Spinal Orthoses

Question 1

Corset

Answer 1

• Abdominal compression, incr. intra-abdominal pressure
• Assist respiration in SCI
• Decr. low back pain; SI support (pregnancy)

Question 2

LSO

Answer 2

• Lumbosacral flexion, extension, lateral control orthoses (LS FEL) (Knight Spinal)
• Plastic Lumbosacral Jacket

Question 3

TLSO

Answer 3

• Thoracolumbosacral flexion, extension control orthoses (TLS FE) (Taylor Brace)
• Plastic Thoracolumbosacral Jacket - used in SCI; allows for early mobilization, OOB, & functional training.
• Jewett (TLSO) - limits flexion, encourages hyperextension; used for compression fx.

Question 4

Cervical Orthoses (CO)

Answer 4

• Soft Collar (cervical pain, whiplash) minimal control
• Four-Poster Orthosis - used for mod. level of control; cervical fx or SCI
• Halo - Attaches to skull with screws. Max control pt. with cervical fx or SCI. Allows early mobil. OOB and functional training
• Minerva - Max control without screws

Question 5

Specialized Trunk Orthoses:

Milwaukee

Answer 5

• CTLSO for scoliosis

- Used for kyphotic/scoliotic curves < 40 degrees

Question 6

Specialized Trunk Orthoses:

Boston (TLSO)

Answer 6

• Scoliosis
• More cosmetic, can wear under clothing
• Midthoracic lower scoliotic curves < 40 degrees
• Used for spondylolisthesis and severe trunk weakness, i.e. muscular dystrophy.