Thoraco-lumbar-sacral orthosis (TLSO)

Thoraco-lumbar-sacral orthosis (TLSO) E.g. Jewett orthosis, Boston Brace



  1. Is used to immobilizer the spine after a spinal injury (Fracture) or spinal surgery.
  2. For maximum control of motion.
  3. Reduces gross spinal motion ( – ) in flexion, extension, lateral and transverse planes.
  4. Offers optimal stabilization with minimal skin pressure concerns clothing friendly and comfortable and fit.
  5. The TLSO may also be used post-operatively to limit mobility of a region to enhance bony fusion.


  1. Post operative maintain of the curvature of scoliosis.
  2. Compression fracture.
  3. Idiopathic scoliosis.
  4. To prevent, support and correct lower dorso lumber scoliosis.
  5. It is often used to provide non-operative management of:
  • Burst-type fractures.
  • Multi-level compression fractures.
  1. Other indications include restriction of mobility for pain relief due to:
  • Osteomyelitis
  • Discitis
  • Ankylosing spondylosis.

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