Name of the Procedure:

Addition to Thoracolumbosacral Orthosis (TLSO), Low Profile, Anterior ASIS Pad (L1250)

Summary

This procedure involves adding an anterior ASIS (Anterior Superior Iliac Spine) pad to a low-profile TLSO brace. The pad provides additional support and stability to the lower spine and pelvic region.

Purpose

The procedure aims to enhance the fit and function of a TLSO brace, ensuring better spinal alignment and support. It is used to treat conditions like scoliosis, spinal fractures, or other spinal deformities.

Indications

• Scoliosis
• Spinal fractures
• Post-surgical stabilization
• Spinal deformities
• Chronic lower back pain requiring additional support

Preparation

• No special fasting or medication adjustments are typically required.
• A thorough assessment by a healthcare professional to ensure the brace fits properly.
• Possibly an X-ray or other imaging to guide the proper placement of the ASIS pad.

Procedure Description

1. The patient wears the low-profile TLSO brace.
2. The healthcare provider assesses the brace’s fit and identifies the optimal location for the anterior ASIS pad.
3. The ASIS pad is securely attached to the brace, typically with Velcro or other adjustable fastenings.
4. The fit and comfort of the brace are rechecked, and any necessary adjustments are made.

Duration

The procedure typically takes around 30 minutes.

Setting

This procedure is often performed in an outpatient clinic or an orthopedic specialist's office.

Personnel

• Orthopedic specialist or orthopedic technician
• Possibly a nurse for patient assistance and comfort

Risks and Complications

• Skin irritation or pressure sores where the pad is attached
• Discomfort or improper fit

These issues can usually be managed with proper adjustment and monitoring.

Benefits

• Enhanced spinal support and stability
• Improved fit and comfort of the TLSO brace
• Potential for reduced pain and improved mobility

Benefits are usually realized immediately after proper fitting.

Recovery

• Minimal recovery time; patients can usually resume normal activities immediately.
• Follow-up appointments to ensure the brace and pad are functioning correctly.
• Patients should report any discomfort or skin issues to their healthcare provider.

Alternatives

• Custom-fitted TLSO brace without an additional ASIS pad
• Other types of spinal braces or orthoses
• Surgical options in severe cases

Each alternative has its pros and cons, which should be discussed with a healthcare provider based on the patient's specific condition.

Patient Experience

The patient might feel slight pressure or discomfort during the initial fitting as adjustments are made. Properly fitted, the brace should significantly increase comfort and support. Pain management is typically unnecessary, but over-the-counter pain relief can be used if needed.