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OandP 6
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Teardrop fracture of the vertebral body (before/after surgical intervention)
Reinforced cervical collars
Cervical strain
Reinforced cervical collars
stable cervical or high thoracic fractures/ dislocations
Cervicothoracic orthoses
Post-operative immobilization
Cervicothoracic orthoses
Trauma
Cervicothoracic orthoses
treat instability lower C/S
Yale CTO
treat instability C3-T2 requiring aggressive control of gross and segmental motion
Minerva CTO
incorporate with TLSO for multiple injuries or extensive spinal surgery
4 Poster designs
treat instability at or above C4
SOMI
Orthotic intervention for kyphosis
treat kyphosis 2’ neuromuscular impingement, congenital anomalies, DJD spine, Scheuermann’s disease
wean out of brace as bony remodeling of wedged vertebra shows measured angle at least 50’
significant loss of curve correction (up to 15’) if orthotic is d/c early even after 4-6 mos orthotic intervention
Scheuermann’s disease
osteochondrosis T-spine 2’ disturbance at anterior epiphyseal plates leading to anterior wedging of 1-3 consecutive vertebra and kyphotic curve >45’
Milwaukee TLSO
treat with apex above T8
----have to extend above to C/S
effective curves > or = 70’
3 point triangulation of force
“opens” wedged vertebra via high anterior force by kyphosis pads
PT intervention
----Posture
----PPT
----Hyper extension
Low profile TLSO
treat with apex below T8
sternum used as point of force application
Ex
: Boston lumbar kyphosis brace
effective with curves < 70’
Classifications of spinal deformity/scoliosis
described either by etiology of structural changes or by spinal level of anatomic apex of the curve
Author
jld15
ID
320765
Card Set
OandP 6
Description
OandP 6
Updated
2016-06-05T16:07:53Z
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