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Thoraco-Lumbo-Sacral-Orthosis (TLSO)

The most common form of a TLSO brace is called the “Boston brace”, and it
may be referred to as an “underarm” brace. This brace is fitted to the
child’s body and custom molded from plastic. It works by applying
three-point pressure to the curvature.

It can be worn under clothing and is typically not noticeable. The TLSO
brace is usually worn 23 hours a day, and it can be taken off to swim, play
sports or participate in gym class during the day.

This type of brace is usually prescribed for curves in the lumbar or
thoraco-lumbar part of the spine.


Cervico-Thoraco-Lumbo-Sacral-Orthosis (known as a Milwaukee brace)

The Milwaukee brace is similar to the TLSO described above, but also
includes a neck ring held in place by vertical bars attached to the body of
the brace.

It is usually worn 23 hours a day, and can be taken off to swim, play
sports or participate in gym class during the day.

This type of brace is often prescribed for curves in the thoracic spine.


Charleston Bending Brace

This type of brace is also called a “nighttime” brace because it is only
worn while sleeping. A Charleston back brace is molded to the patient while
they are bent to the side, and thus applies more pressure and bends the
child against the curve.

This type of brace is worn only at night while the child is asleep. Curves
must be in the 20 to 40 degree range and the apex of the curve needs to be
below the level of the shoulder blade.


Cheneau Brace

Within the group of rigid Thoraco-Lumbo-Sacral Orthoses (TLSO), the Cheneau
brace is most widely used in Poland. The major mechanism of this orthosis
consists of correcting three-dimensional deformity of the spine and the
trunk by a system of multipoint pressure zones and expansion chambers.