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.
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.
• Limits flexion and extension between T6-L1
• Symptomatic relief of compression fractures T6-L1
• Immobilization after surgical stabilization of thoracolumbar fractures
• 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