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Spinals Or Thoraco Lumbo Sacral Orthosis


Harris Brace

  • The Harris brace restricts forward/backward motion (flexion/extension) in your lumbar spine.
  • The Harris brace offers protection for your surgical procedure during your recovery phase.
  • The Harris brace provides intra-abdominal pressure to relieve pressure on the lumbar vertebrae and inter-vertebral discs.
Harris Brace



Boston Brace

The Boston Brace is a snug fitting underarm brace made of high density polypropylene with a soft lining and is, therefore, very light weight. The Boston Brace led to a series of underarm braces that lacked the metal superstructure of the Milwaukee, including the Rosenberger, Wilmington and Miami braces. These braces are widely used today and are less obtrusive in appearance. Patients find these braces more appealing because they can be worn under clothing, and patients can participate in sports and other activities with little difficulty. Underarm braces can be used for most types of scoliotic curves, unless the curve is extremely high on the spine.

The Boston Brace extends from below the breast to the beginning of the pelvic area in front and just below the scapulae to the middle of the buttocks in the back. It is designed to keep the lumbar area of the body in a flexed position by pushing the abdomen in and flattening the posterior lumbar contour. Pads are strategically placed to provide pressure to the curve, and areas of "relief" or "voids" are provided opposite the areas of pressure.
Boston Brace



Jewitt

A Jewett brace is a three points pressure system of orthosis, which is used for controlling the flexion of the spine. It is a hyperextension orthosis, which allows extension but prevents flexion of the spine.

It is mainly used post operatively and the Jewett Brace is easy to fit and adjust.

There are four basic designs for thoraco-lumbar support: the body jacket, the Jewett-type 3-point brace, the Boston brace, and a semi-rigid support with shoulder straps. The custom-fitted total body jacket is called a clamshell because it has a front and back half. It immobilizes and supports your trunk. Since it is made of plastic and lined with foam, you need to wear a thin cotton T shirt against your skin to absorb perspiration and allow air to circulate. This is a major consideration if you live in a climate that is hot and humid.

The advantages of the body jacket are that it is good if you have multiple fractures, severe kyphosis, or existing scoliosis, and it fits without pressing on bony areas. Its disadvantages are that it is confining and bulky and may feel heavy to you even though it is made of lightweight plastic.
jewitt



Chareslton Bending Brace

The Charleston Bending Brace brace was introduced in 1978 as a night-time brace for the treatment of idiopathic scoliosis. This brace is indicated for patients who present with idiopathic scoliosis and are skeletally immature (normally 0 through 3) and with a coronal plane Cobb angle of 20 to 35 degrees. The objective of the Charleston Bending brace is to biomechanically correct the scoliosis via stabilising, lateral shift and unbending forces (3-point pressure systems).


Chareslton Bending Brace



Milwaukee Brace

The Milwaukee brace, also known as a cervico-thoraco-lumbo-sacral orthosis or CTLSO, is a back brace used in the treatment of spinal curvatures (such as scoliosis or kyphosis) in children. It is a full-torso brace that extends from the pelvis to the base of the skull. It was originally designed by Blount and Schmidt in 1946 for postoperative care when surgery required long periods of immobilization.

Milwaukee braces are often custom-made over a mold of the patient's torso, but in some cases, it can be made from prefabricated parts. Three bars—two posterior and one anterior—are attached to a pelvic girdle made of leather or plastic, as well as a neck ring. The ring has an anterior throat mold and two posterior occipital pads, which fit behind the patient's head. Lateral pads are strapped to the bars; adjustment of these straps holds the spine in alignment.

This brace is normally used with growing adolescents to hold a 25° to 40° advancing curve. The brace is intended to minimize the progression to an acceptable level, not to correct the curvature. For corrective measures, special exercises or physical activities are used. If the curvature continues despite the brace, surgery may be required.

The Milwaukee brace is often prescribed to be worn 23 hours a day for several years, or in some cases, permanently.
Milwaukee Brace



Taylor's Brace

Durable orthosis with two rigid upright Para spinal bars, which maintain the spine in neutral position while permitting requisite movement. All the vertical as well as horizontal malleable aluminium splints can be customized to provide perfect shape for excellent immobilization and comfort. Light weight splints with good cushioning improve comfort and patient compliance. Unique design allows wearing and tightening of the brace by the patient without the aid of another person. Clavicle straps correct the shoulder posture while ensuring better fit.
Taylor's Brace