Addition to TLSO, (Low Profile), Lateral Thoracic Extension (L1210)

Name of the Procedure:

• Common Names: TLSO Addition, Low Profile Thoracic Extension
• Medical Terms: Thoracolumbosacral Orthosis (TLSO) with Lateral Thoracic Extension (L1210)

Summary

The addition to a TLSO with lateral thoracic extension is a modification to a back brace designed to support the thoracic and lower spine. This procedure involves adding lateral extensions to an existing TLSO to improve spinal alignment and stability, particularly in the thoracic region.

Purpose

• Conditions Addressed: Scoliosis, kyphosis, spinal fractures, post-surgical support, and other spinal deformities or instabilities in the thoracic region.
• Goals: To provide additional lateral support to the thoracic spine, improve spinal alignment, prevent further deformity, and enhance overall spinal stability.

Indications

• Symptoms/Conditions: Patients experiencing spinal deformities, instability, or pain in the thoracic region that cannot be adequately managed with a standard TLSO.
• Patient Criteria: Suitable for patients requiring additional thoracic support, those recovering from thoracic spinal surgery, or those with progressive spinal conditions.

Preparation

• Pre-Procedure Instructions: Generally, no special preparation such as fasting or medication adjustments is needed.
• Assessments: A thorough physical examination and imaging studies (e.g., X-rays, MRI) to assess the extent of the spinal condition and to tailor the brace modifications.

Procedure Description

1. Assessment: Healthcare provider evaluates the patient's spinal condition and measures for brace modifications.
2. Customization: The TLSO is modified by adding lateral thoracic extensions. This may involve the use of heat moldable materials shaped to fit along the sides of the thoracic spine.
3. Fitting: The brace is then fitted to ensure proper support and comfort.
4. Adjustments: Final adjustments are made to ensure optimal alignment and patient comfort.

• Tools Used: Heat moldable plastic, padding materials, adjustment straps.
• Anesthesia: Not required; procedure is non-invasive.

Duration

• Procedure Time: Typically 1-2 hours including fitting and adjustments.

Setting

• Location: Orthotics clinic, outpatient clinic.

Personnel

• Involved Professionals: Orthotist, physical therapist, sometimes a physician.

Risks and Complications

• Common Risks: Skin irritation, discomfort, pressure sores.
• Rare Risks: Improper alignment, restricted breathing if not fitted correctly.
• Management: Regular follow-up for adjustments, use of padding to prevent skin issues.

Benefits

• Expected Benefits: Improved spinal alignment, reduced pain and discomfort, prevention of further spinal deformity.
• Timeframe: Benefits are often realized shortly after proper fitting, with ongoing improvements as the patient adapts to the brace.

Recovery

• Post-Procedure Care: Regular check-ups to adjust the brace, skin care to prevent irritation.
• Recovery Time: Varies by individual; generally involves period of adjustment over a few weeks.
• Restrictions: Follow any specific activity limitations advised by the orthotist.

Alternatives

• Treatment Options: Standard TLSO, custom rigid braces, physical therapy, surgical options.
• Pros and Cons: Alternatives like physical therapy or surgery might offer different benefits and risks. Discussion with healthcare provider is crucial for optimal choice.

Patient Experience

• During Procedure: Generally painless. The patient may feel mild discomfort during fitting.
• Post-Procedure: Initial period of adjustment with some discomfort. Pain management through adjusting pressure points and using padding. Regular follow-ups ensure comfort and effectiveness.