Name of the Procedure:

• Common Name: Scoliosis Brace Thoracic Pad Addition
• Technical Name: Addition to Custom-Fitted Thoracolumbosacral Orthosis (CTLSO) or Scoliosis Orthosis, Thoracic Pad (HCPCS L1060)

Summary

This procedure involves adding a thoracic pad to a scoliosis orthosis (brace) to provide additional support and correction for spinal curvatures, particularly in the thoracic region. The pad is integrated into the brace to help improve alignment and reduce the progression of scoliosis.

Purpose

The thoracic pad addition addresses:

• Scoliosis, specifically thoracic spinal curvature.
• Provides targeted pressure to correct spinal misalignment.
• Reduces the progression of scoliosis and aims to prevent further curvature.
• Enhances comfort and effectiveness of the scoliosis brace.

Indications

• Diagnosed scoliosis with significant thoracic curvature.
• Patients requiring enhanced support and correction in the thoracic region.
• Ineffective traditional scoliosis bracing without the thoracic pad.

Preparation

• No specific fasting or medication changes required.
• Diagnostic tests: recent X-rays or MRI to assess scoliosis curvature.
• Adjustments to the existing orthosis may be required.

Procedure Description

1. Assessment: The orthotist reviews the patient's spinal curvature and current orthosis.
2. Customization: Measurements are taken to tailor the thoracic pad for optimal fit and pressure.
3. Integration: The thoracic pad is securely integrated into the existing brace.
4. Fitting: The brace with the added thoracic pad is fitted on the patient. Adjustments are made for comfort and efficacy.
5. Instruction: The patient is instructed on how to wear and adjust the brace.

Equipment Used:

• Custom-fitted CTLSO or scoliosis orthosis.
• Specialized thoracic pads.
• Measurement and fitting tools.

Duration

• The fitting and adjustment process typically takes 30 minutes to an hour.

Setting

• Orthotics and Prosthetics clinic or an outpatient facility.

Personnel

• Certified Orthotist
• Orthopedic specialist or therapist (if adjustments to treatment plan are needed)

Risks and Complications

• Skin irritation or sores due to improper fit.
• Initial discomfort as the body adjusts to the new pressure points.
• Rare: allergic reaction to materials used in the pad.

Benefits

• Improved spinal alignment.
• Decreased progression of thoracic scoliosis.
• Enhanced comfort in wearing the brace.
• Benefits typically noticeable after a few weeks of consistent use.

Recovery

• No significant recovery period.
• Regular follow-up appointments for adjustments.
• Routine skin checks to prevent irritation.

Alternatives

• Traditional scoliosis bracing without thoracic pad.
  • Pro: Less complex, less frequent adjustments.
  • Con: May be less effective for thoracic curvature.
• Surgical correction (for severe cases).
  • Pro: More permanent correction.
  • Con: Invasive, longer recovery, higher risk.

Patient Experience

• Initial period of adjustment to the new pad.
• Possible initial increase in discomfort or soreness.
• Improved comfort and alignment with consistent use.
• Regular check-ins to ensure optimal fit and function.

Pain Management:

• Over-the-counter pain relief if discomfort occurs.
• Use of padding or liners to reduce skin irritation and improve comfort.