Boston brace

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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 John Hall and William Miller at the Boston Children's Hospital in Boston, Massachusetts.[2] Since it lacks the metal superstructure of the Milwaukee brace, which was the most commonly worn brace until the development of the Boston brace,[3] the brace is typically not noticeable under clothing. The Boston brace is prescribed for correcting curves in the lumbar or thoraco-lumbar part of the spine.[4] It is designed to keep the lumbar area of the body in a flexed position by pushing the abdomen in and flattening the posterior lumbar contour.[4] Pads are placed at the apex of the curves to provide pressure, and areas of relief from pressure are positioned opposite the curves.[4]

The brace is normally used with growing adolescents to hold a 20° to 45° advancing curve.[1][5] The brace is made of high density polypropylene lined with polyethylene foam[5] that is customized to the individual patient, and it opens in the back via a series of Velcro straps. Daily use of the brace ranges from 16–23 hours a day.[6] The brace is intended to minimize the progression to an acceptable level, not to correct the curvature.[7] If the curvature continues despite the brace, then the wearer may have to undergo spinal fusion surgery.

References

  1. ↑ 1.0 1.1 Seymour, Ron (2002). Prosthetics and orthotics : lower limb and spinal. Philadelphia: Lippincott, Williams & Wilkins. ISBN 9780781728546. 
  2. ↑ 2.0 2.1 "Orthopedic Center - History of Innovations". Boston Children's Hospital. Retrieved 29 June 2012. 
  3. ↑ "Bracing". University of Iowa Hospitals and Clinics. Retrieved 29 June 2012. 
  4. ↑ 4.0 4.1 4.2 "Boston Brace". ScoliosisNutty. Retrieved 29 June 2012. 
  5. ↑ 5.0 5.1 Newton, Peter; O'Brien, Michael (2010). Idiopathic Scoliosis: The Harms Study Group Treatment Guide. Thieme. ISBN 9781604060256. 
  6. ↑ Staheli, Lynn T. (2008). Fundamentals of pediatric orthopedics (4th ed. ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9780781774970. 
  7. ↑ Baratz, Mark E.; Watson, Anthony D.; Imbriglia, Joseph E. (1999). Orthopaedic surgery : the essentials. New York [u.a.]: Thieme. ISBN 9780865777798. 
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