based on the mold or measurements.
4. Fitting: The patient returns for a fitting where the brace is adjusted for comfort and effectiveness.
5. Accessory Pads: Additional pads are positioned to enhance the corrective pressure on specific areas of the spine.
6. Adjustment: The brace is fine-tuned for maximum efficacy and patient comfort.

Tools and equipment include casting materials, measurement tools, and the orthosis itself. No anesthesia or sedation is required.

Duration

The fitting and adjustment session typically lasts 1 to 2 hours.

Setting

The procedure is usually performed in an outpatient clinic or an orthopedic specialist’s office.

Personnel

• Orthopedic Specialist or Orthotist: A healthcare professional trained in the design and fitting of orthopedic devices.
• Nursing Staff: To assist with measurements and fitting.

Risks and Complications

• Common: Discomfort, skin irritation, or pressure sores at contact points.
• Rare: Allergic reactions to materials or unforeseen complications in spinal alignment.
• Management: Adjustments to the fit and padding, and regular monitoring for issues.

Benefits

• Promotes the correction of spinal curvature.
• Can prevent the progression of scoliosis.
• Non-surgical option with a quicker recovery.

Recovery

• No downtime is typically required; patients can return to normal activities immediately but should follow specific instructions concerning brace wear time.
• Regular follow-up appointments to monitor progress and make adjustments.
• Some physical activity restrictions may be applicable based on individual circumstances.

Alternatives

• Observation: Regular monitoring with no immediate intervention.
• Physical Therapy: Exercises to strengthen supporting muscles.
• Surgery: Spinal fusion or other corrective procedures for severe cases.
• Each alternative has distinct pros and cons, such as invasiveness, effectiveness, and recovery time.

Patient Experience

• Initially, there may be discomfort as the body adjusts to the brace.
• Ongoing wear might cause mild soreness or skin irritation.
• Pain management includes adjusting the brace and using padding to alleviate pressure points.