OandP 6

  1. Teardrop fracture of the vertebral body (before/after surgical intervention)
    Reinforced cervical collars
  2. Cervical strain
    Reinforced cervical collars
  3. stable cervical or high thoracic fractures/ dislocations
    Cervicothoracic orthoses
  4. Post-operative immobilization
    Cervicothoracic orthoses
  5. Trauma
    Cervicothoracic orthoses
  6. treat instability lower C/S
    Yale CTO
  7. treat instability C3-T2 requiring aggressive control of gross and segmental motion
    Minerva CTO
  8. incorporate with TLSO for multiple injuries or extensive spinal surgery
    4 Poster designs
  9. treat instability at or above C4
  10. 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
  11. 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’
  12. 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
    • Image Upload 2
  13. Low profile TLSO
    • treat with apex below T8
    • sternum used as point of force application
    • Ex: Boston lumbar kyphosis brace
    • effective with curves < 70’
    • Image Upload 4
  14. Classifications of spinal deformity/scoliosis
    described either by etiology of structural changes or by spinal level of anatomic apex of the curve
Card Set
OandP 6
OandP 6