43 year complains of back pain after a small private plane crash. Treatment recommended is a Custom Extension Type TLSO Brace.

1. Clinical Case Studies

2. 43 yo with crash of sml private plane
c/o back pain (neurologically intact)
No neurological
findings
Bowel and bladder
intact
(how do you check?)
Current kyphosis is
about 10 degrees
50% canal compromise
What treatment do
you recommend?

3. Custom Extension
Type TLSO Brace
• 19 degree kyphosis
• (Surgery considered for
25-30 degree kyphosis)
• 50% or less canal
compromise
• No neurological findings

4. Results of Incorrect
Bracing
• Pt was placed in a “fabric
and metal stays” type of
brace without any ability
to mold the brace or
maintain extension
• Collapsed to a 35 degree
kyphosis which places
greater strain on lower
facets (due to
compensatory
hyperlordosis)

5. See more case studies and sign up for
seminars at
StudySpine.com