Yakima 509-248-8040 • Tri-Cities 509-943-8561 • Kittitas 509-925-7700
Yakima Orthotics & Prosthetics

Spinal Orthoses

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.

Cervical

Cervical

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

Thoracic

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

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

Lumbar LSO

Lumbar LSO

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: 

  • Postsurgical lumbar immobilization L3-S1
  • Treatment of lumbar compression fractures

Contraindication: None

Rx: Diagnosis

Lumbar LSO Chairback

Lumbar LSO Chairback

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

More in this section

Yakima
Orthotics & Prosthetics

313 S. 9th Avenue
Yakima, WA 98902
509-248-8040

Get Directions
Tri-Cities
Orthotics & Prosthetics

317 Wellsian Way
Richland, WA 99352
509-943-8561

Get Directions
Kittitas
Orthotics & Prosthetics

1206 N Dolarway Road #110
Ellensburg, WA 98926
509-925-7700

Get Directions
merican Board for Certification in Orthotics, Prosthetics and Pedorthotics, Inc.

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.

Website made with Invisible Ink