Name of the Procedure:

Addition to TLSO, (Low Profile), Abdominal Pad (L1270)

Summary

The addition of a low-profile abdominal pad to a thoracolumbosacral orthosis (TLSO) is a procedure designed to enhance the fit and therapeutic effectiveness of the brace. The abdominal pad is integrated into the TLSO to provide additional support and comfort around the lower torso and abdominal area.

Purpose

This procedure aims to address spinal conditions requiring the stabilization and immobilization of the lower thoracic, lumbar, and sacral spine. The added abdominal pad helps distribute pressure evenly, improves brace fit, and reduces discomfort.

Indications

• Patients experiencing pain or discomfort in the lower back or abdominal region due to inadequate brace fit.
• Conditions such as scoliosis, kyphosis, or spinal fractures that require enhanced brace support.
• Individuals needing improved abdominal compression and support to better manage their spinal condition.

Preparation

• No specific fasting or medication adjustments are typically required.
• Patients may need measurements taken to ensure the proper fit of the abdominal pad.
• A consultation with an orthotist or healthcare provider to discuss the procedure and its benefits.

Procedure Description

1. Assessment: An orthotist evaluates the fit of the existing TLSO and identifies the need for additional abdominal support.
2. Customization: The abdominal pad is customized for the patient's body contour and specific needs.
3. Attachment: The pad is securely attached to the existing TLSO, ensuring it aligns properly with the abdominal area.
4. Fitting: The orthotist checks the fit of the modified TLSO with the abdominal pad, making adjustments as necessary for optimal comfort and support.

Tools and Equipment:

• Low-profile abdominal pad.
• TLSO brace.
• Measurement tools for fitting customization.

Duration

The procedure typically takes about 30 to 60 minutes, including the initial assessment and fitting.

Setting

This procedure is typically performed in an outpatient clinic specializing in orthotics and prosthetics.

Personnel

• Orthotist
• Medical support staff, if necessary

Risks and Complications

• Minor skin irritation or pressure sores from the pad.
• Temporary discomfort or tightness as the patient adjusts to the modified brace.
• Rarely, allergic reactions to the materials used in the pad.

Benefits

• Improved fit and comfort of the TLSO.
• Enhanced spinal support and stabilization.
• Potential reduction in pain and discomfort, with benefits often felt immediately or within a few days.

Recovery

• Follow-up appointments may be necessary to ensure the pad remains effective and the fit is maintained.
• Patients should follow care instructions for the TLSO, including regular cleaning and inspection for wear.
• Recovery is typically rapid, with most patients resuming normal activities immediately.

Alternatives

• Adjusting the existing TLSO without an additional pad.
• Using a different type of spinal orthosis or brace with inherent abdominal support.
• Physical therapy and targeted exercises for support and pain management.

Patient Experience

Patients may initially feel some tightness or pressure from the new abdominal pad but should experience improved comfort and support over time. Pain management is usually minimal, and patients are encouraged to communicate any persistent discomfort to their orthotist for further adjustments.