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Orthotics for Fractures of the Spine

Amit V Bhanti, CPO

May 8, 2012

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Question

Are there differences in the types of braces you chose based on age or fracture type?  What is the most common orthosis you use? 

Answer

Braces can be made with many different materials, many different trim line variants, and many different other parameters.  For any fracture in the spine, I believe it really needs to be a TLSO.  A TLSO can be made in many different ways.  It can be made shorter, low profile, high profile, or it can be made with extension.  A custom-made TLSO is considered the best orthotic intervention for most of the spinal fractures.  The TLSO can be different by brand, by trim line and by materials.  For example, if I have a patient who is a child or an older woman, I might choose a different material.  I might choose a thinner plastic for that patient rather than going with a thicker plastic that I might choose for a 250-pound, 55-year-old male.  For an older woman, I might use a flex foam material with reinforcements with plastic to make it lighter for her and still provide appropriate forces.  The rigidity of the plastic is not what creates the stability or hyperextension.  Usually it is the cylinder created around the patient’s body through a total contact TLSO that reduces the axial loading.  An example I use is to take a piece of paper and shake it.  You see it is very flexible.  However, as soon as you roll it, the same thin piece of paper becomes hard to push on. This is the principle of a TLSO.  When you create a cylinder around a patient's body, the axial loading can be reduced much more effectively.  It does not matter if it is thick or thin as long as it is appropriately fabricated.

 


amit v bhanti

Amit V Bhanti, CPO

Amit Bhanti is an American Board Certified Prosthetist and Orthotist licensed in the State of Illinois and the Clinical Director and co-owner of Comprehensive Prosthetics and Orthotics (CPO). He also provides patient care at CPO's other satellite locations. Amit has a very successful track record in patient management and as a business owner. During his 3-year tenure as Clinical Director of Orthotics at Hanger Prosthetics and Orthotics in Peoria, he demonstrated exceptional abilities to lead the group, and helped establish a successful residency program in orthotics and prosthetics.


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