We have a young lady with spina bifida who is not using a TLSO one-piece
wraparound due to the school personnel being unwilling/unable to put it on
after diaper changes. To be fair, it was a bit too snug and quite
difficult though not impossible to use; I did not think I had much hope of
getting rid of the diapers unfortunately. I suggested a switch to a
bivalve for ease of donning, they could lay her down, take off just the
front, presumabley get it back on easily. However our orthopedists feel
that bivalves are totally worthless. I was under the impression that they
gave only slightly less correction that one-piece. We used to do them
routinely, and did see good corrections on comparative x-rays in and out
of the orthoses; we would do ventilation holes and an abdominal hole with
liner intact to allow comfortable breathing and eating, and I suspect got
much more full-time wear. Perspectives and literature/documentation of
any sort appreciated.
Vikki Stefans, pediatric physiatrist (rehab doc for kids) and working
Mom of Sarah T. and Michael C., aka [email protected]
Arkansas Children’s Hospital/ U of A for Medical Sciences, Little Rock
…and EVERY mom is a working mom! (OK, dads too…)
