POAT: Spinal Orthosis

Question 1

What are the Biomechanical Principles of Spinal Orthoses?

Answer 1

Question 2

In Doc

What are the Characteristics of Lumbosacral Corsets?

Answer 2

Question 3

In Doc

What are the Characteristics of Warm and Form LSO?

Answer 3

Question 4

What are the Mechanical Advantages of LSO/TLSO?

Answer 4

Question 5

What do Hyperextension Orthosis do? What are the Most common Types?

Answer 5

Question 6

In Doc

What does the Knight/Chairback Orthosis do?

Answer 6

Question 7

In Doc

What does the Polymer LSO do?

Answer 7

Question 8

What does a TLSO do?

Answer 8

Question 9

In Doc

What do Cervical Orthosis do? What are some common cervical orthosis used?

Answer 9

Question 10

What are the most common CTLSO’s?

Answer 10

• Sternal Occipital Mandibular Immobilizer (SOMI) and Minerva are most common
• These should be donned supine in emergency setting or O.R.

Question 11

With Scoliosis Treatment, what happens if the curvature is less than 20°?

Answer 11

Requires observation

• Rapid curve progression may require intervention

Question 12

With Scoliosis Treatment, what happens if the curvature is between 20-40°?

Answer 12

Requires use of orthosis or corrective case in younger patients

• Risser table

This is the Risser table

Question 13

With Scoliosis Treatment, what happens if the curvature is > than 40°?

Answer 13

Requires sugical intervention

• Herrington rods

Question 14

What is the Boston Scoliosis TLSO? How long in a day is this worn?

Answer 14

• Used to treat adolescent idiopathic curves > 20°
• Used for correction of scoliosis from T4 distal (Boston design)
  -Milwaukee for T4 Proximal
• Worn for 20-22 hours

Question 15

What is the Milwaukee CTLSO?

Answer 15

• Successful in treating curves Proxial to T4. Also prescribed for Scheuermann’s Kyphosis
• This used to be the standard treatment before Boston TLSO
• This has a compliance issue