What Is a TLSO?
A TLSO (Thoracic Lumbo Sacral Orthosis) is a rigid or semi-rigid orthosis that supports the spine from the mid-back (thoracic area) down to the sacrum. It typically includes front and back molded plastic panels with foam lining and adjustable strapping systems to ensure a precise fit and compression.
Clinical Indications
- Spinal compression fractures or instability due to osteoporosis or trauma
- Scoliosis management in adolescents
- Postoperative support after spinal surgery
- Neuromuscular degeneration or chronic conditions such as spinal stenosis
Fabrication & Fitting Workflow
- Initial evaluation of spinal alignment and medical condition
- Measurements, 3D scan or plaster casting of torso for accurate fit
- Final fabrication using molded thermoplastics and soft foam liners
- Patient training for proper wear, donning technique, and hygiene
- Scheduled follow-up for alignment modification and comfort monitoring
Usage Guidelines
- Most patients gradually increase wear time to 18–23 hours daily.
- Typical treatment length ranges from 6 to 12 weeks or more, depending on healing or growth needs.
Why Choose Prosthetic & Orthotic Designs in Middletown, NY?
- Expertise in custom TLSO fabrication with precision biomechanical alignment
- Collaborative support throughout the entire fitting, insurance, and recovery process
- Personalized follow-up care to ensure comfort, adjustment, and optimal spinal function