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If you have a spinal condition such as scoliosis, herniated discs, osteoporosis or vertebral compression fractures, etc., a TLSO brace may be prescribed to control your spinal motion.

TLSO stands for thoracic lumbar sacral orthosis and is named after the areas of the back it supports, such as the lumbar, thoracic and sacral spine. A TLSO brace restricts the movement of your spine from the sacrum (low back) to the thoracic cavity (mid-back) while allowing your neck to move freely.

Usually, custom TLSO braces and off-the-shelf TLSO orthoses are available on the market. Ultimately, you should consult a medical professional when using a TSLO brace to treat your condition.


  • TLSO brace definition
As a medical abbreviation, TLSO, meaning Thoracolumbar Sacral Orthosis, is named after the area it supports. A TLSO brace, also called a TLSO back brace, is an orthopedic brace that covers your back, from the chin to the pelvis. A brace that covers the thoracic and lumbar spine is called a TLO (thoracolumbar brace).

It is usually made of plastic with foam and padding to ensure comfort. Some are one-piece, and there are also two-piece braces called TLSO clamshell braces.

  • Types of TLSO braces
1. Boston TLSO brace

Boston stents are usually TLSO back braces used for scoliosis. The doctor will match the TLSO brace to the patient's condition.

2. Wilmington TLSO back brace

The Wilmington brace is a custom TLSO brace for scoliosis. The pressure points are designed to suit the patient's condition, and it has no open slots or relief zones.

3. Knight Taylor TLSO back brace

Unlike other TLSO back braces, it provides rigid support in the back only for fractures or injuries. The front is used to fasten the back frame with cloth. However, its variant may come with thoracic support.

  • TLSO brace indications
A TLSO back brace is primarily used for scoliosis. However, it can also correct postural problems and stabilize the back after surgery or injury.

- Scoliosis

- Anterior compression fractures of the vertebra

- Osteoporosis

- Degeneration of the intervertebral discs

- Paraplegia

- Vertebral compression fractures

- Herniated discs

- Kyphosis

  • Jewett brace vs TLSO
A Jewett brace supports your thoracic and lumbar spine by prevention of forward bending and twisting. It holds your back in a proper position after injury and surgery.

  • TLSO vs LSO brace
LSO stands for Lumbosacral Orthosis. An LSO brace is used for patients with fractures, deformities or severe pain. It is worn on the lower back.

TLSO is a medical abbreviation for a thoracic lumbar sacral orthosis. TLSO back braces help control part of the upper spine or thoracic spine.

  • CASH brace vs TLSO
CASH means cruciform anterior spinal hyperextension. It is usually strapped around the thoracolumbar region to support the sternum and pelvic area. It has a cross-shaped bar allowing the user to adjust it.

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  • TLSO brace instructions
Wear close-fitting cotton body stockings or T-shirts, as loose clothing may cause wrinkles and skin irritation.

Lie in bed and roll in place to one side.

Have someone else put a TLSO back brace on you.

Place the back portion on the patient's back.

Match the notch in the waist of the TLSO back brace to the patient's waist.

The patient should be gently rolled onto the back.

Make adjustments to ensure the TLSO back brace is in the proper position.

Place the front portion on the body, ensuring the sides overlap the back.

Fasten the middle straps to ensure tightening and prevent the brace from twisting.

The straps should hold the TLSO back brace in place but ensure the patient can breathe.

Fasten the bottom and top straps.

We also provide pictures to assist you in putting it on. Please click here .

Unless you have permission from your consultant, you are allowed to drive. Otherwise, we recommend that you do not drive.

Many factors, such as material, customization and manufacturing company, can affect the TLSO brace price. Generally, the average cost of an off-the-shelf TLSO brace ranges from $1,000 to $2,000, while the cost of custom TLSO braces is at least $5,000.

An insurance plan may save you a fortune. You can inquire about it. You may also have other costs such as screenings, scans, and office visits, to name a few.

Your doctor will give the final decision about how long you wear your TLSO. Usually, it is 10 to 12 weeks. For patients with scoliosis, it may be a few months to a year and a half.

Experts recommend wearing the brace for 18 to 23 hours a day. You will also need to wear it when you are sitting and standing. Sometimes you need to wear it even when lying in bed.

You should follow your doctor's instructions. If you get up a lot at night, you can sleep with the brace on. If so, you will need to check your skin frequently and remove the brace to allow the skin to ventilate.

The pads in theTLSO back brace apply pressure to the growing spine to slow its growth. If the TLSO back brace successfully relieves the condition and the Cobb angle is less than 40 degrees, then the patient does not need spinal fusion surgery. When it exceeds 40 degrees, the patient should undergo surgery.

The TLSO should fit snugly against your body. There should be no gap between it and the body. If it is too loose, the support provided will not be sufficient. The straps should hold the TLSO in place but ensure the patient can breathe.