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What is a Thoracolumbosacral Orthosis (TLSO) Back Brace?

A TLSO Brace, also known as a Thoracolumbosacral Orthosis is a spinal brace that applies pressure to spinal regions. These regions are the thoracic, lumbar and sacrum. Also, the thoracolumbar region is where the thoracic and lumbar parts of the spine meet. This brace covers from the upper part of the spine, below the neck to near the bottom of the spine, above the tailbone.

TLSO Brace

What is a TLSO brace used for?

There are a number of spinal conditions that this brace helps with. This includes spinal fractures, including fractures caused by osteoporosis. The brace also helps to treat scoliosis and kyphosis. If you are suffering from a herniated disc then TLSO braces are a great option to get some pain relief.


Osteoporosis is a condition that causes loss of bone density and that bone density is not replaced by the body. Around two million Canadians have osteoporosis. The condition affects women over 50 primarily. These braces are useful for supporting the spine to reduce the risk of fractures from osteoporosis.


Scoliosis is a condition where the spine is curved in an unnatural way. There are three main types of scoliosis:

  • Idiopathic: This is the most common type of scoliosis and it is the diagnosis that comes when all other factors are ruled out. In fact, adolescent idiopathic scoliosis is the most common type and often will be diagnosed at puberty.
  • Congenital: Scoliosis of this type happens because of an embryological malfunction of one or more vertebrae anywhere along the spine.
  • Neuromuscular: This type of scoliosis is any type of scoliosis related to a neuromuscular disorder. This includes scoliosis from disorders such as cerebral palsy, spina bifida, muscular dystrophy, muscle atrophy and more. Rapid progression of scoliosis in these disorders means surgery is required more often.

As a way to avoid surgery for less severe types of scoliosis wearing bracing is an effective alternative. They are also particularly effective for scoliosis in children. To determine if a brace is right for your situation consult your doctor.


Kyphosis is unnatural curves in the upper spine or the thoracic region. The spine in kyphosis curves forward more than 50 degrees. Also, the more severe the curvature relates to how severe the kyphosis is.

This condition can affect both young and old. Also, depending on the severity, no treatment may be needed. But, bracing can be used to moderate severity. In extreme cases, surgery may be necessary.

Spinal fractures

A TLSO brace can be used to help the spine heal after a spinal fracture. The brace supports the spine to help aid in the healing process and to also help relieve pain from the fracture. Also, the brace restricts movement to prevent further injury from occurring.

Herniated disc

A herniated disc, also known as a ruptured disc or a slipped disc is when a disk ruptures. A disk is a rubbery cushion that sits between the vertebrae in the spine. The disk has a nucleus and a herniated disc is when the nucleus pushes through a tear the disc. This condition often happens in the lower spine. A TLSO brace can help reduce pressure on the disk. Also, it can help with pain management and assist in the healing process.

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Your First Visit

Please plan to come 10-15 minutes before your appointment time to complete necessary forms. Want to save time? Print and then complete the form below.

Meeting your Specialist

Your first appointment will include an initial assessment and also a chance to meet your specialist and ask questions.

If you have a prescription from your doctor, be sure to bring it with you.

Be prepared to discuss your medical history and also talk about your goals and expectations. We will also complete a physical assessment and try out a variety of orthotics to see what best meets your needs.

Please dress comfortably and bring shorts. We may need to measure, cast or use 3D-scanning to customize your fit and maximize comfort.


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