Thoracic

TLSO Jewett Hyperextension

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

TLSO Bivalve

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