Name of the Procedure:

Thoracic-Lumbar-Sacral-Orthosis (TLSO) - L1200

Summary

A Thoracic-Lumbar-Sacral-Orthosis (TLSO) is a type of brace that supports the spine from the thoracic (mid-back) to the sacral (lower back) regions. It is generally used to address fractures, deformities, or after spinal surgery. An initial orthosis is custom-fitted to the individual's body to maintain spinal alignment and promote healing.

Purpose

Medical Conditions or Problems it Addresses:

• Spinal fractures
• Post-surgical stabilization
• Scoliosis
• Kyphosis
• Degenerative spinal diseases

Goals or Expected Outcomes:

• Stabilize the spine
• Reduce pain
• Prevent further injury
• Promote healing and proper alignment

Indications

Specific Symptoms or Conditions:

• Severe back pain due to fractures or deformities
• Post-operative spinal stabilization
• Unstable spinal conditions

Patient Criteria:

• Patients who have undergone specific spinal surgeries
• Individuals with deformities or injuries requiring external support for proper healing

Preparation

Pre-Procedure Instructions:

• Wear comfortable clothing for easy fitting
• May need to undergo imaging tests (like X-rays) to ensure accurate fitting

Diagnostic Tests or Assessments:

• Physical examination
• Imaging studies (X-rays, MRI, or CT scans)

Procedure Description

Steps Involved:

1. Patient assessment and measurement
2. Custom fabrication of the TLSO
3. Fitting and adjustments
4. Instruction on how to wear and care for the orthosis

Tools, Equipment, or Technology:

• Measurement tools
• Custom fabrication materials (e.g., plastic, foam)
• Adjustment tools

Anesthesia or Sedation:

Not typically required for fitting the orthosis.

Duration

• Initial fitting may take 1-2 hours.
• Follow-up fittings and adjustments may range from 30 minutes to 1 hour.

Setting

• Outpatient clinic or specialized orthotic center

Personnel

• Orthotist (a specialist in fitting orthotic devices)
• Nurses or medical assistants for support

Risks and Complications

Common Risks:

• Skin irritation
• Discomfort initially ##### Rare Risks:
• Pressure sores if not properly fitted or worn

Possible Complications and Management:

• Irregular pressure distribution managed by adjusting the fit
• Continuous monitoring for skin integrity and comfort

Benefits

Expected Benefits:

• Immediate spinal support
• Pain reduction
• Enhanced stability allowing for better mobility

Time Frame:

Benefits usually realized immediately but may improve over a few weeks as the patient becomes accustomed to the orthosis.

Recovery

Post-Procedure Care:

• Routine checks for fit and comfort
• Skin care to prevent irritation

Expected Recovery Time:

• Varies widely depending on the underlying condition; might range from a few weeks to several months.

Restrictions and Follow-Up:

• Avoid activities that could jeopardize spinal support
• Regular follow-up visits to adjust the orthosis

Alternatives

Other Treatment Options:

• Physical therapy
• Medication for pain and inflammation
• Surgical intervention ##### Pros and Cons of Alternatives:
• Physical therapy and medication may not provide the required stabilization.
• Surgery may be more invasive and with longer recovery times.

Patient Experience

During the Procedure:

• Minimal discomfort; primarily measuring and fitting. ##### After the Procedure:
• Possible initial discomfort as they get used to wearing the orthosis.
• Pain relief and improved stability are common as the patient adapts. ##### Pain Management and Comfort Measures:
• Regular adjustments for optimal fit and comfort.
• Use of padding or liners to improve wearability.