Addition to tlso, (low profile), rib gusset (elastic), each
HCPCS code
Name of the Procedure:
Addition to TLSO (Thoracolumbosacral Orthosis), Low Profile, Rib Gusset (Elastic), Each (L1280)
Summary
This procedure involves adding an elastic rib gusset to an existing thoracolumbosacral orthosis (TLSO) to provide extra support and adjustability. This helps in increasing the comfort and effectiveness of the TLSO, which is a brace used to stabilize and support the spine.
Purpose
This addition helps in addressing spinal conditions such as scoliosis, kyphosis, and spinal fractures. The goal is to enhance the fit and comfort of the brace, providing better stabilization and improving outcomes in spinal care.
Indications
- Scoliosis
- Kyphosis
- Spinal fractures
- Post-operative spinal support
- Chronic back pain needing stabilization
Patients who experience discomfort or insufficient support from their existing TLSO may warrant this addition.
Preparation
Patients generally do not need extensive preparation. However, they may be advised to wear loose clothing for easy access to the brace and might be measured to ensure the proper fit.
Procedure Description
- Assess the existing TLSO for proper fit and comfort.
- Measure the patient to ensure the correct size of the elastic rib gusset.
- Attach the elastic rib gusset to the TLSO using adjustable straps or Velcro.
- Ensure the gusset is securely fastened and check the fit on the patient.
- Make any necessary adjustments for comfort and support.
No anesthesia or sedation is required.
Duration
The entire process typically takes about 15-30 minutes.
Setting
This addition is usually performed in an orthopedic office or outpatient clinic.
Personnel
Orthopedic technician or orthotist.
Risks and Complications
- Minor skin irritation
- Discomfort due to incorrect fitting
- Rarely, allergic reaction to the materials used
Benefits
- Enhanced comfort and support
- Better alignment and stabilization of the spine
- Reduced pain and improved mobility
- Immediate improvement in the wearability of the TLSO
Recovery
No significant recovery period is required. Patients can resume normal activities immediately but may be asked to return for follow-up adjustments.
Alternatives
- Custom-fitted TLSO without rib gussets
- Other spinal braces or supports
Alternatives may vary in terms of comfort, cost, and effectiveness.
Patient Experience
Patients may feel slight pressure during the fitting process. Post-procedure, they should feel enhanced support and comfort, with any initial minor discomfort typically resolving quickly. Pain management is usually not necessary.