What Is a CTLSO/TLSO?
- A CTLSO extends from the pelvis to the upper cervical spine and includes a pelvic girdle, thoracic extensions, and a neck ring with chin support. It precisely controls posture, biomechanics, and upper spinal alignment.
- A TLSO typically supports the mid-to-lower spine—from thoracic vertebrae through the sacrum—helping manage spinal fractures, scoliosis, or degenerative conditions.
How These Orthoses Work
- The pelvic corset maintains proper lumbar-lordotic alignment.
- Upright supports connect to shoulder or neck rings to regulate curvature.
- Pressure pads apply corrective force where spinal deformities are present.
- CTLSO braces accommodate growth and allow adjustments over time.
Conditions Treated
- Adolescent idiopathic scoliosis and kyphosis
- Cervical or upper-thoracic fractures or surgery recovery
- High-thoracic deformities and spinal instability
- Spinal trauma, stenosis, or post-operative stabilization
Fabrication & Fitting Process
- Initial consultation and anatomical assessment, including discussion of condition, lifestyle, and goals.
- Casting or digital scanning of pelvis, torso, and neck for accurate fit.
- Final fabrication using durable plastics, foam lining, and adjustable straps with padding.
- Wear training: tips for safe application, adjusted straps, and proper daily handling.
- Follow-up care and modifications to ensure fit, comfort, and alignment as healing progresses or body changes.
Wear Guidelines
- Most patients gradually build up to 20–23 hours/day, typically during a 2–3 week adaptation period.
- Overall duration varies by medical advice—common recommendations range from 6–12 weeks or longer, flexing to therapeutic needs.
Why Prosthetic & Orthotic Designs?
- Specialized experience in full-spine CTLSO/TLSO braces tailored for corrective precision
- Non-invasive support for scoliosis, spinal trauma relief, and post-operative stabilization
- Compassionate patient education and insurance coordination throughout the fitting and healing process