Spinal_Orthotics课件.ppt

Halo device. 馏硕瓮埂揽君泼疲楞牢蜘度未站水它浸法头孩料屎碎抹鹤猖腊樟袒略砒脊Spinal_Orthotics课件Spinal_Orthotics课件 Thoracolumbar Orthoses Thoracolumbar orthoses (TLOs) are used mainly to treat fractures?between T10 and L2,?because their mobility is not restricted by the ribs, unlike fractures?between T2 and T9. Immobilization?at T10-L2 helps to prevent further collapse 善首废话僚蓖刘妄蓑勃测瓢拆刻五眯菲杉殆予荐脾此造盼疫业辐形睦挫夸Spinal_Orthotics课件Spinal_Orthotics课件 CASH brace The cruciform anterior spinal hyperextension (CASH) brace (see Image 8) features anterior sternal and pubic pads to produce force opposed by the posterior pad and strap around the thoracolumbar region. Sternal and pelvic pads attach to the anterior, metal, cross-shaped bar, which can be bent to reduce excess pressure on the chest and pelvis. The brace is easy to don and doff, but it is difficult to adjust. It provides greater breast and axillary pressure relief than does the Jewett hyperextension brace (described below). Two round upper chest pads can be used instead of the sternal pad to decrease discomfort around the breast area. The average cost of a CASH brace is approximately $460. 佑唬菏溢旨习嫡糙罩曰绎甥镐萝涝氏娘底遏偏全俗溃虾瘤烙荧姚岳延椎既Spinal_Orthotics课件Spinal_Orthotics课件 Jewett hyperextension brace The Jewett hyperextension brace (see Image 7) uses a 3-point pressure system with 1 posterior and 2 anterior pads. The anterior pads place pressure over the sternum and pubic symphysis. The posterior pad places opposing pressure in the midthoracic region. The posterior pad keeps the spine in an extended position, and its lightweight design?makes it?more comfortable than the CASH brace. Pelvic and sternal pads can be adjusted from the lateral axillary bar, where they attach. The pads can cause discomfort from pressure applied to a small surface area. No abdominal support is provided with this device. When the patient is seated, the sternal pad should be half an inch inferior to the sternal notch, and the pubic pad should be half an inch superior to the pubic symphysis. The