Orthotic treatment of
adult scoliosis patients with chronic back pain

Trunk orthoses to support the sagittal profile and to optimise body statics

Presented by the example of the sBrace L trunk orthosis system

tlso brace treatment of spondylolisthesis scoliosis degenerative spinal deseases with trunk orthoses

 

Case example

Patient with degenerative scoliosis and long-term consequences due to traumatically related vertebral body fractures between L4 and Th8 as well as a concomitant spondylolisthesis between L3 and L4; the consequence: chronic pain which made the patient’s independent mobility in everyday life extremely restricted or impossible. An operation was planned due to the spondylolisthesis. This operation was disallowed by the patient.

Trunk orthosis requirements

back pain brace treatment tlso of scoliosis degenerative spinal deseases with trunk orthoses

Clinical presentation and X-ray image: adult scoliosis patient with degenerative scoliosis and spondylolisthesis in the individually made trunk orthosis in CAD technique

The orthosis design requirements are: stabilisation of the lumbar and thoracolumbar region of the spine.

Modification of the pathomechanical statics of the spine in order to counteract the spondylolisthesis and to enable a pain-free posture for the patient

Orthosis type and design – case example 

The basic shape of an sBrace L orthosis module was selected. The production of the trunk orthosis occurs in accordance with body dimensions and clinical images, without plaster cast.

The rightward deviation of the pelvis in the frontal plane was introduced in the CAD model. The physiological sagittal profile of the basic module was adapted in accordance with clinical tests and the patient’s morphology.

Moreover, the left thoracic, right lumbar and the left gluteal installation were incorporated in the CAD model in order to ensure the three-point principle for stabilisation in the frontal plane. The installation points were adapted in the CAD model in accordance with the patient’s morphology and the functional requirement. 

The sBrace L individually produced for a biomechanically standardised basic shape is tailored to the patient’s functional requirements through the cutting of the contour course. Sensitive compression zones are cushioned with pads.

Result

The advance of spondylolisthesis could be stopped with the sBrace trunk orthosis. An operation as a last resort could be averted. The pain could be reduced to such extent that the mobility for coping with everyday requirements is ensured.

 

Autor: Dino Gallo, Ortholutions

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