Custom Thoraco-Lumbosacral (TLSO) 

The custom fabricated thoraco-lumbosacral (TLSO) orthosis is a circumferencial brace design controlling both the thoracic and lumbosacral spinal areas.  Specific measurements and normally a cast is taken of the patient and used as a mold in fabricating the brace.

Materials usually used to fabricate the brace can be polyethylene, polypropylene, copolymer or surlyn to name a few.  The choice would be up to your orthotist and physician, according to your specific requirements and the nature of the disability.  If necessary, a foam liner can be incorporated.

The bivalve TLSO (anterior and posterior sections) is a very versatile orthosis and recommended for numerous spinal conditions.  The design affords excellent adjustability with an intimate and comfortable fit.  Rotational control is also established with stabilization of the pelvis.

ASSOCIATED CONDITIONS

§          Postoperative Fusion

§          Kyphosis

§          Compression Fracture

§          Osteoporosis

§          Burst Fracture

§          Spinal Stenosis

§          Spinal Muscular Atrophy

§          Laminectomy

The high profile overlap design consists of a single opening anteriorly with Velcro closures.  It is easy to don and doff and is gives good adjustability function.

ASSOCIATED CONDITIONS

§          Spinal Stabilization

§          Osteoporosis

§          Compression Fracture

§          Thoracic Immobilization

§          Degenerative Disc Disease

§          Spondylitis

The TLSO fabricated with a flexible foam material is designed for the individual who cannot tolerate a rigid brace.  This offers a softer inner layer of foam for the relief of bony prominences combined with a dense outer foam.  The brace incorporates a rigid external frame for additional support.  The frame is detachable and adjusted as indicated by your specific needs.

ASSOCIATED CONDITIONS

§          Cerebral Palsy

§          Osteoporosis

§          Myelomeningocele

§          Wheelchair Seating Support

§          Scoliotic Deformities

§          Muscular Dystrophy

§          Geriatrics

§          Malignancies

WEARING PROTOCOL

Follow your physician and orthotists specific instructions.

DON AND DOFF

Your orthotist will give you instructions as to apply and removing the brace.  Normally, it is advised to lay on your back with your knees bent to apply the orthosis tightening the strapping from the bottom up.

CARE

Normally, cleanse with alcohol and clean cloth.

SUGGESTIONS

Wear a cotton shirt underneath the brace to provide more comfort and better hygiene.