Problems with the spine are quite challenging. The proper development and use of an idiosyncratic spine corset are essential to patient success. A conservative approach to spinal treatment is most prudent. Gomez Orthotic Spine Systems takes such an approach.
Correcting Each Plane of the Back
The Gomez Orthotic Spine System is designed to manage the alignment, stability, and flexibility of the back. Accounting for and maintaining the patient’s balance is also a vitally important component of successful treatment. If the flexibility of the curves along the back permits reduction, the treatment will attempt to minimize their degree. The patient partakes in a beginning clinical evaluation where the flexibility and deformity of his back are noted. We determine the potential for correction in each of the spine’s three unique planes.
GOSS Protocols for Evaluating Patient Back Deformity
A patient’s back is analyzed from numerous angles and vantage points. The unique view of each plane of the back provides insight as to how treatment should be developed and applied. Our team documents each patient’s spinal issues with photographs. Patients are asked to assume the supine position in which the hips and knees are flexed along with posterior pelvic tilt. Lateral bending to each side is performed while the pelvis is kept in a neutral position.
The patient will rest on his side with his hips and knees flexed for a posterior and sagittal view. This is conducted with and without bolsters along the highest portion of the curve’s apex. If more than one curve is present, this must be conducted on each side. Our team will take measurements in CM along with x-rays.
Digital Photographs and Measurement Details
Patients also engage in the Adam’s bending test. They hold a scoliometer at the top portion of the curve. Alternatively, the patient can stand while stepping on a stool. Pictures are taken superior to inferior along with ML gauges at the apex position. The patient bends to each side with the opposing arm reaching over. The patient must bend without lifting his foot or rotating his pelvis.
Patients are asked to form a posterior pelvic tilt. ML measurements and anterior heights are taken in this position. Pictures are taken in the sagittal plane and coronal plane while the patient assumes the corrective position. Lateral height and AP measurements are taken. These pictures and measurements make the design of the spine corset that much easier.