A TLSO (Thoracic Lumbar Sacral Orthosis) is a custom-fitted back brace designed to support and stabilize the spine from the upper back (thoracic region) to the lower back (lumbar and sacral regions). It’s commonly used for conditions like scoliosis, kyphosis, post-surgical recovery, or spinal fractures.
If you or your loved one is dealing with scoliosis, spine fractures, or posture-related pain, you might have come across the term TLSO brace during your doctor’s visit. But what exactly is a TLSO brace, and how does it help?
In this blog, we will explore the functions of the brace, types, and how it can help support your spine and lifestyle.
What is a TLSO Brace?
Thoracic Lumbar Sacral Orthosis(TLSO) is a specialised back brace that supports the spine from the upper thoracic area down to the sacrum. Unlike soft posture correctors, a TLSO brace is a rigid posture corrector and provides stabilisation. It is recommended for medical conditions that require immobilisation and correction.
Key Functions of a TLSO Brace:
- Restricts spinal movement
- Supports post-surgical recovery
- Prevents spinal curve progression
- Corrects posture
- Relieves chronic or acute back pain
What are the Different Types of TLSO Braces
TLSO (Thoracic Lumbar Sacral Orthosis) braces come in two main categories: custom-fit and off-the-shelf. Each type serves a specific purpose and is selected based on the patient’s condition, comfort, and treatment goals.
Custom-Fit vs. Off-the-Shelf TLSO Braces
- Off-the-Shelf TLSO Braces: Available in standard sizes, these braces are more affordable and accessible. They can be adjusted to fit individual needs but may not offer the same level of precision as custom braces.
- Custom-Fit TLSO Braces: These are designed specifically for each patient using a 3D scan or a physical mold. They offer superior support, comfort, and pressure distribution, ideal for long-term use or complex spinal conditions. However, they are typically more expensive.
1. Stiff TLSO Braces
- Boston Brace is a ready-made brace often used for scoliosis (a sideways curve of the spine).
- Wilmington Brace is custom-made using a mold of your body.
- Rigo-Chêneau Brace is a 3D-printed brace for scoliosis and opens in the front, making it easier to put on.
- Milwaukee Brace (CTLSO) is an older, bulkier brace that extends up to your neck and is sometimes used for curves higher up in the spine or the neck area.
- Custom-molded Spinal/Body Jacket keeps your spine still after bone breaks (fractures) or surgery.
- Clamshell TLSO is made of rigid plastic; this brace encases the torso for maximum immobilisation, ideal for post-surgical recovery or fractures.
- CASH (Cruciform Anterior Spinal Hyperextension) and Jewett Braces are used for fractures in the upper and lower back, to reduce a hunched back (kyphosis), and for neck injuries in unconscious patients.
- Custom-molded TLSOs are designed for individuals with unique spinal deformities, offering a snug and effective fit.
- Hyperextension TLSO is used to treat compression fractures.
2. Medium Stiff TLSO Braces
- Aspen TLSOs are adjustable, allowing them to be customised to fit various needs.
3. Soft TLSO Braces
- SpineCor is flexible, allowing you to move more freely. It’s often used for treating scoliosis.
- TLSO Corset Brace is a flexible alternative for less severe conditions, offering support with more comfort and mobility.
4. Nighttime TLSO Braces
- Charleston Bending Brace is applicable for sleep time to help correct scoliosis curves.
- Providence Brace is used for scoliosis correction.
Need Help Choosing the Right TLSO Brace?
Whether you need a custom-fit solution for scoliosis or an off-the-shelf brace for post-surgical support, our experts are here to guide you. Get in touch today to find the best TLSO brace tailored to your condition and comfort.
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When is a TLSO used?
Is a TLSO back brace right for you? TLSO braces are used for:
- Spinal fractures: stabilise the spine and promote healing.
- Scoliosis: Prevent spinal curvature from progressing.
- Kyphosis: Helps correct abnormal rounding of the upper back.
- Post-surgical recovery: Offer upport after spinal surgeries.
- Chronic back pain can be reduced through proper pressure and alignment.
Can a TLSO Brace Really Help Your Child’s Scoliosis?
Yes, it is possible to manage scoliosis in your child by using a TLSO brace, provided it shows up in the initial stage and the brace is continuously worn.
Health professionals advise wearing a TLSO (Thoracic Lumbar Sacral Orthosis) brace for children with moderate spinal curve conditions. The TLSO brace by applying controlled pressure to the spine, prevents the curve from worsening as the child grows. However, it does not cure scoliosis, but as a non-surgical treatment, it helps slow down or stop the progression of the condition.
However, results depend on several factors:
- Your child’s age and growth
- The extent and type of spinal curve
- How many hours is the brace worn daily?
- Correct fit and follow-ups
If the diagnosis reveals scoliosis, you can hope for a positive outcome after discussing with an orthotist and following a properly structured bracing plan. Additionally, intervention in the initial stage and proper support can play a crucial role in preserving your child’s spine and enhancing the quality of life by consistently using a TLSO brace.
How Does a TLSO Brace Help Heal Spine Fractures?
A TLSO brace supports the spine after a fracture by stabilizing the thoracic and lumbar regions, limiting movement, and promoting proper alignment during healing. It helps reduce pain, prevents further injury, and gives fractured vertebrae the rest they need to recover.
Doctors often recommend a TLSO brace for compression fractures, traumatic injuries, or osteoporosis-related fractures, especially when surgery isn’t required. When used correctly, it plays a vital role in non-surgical spinal recovery.
What are the Benefits of Using a TLSO Brace
- Spinal support and stabilisation, the braces help immobilise and support the spine, also restricting movement in the thoracic, lumbar, and sacral regions.
- Fracture healing. The braces help to treat stable vertebral fractures by minimising spinal motion and promoting proper healing.
- Post-surgical recovery and protection of the surgical site, as well as limiting excessive movement.
- Scoliosis management involves applying pressure to correct abnormal spinal curves during growth spurts.
- Pain relief helps reduce pain in conditions like herniated discs, kyphosis, and spinal stenosis.
- Posture correction by promoting proper spinal alignment.
- Seating supports that offer necessary support for individuals with conditions like cerebral palsy to maintain suitable sitting positions by providing trunk support.
A TLSO brace helps manage conditions such as scoliosis, kyphosis, a fracture, or in recovery from surgery by restoring function and confidence in your body’s natural movement.
How Much Does a TLSO Brace Cost?
The TLSO brace cost can vary greatly:
- Type of brace: Custom-made braces cost more.
- Material quality: The material quality affects the price.
- Customisation and fitting: Personalised fittings by orthotists increase the cost.
- Location: Prices may differ. The TLSO brace price in India may be lower than in the US.
- Insurance coverage: Plans may cover costs partially of completely.
Estimated Price Range in India: From ₹3,000 to ₹25,000+, depending on complexity and customization.
Common FAQs about Thoraco Lumbo Sacral Orthosis
No. It is not recommended to sleep with a TLSO brace without specific instructions from your doctor.
The primary distinction between an LSO and a TLSO brace is in their coverage and the region or area that they support. The LSO brace is specifically designed to support the lower back area. The TLSO supports the lower back and also includes the mid-back, providing more comprehensive spinal support.
You can follow the designated marks on the straps to tighten the brace snugly. The brace should fit you and not be loose.
The TLSO braces are generally made of waterproof materials. So you can shower while wearing your brace. However, remove it after taking a shower, and dry it completely before using it again.
The period for wearing a TLSO (Thoracic-Lumbar-Sacral Orthosis) brace may vary according to the patient’s problem and the treatment. Generally, it is worn for 6–12 weeks, but some conditions may require prolonged use. Initially, you will wear it for the duration you are awake, but when you recover, your doctor will gradually reduce the time.
A TLSO brace can be easily cleaned by wiping the surfaces with soap and water. Regular cleaning will help to prevent skin issues and bad smell. You can use rubbing alcohol on the inner surfaces. Ensure the brace is completely dry before wearing it again.
Conclusion
A TLSO brace is more than just a medical device, it’s a powerful tool in supporting spinal recovery, improving posture, and reducing pain. Whether you’re healing from a fracture, managing scoliosis, or recovering post-surgery, the right TLSO brace can significantly enhance your quality of life.
If you or a loved one needs spine support, consult a certified orthotist to find the best-fit TLSO brace tailored to your condition. With proper guidance and consistent use, this brace can be a key part of your journey toward a healthier, stronger spine.
Best TLSO Brace for Spinal Care in India
If you’re not confident enough to choose the right brace for your back pain, visit KARE Prosthetics & Orthotics for a free consultation. We believe in creating custom TLSO brace solutions suitable for your specific condition. Our certified clinicians are dedicated to providing expert care, precise fittings, and the latest spinal support technology to help you return to a pain-free life.
👉Ready to take the next step? Reach out to KARE Prosthetics & Orthotics, a trusted orthotic care provider in India near you, and explore the best TLSO options available in India today.
