Cervical Orthosis: Cervical orthoses (COs) support the occiput and chin in order to decrease range of motion (ROM) from C2-C5. A thoracic extension can be added to increase motion restriction and treat C6-T2 injuries. COs generally are used to support stable spine conditions, and are listed below from least to most supportive
Thoracic Orthosis: Thoraco Lumbar Sacral Orthoses (TLSOs) are used mainly to treat fractures between T6 and L3. Every TLSO is designed to provide support and immobilization of the thoracic and lumbar regions following various surgical procedures/ traumatic injuries. TLSO are commonly used to help treat post-operative thoracic/lumbar fusion, laminectomy or discectomy, compression fractures, degenerative disc disease, osteoporosis, single column spinal instability immobilization, and facet syndrome.
Lumbar Orthosis: LSO’s are used for the relief of low back pain associated with degenerative disc disorders, trauma, or postural deformities.
Description: A semi-rigid cervical orthoses that supports the occiput and chin in order to decrease range of motion (ROM) from C2-C5. A thoracic extension can be added to increase motion restriction and treat C6-T2 injuries. It consists of a 2-piece system made of polyethylene, with a soft, washable lining
Function: Provide immobilization to the neck
Indications: • Anterior cervical fusion • Halo removal • Dens type I cervical fractures of C2 • Anterior diskectomy • Suspected cervical trauma in unconscious patients • Teardrop fracture of the vertebral body (Note: Some teardrop fractures require anterior decompression and fusion.) • Cervical strain
Contraindications: • Unstable fracture • Neural Involvement • Occipitalatlantal Dislocation
Rx: Diagnosis
Description: The Jewett orthosis uses a 3-point pressure system to control flexion with 1 posterior and 2 anterior pads. The anterior pads place pressure over the sternum and pubic symphysis. The posterior pad places opposing pressure in the midthoracic region.
Function: Limits flexion and extension between T6-L1
Indication: • Symptomatic relief of compression fractures T6-L1 • Immobilization after surgical stabilization of thoracolumbar fractures
Contraindication: • Three-column spinal fractures involving anterior, middle, and posterior spinal structures • Compression fractures above T6, because segmental motion increases above the sternal pad • Ineffective in limiting lateral bending and rotation of the upper lumbar spine
Rx: Diagnosis
Description: A custom-molded plastic body jacket, or thoracolumbosacral orthosis (TLSO), is fabricated from polypropylene or another type of plastic. It offers the best control in all planes of motion and increases intracavitary pressure. This orthosis has a lightweight design and is easy to don and doff. The material is easy to clean and comfortable to wear. This brace sometimes is referred to as the clamshell.
Function: • Limits lateral bending • Limits flexion and extension • Limits rotation to some extent
Indication: • Immobilization for compression fractures from osteoporosis • Immobilization after surgical stabilization for spinal fractures • Bracing for idiopathic scoliosis • Immobilization for unstable spinal disorders at T3-L3 • Bracing for those with neurologic injuries
Contraindication: • Patient lives alone and has no one to help don orthosis
Rx: Diagnosis
Description: Off the shelf brace with Velcro closure in the front is designed for easy donning and doffing.
Function: Limits flexion and extension Limits some rotation and side bending
Indication:
Contraindication: None
Rx: Diagnosis
Description: Off the shelf brace with a rigid chairback frame and anterior panel to provide spinal support and intercavitary presssure with a Velcro closure in the front is designed for easy donning and doffing.
Function: Limits flexion and extension Limits some rotation and side bending
Indication: Low back pain, sprains and strains, lumbar disc displacement, osteoporosis, disc degeneration, disc herniation, post-operative laminectomy, post-operative discectomy, IDET procedure, spondylolisthesis, post-operative fusion, and spinal stenosis.
Contraindication: None
Rx: Diagnosis
Our patient care facilities are all accredited by the American Board for Certification in Orthotics, Prosthetics and Pedorthotics, Inc. (ABC). This means we have chosen to have our patient care centers measured against the most rigorous standards in the profession. We have the staff, equipment and expertise that ABC believes are important for the delivery of high quality patient care.