Spinal Bracing

Spinal bracing (corrective TLSOs)

Corrective spinal braces (sometimes referred to as thoraco-lumbo-sacral-orthoses or TLSOs) are prescribed for the patient by the consultant orthopaedic spinal surgeon. A referral is made to a specialist healthcare professional known as an orthotist. Orthotists are members of the multidisciplinary team who are responsible for designing, making and managing TLSOs and other devices.

Corrective TLSOs work by applying pressure to the body to maintain posture, provide correction from or prevent progression of a deformity. These types of brace are often provided to address conditions such as adolescent idiopathic scoliosis or neuromuscular scoliosis.

Because every patient is unique, the person is individually assessed and measured for a TLSO. This process often begins by taking a body cast in a plaster of paris. Once measurements have been taken, the brace is created in an orthopaedic workshop in a process similar to sculpture. The TLSOs themselves are constructed from modern materials in order to provide good comfort and correction of the spine but also remain easy to conceal under everyday clothing.

Patients are invited to a further appointment for fitting and delivery of the TLSO when the brace is padded and finished and provided along with wearing instructions and advice.

The orthotics service offers ongoing management and aftercare to maintain the comfort and effectiveness of the TLSO prescription for as long as is required, in partnership with the consultant and therapy teams.

Information Guides for Adults

Scoliosis

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