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A related brace is the Boston brace (underarm brace, also known as a thoraco-lumbo-sacral orthosis, or TLSO), which is more commonly used for scoliosis. That brace does not have a neck ring and is more easily concealed under clothing, thus more acceptable to patients. However, it is not suitable for high thoracic or cervical spinal curvatures.
The Boston brace, a type of thoraco-lumbo-sacral-orthosis (TLSO), [1] is a back brace used primarily for the treatment of idiopathic scoliosis in children. [2] It was developed in 1972 by M.E "Bill" Miller and John Hall at the Boston Children's Hospital in Boston , Massachusetts .
Front view of a pre-moulded plastic back brace with nylon torso and shoulder straps made for a female adolescent or pre-adolescent patient. A back brace is a device designed to limit the motion of the spine in cases of bone fracture or in post-operative spinal fusiona, as well as a preventative measure against some progressive conditions or to correct patient posture.
Designated TLSO as the orthosis fits the thoracic, lumbar and sacroiliac regions, making for a thoraco-lumbo-sacral orthosis. Scoliosis, a condition describing an abnormal curvature of the spine, may in certain cases be treated with spinal orthoses, [70] such as the Milwaukee brace, Boston brace, Charleston bending brace, or Providence brace.
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The most commonly used brace is a TLSO, such as a Cheneau type brace, a corset-like appliance that fits from armpits to hips and is custom-made from fiberglass or plastic. It is worn upwards of 18–23 hours a day, depending on the doctor's prescription, and applies pressure on the curves in the spine.