Name of the Procedure:

Addition to TLSO, Low Profile, Lumbar Derotation Pad
Common Name: Lumbar Derotation Pad Addition
Technical Term: Addition to Thoraco-Lumbo-Sacral Orthosis (TLSO), Low Profile, Lumbar Derotation Pad (L1240)

Summary

The procedure involves adding a lumbar derotation pad to an existing TLSO brace. This padded addition helps to correct or manage spinal deformities and improve posture by providing targeted pressure and support to the lumbar region.

Purpose

The lumbar derotation pad addition aims to correct spinal alignment, particularly in the lumbar (lower back) region, and manage deformities such as scoliosis. The primary goals are to reduce pain, improve posture, and prevent further curvature progression.

Indications

• Patients diagnosed with scoliosis or other spinal deformities that affect the lumbar region.
• Individuals experiencing chronic lower back pain due to poor spinal alignment.
• Patients advised by an orthopedist to enhance their existing TLSO brace for better support.

Preparation

• No special preparation such as fasting is required.
• Patients may be asked to wear comfortable clothing.
• A fitting session with a certified orthotist to ensure proper placement and comfort.

Procedure Description

1. Assessment: A healthcare provider, typically an orthotist, evaluates the patient's spinal condition and the current TLSO brace.
2. Measurement: Precise measurements of the lumbar region are taken to ensure the derotation pad fits snugly and provides adequate support.
3. Attachment: The low-profile lumbar derotation pad is securely attached to the existing TLSO brace. Adjustments are made for comfort and effectiveness.
4. Final Fitting: The brace, along with the new pad, is fitted on the patient, who is then advised on its usage and maintenance.

Tools and Equipment

• TLSO brace
• Low-profile lumbar derotation pad
• Measuring tools
• Fastening materials

Anesthesia or Sedation

• No anesthesia or sedation is required for this non-invasive procedure.

Duration

The entire process typically takes about 30 to 60 minutes, including assessment, measurement, attachment, and final fitting.

Setting

The procedure is usually performed in:

• An outpatient orthopedic clinic
• A specialized orthotics and prosthetics facility

Personnel

• Orthotist
• Physical therapist (optional, for additional support and guidance)

Risks and Complications

• Common Risks: Minor skin irritation or discomfort initially as the patient adapts to the new pad.
• Rare Risks: Improper fit leading to ineffective support or increased discomfort, which can be managed with follow-up adjustments.

Benefits

• Improved spinal alignment and posture
• Reduction in pain associated with lumbar scoliosis or poor alignment
• Enhanced effectiveness of the existing TLSO brace
• Benefits often realized within a few weeks as the patient adapts to the new support

Recovery

• No significant recovery period.
• Patients are advised to monitor for any discomfort and report it to their orthotist.
• Regular follow-up appointments may be scheduled for adjustments and progress assessments.

Alternatives

• Physical therapy regimen focused on posture correction exercises
• Other types of orthotic devices aimed at spinal support
• Surgical interventions for severe cases
• Each alternative has its own pros and cons; for example, physical therapy involves no devices but requires longer commitment, while surgery is more invasive.

Patient Experience

• During Procedure: Patients typically feel slight pressure as measurements are taken and the pad is fitted.
• After Procedure: Initial adaptation period may involve mild discomfort. Pain management includes over-the-counter pain relief if necessary. Comfort measures include gradually increasing wear time and regular check-ups.

The procedure offers a non-invasive option to enhance spinal support and manage symptoms effectively.