The days of relying on the conventional plaster casting of a patient and the blueprinting of his or her coronal x-ray are long gone. Computer-aided design, or CAD-CAM programs, now allow for the modification of a patient’s shapes across all three planes of the spine. There is now a non-surgical means of treating the spine’s pathologies. Dr. José Miguel Gómez Torres has spearheaded this high-tech approach. It is referred to as the GOSS protocol.
Professional Treatment for the Spine: GOSS Protocol
GOSS is an acronym that stands for Gomez Orthotic Spine Systems. It is designed to treat the spine in a conservative manner rather than relying on surgery. The application of the system is centered on managing the patient’s alignment, stability, balance, and flexibility. It starts with a clinical evaluation of the patient. The flexibility and deformity are analyzed to gauge the potential for correction across the spine’s planes. This professional treatment modality relies on CAD-CAM programs to form the patient’s unique three-dimensional shape.
How CAD-CAM Programs Ameliorates the Challenges of Spine Treatment
Dr. Miguel Gomez is considered a trailblazer in the field of spinal treatment. Dr. Gomez makes use of CAD-CAM programs to remedy spinal issues. The fundamentals of this professional treatment modality stem from Dr. Gomez’s 20+ years of treating patients who suffer from spinal deformities. Dr. Gomez previously relied upon hand casting and hand model rectification. CAD-CAM has greatly enhanced the application of these principles.
CAD-CAM is an important tool in the quest to relieve back pain and return patients to their normal lives. The effectiveness of the bracing system is ultimately determined by the treating physician’s level of experience and attention to subtleties. This treatment modality is especially helpful for the treatment of patients who suffer from adolescent idiopathic scoliosis.
Professional Treatment With CAD-CAM Programs
The manner in which we use CAD for spinal treatment is a step above and beyond competing systems. Such outdated systems make use of a comparably primitive blueprinting of the coronal X-ray and patient plaster casting. The CAD technology allows for the modification of patient shapes across each of the three planes. Yet the efficacy of this tool depends on the expertise and precision of the treating clinician. Dr. Gomez has a background in treating spinal deformities through traditional methods like hand model rectification, hand casting, and beyond. This experience laid the foundation for the principles of treatment with the CAD system.
The proper use of the CAD-CAM system requires numerous inputs. The transverse, sagittal and coronal planes are documented through digital photography. More than two dozen anthropometric measurements are taken along with geometry across each of the spine’s three planes. The flexibility of the spinal column must be assessed to allow for optimal in-brace correction. The patient assessment also includes a balance analysis. The patient’s overall balance is assessed with a laser level. The orthosis fitting then takes place. Trim lines are adjusted to ensure patient comfort.