Thoraco-Lumbar-Sacral Orthosis (TLSO) Boston Brace

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⭐ Key Features

Underarm / low-profile brace

Unlike the Milwaukee brace (which has a neck ring), the Boston Brace fits under the arms and around the torso, making it more discreet.

Two-piece or front-opening design

It usually opens in the back or front and is secured with Velcro straps.

Custom molded

Made from a 3D scan or body mold to match the patient’s torso.

Pressure pads + relief areas

  • Pressure pads push the spine away from the curve.

  • Opposite sides have “expansion areas” where the ribs and body can shift.

Made of rigid polypropylene plastic

Lightweight but firm to support corrective forces.


⭐ What It Is Used For

The Boston Brace is typically prescribed for:

  • Adolescent idiopathic scoliosis (AIS)

  • Lumbar and thoracolumbar curves

  • Curves roughly between 25°–45°
    (Exact numbers depend on the orthopedic specialist.)


⭐ How It Works

The brace applies controlled pressure to the ribs and lower spine to:

  1. Slow or stop curve progression

  2. Help maintain proper alignment as the child grows

It does not usually “straighten” the spine permanently — instead, it keeps the curve from worsening while growth is most rapid.


⭐ Wear Schedule

Doctors commonly prescribe:

  • 18–23 hours per day

  • Wear through growth years

  • Remove only for bathing, sports, or as advised

High wear time = better results.

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