Orthosis

An orthosis is an orthopedic device, or brace, used to properly support and prevent the movement of a particular body part. Also known as an orthotic, the apparatus may also aid in preventing or correcting deformity of the supported body part. A spinal orthosis assists in the realignment of the spine by offering maximum stability and support for the head, chin, torso, and pelvis in varying combinations. Many devices are prefabricated, but customized products can be manufactured for individuals as needed and as suggested by a doctor.

Types of Spinal Orthotics

• Cervical – This type of orthosis encircles the neck (cervical region), supports the chin, and limits range of motion. Many types of cervical orthotics exist, ranging from the soft fabric and foam collar that surrounds the neck only, to more rigid plastic and metal devices that provide support from the thoracic region, or middle back, up to the chin.
• Halo – A halo is a variation of a cervical orthosis, with an immovable halo pinned to the upper skull, which is attached to a stiff jacket worn on the chest. This provides the highest level of cervical restriction and is generally used after surgeries, vertebral fractures, or as an alignment prevention tool if the spine could be compromised before open neck surgery.
• Lumbosacral – The lumbosacral device varies widely, but is usually comprised of a fabric corset that wraps around the lower torso and is fastened with adjustable Velcro straps. This promotes proper posture by compressing the abdominal area and supporting the lower back, or lumbar region.
• Thoracolumbar sacral (TLSO) – This orthosis treats the lateral, or sideways, curvature of the spine, a condition known as scoliosis. TLSOs support the thoracic region as well as the lumbar region of the spine.

Uses

An orthosis is prescribed to someone needing spinal immobilization after back or neck surgery, or after sustaining a traumatic injury, such as injuries suffered during a motor vehicle accident, a fall from a tall height, or a sports-related injury. These devices also aid in the management of scoliosis and nerve compression issues, in addition to encouraging the healing of compression fractures by removing stress on the spine.