Back and Spinal Bracing
Spinal Orthoses includes cervical orthoses, cervical-thoracic orthoses, thoracic orthoses, thoracic-lumbar-sacral orthoses, lumbar-sacral orthoses and lumbar orthoses.
While sitting or standing, the upper body receives its support from the sacroiliac joint. But, over a period of time, the joint can wear out and cause lower back pain. Back pain is a common ailment that affects individuals of all ages and may result from conditions including, injury, obesity, age, disc disease, spinal stenosis, spinal sprains and strains.
Back pain treatments include back braces / spinal orthotics. A spinal orthosis provides an external force to control the spine position, applies corrective forces to abnormal curvatures and provides stabilization of spine structures when soft tissue can't. It restricts spine movement after trauma.
Spinal orthoses include cervical orthoses, cervical-thoracic orthoses, thoracic orthoses, thoracic-lumbar-sacral orthoses, lumbar-sacral orthoses and lumbar orthoses.
Spinal orthoses have been recommended for the treatment of back pain and to stabilize the spine. Conditions for which spinal orthoses have been recommended for relieving pain, reducing progression of disease/injury, and improving function include spinal stenosis, vertebral fractures, scoliosis, spondylosis, spondylolisthesis, Scheuermann's disease and sprains.
Spinal orthoses have also been recommended for use following spinal surgery as a method of restricting excessive spinal motion, allowing for soft tissue healing, and to reduce postoperative pain. In addition, spinal bracing results in lower incidence of hardware failure, loss of surgical correction, and pseudoarthrosis. The indications for bracing are dependent on the degree of injury and spinal instability, the presence of neurological deficit, the type and quality of internal fixation, bone quality, and the patient's individual profile.
Types of Spinal Orthoses
Corsets are a type of spinal brace commonly used to treat low back pain. Low back pain can be caused by a number of things and Corset braces are often prescribed to treat low back pain associated with:
- degenerative disc disease
- trauma, fracture, or injury
- spinal deformity (such as scoliosis)
A corset brace may also be used to immobilize your back after spine surgery.
Hyperextension braces are commonly used to treat spinal compression fractures and help your back recover after spine surgery. Hyperextension braces are used to treat fractures and back pain that occur where the thoracic spine meets the lumbar spine. It is designed to limit movement in these two regions of the spine because it features three pads that help stabilise the spine.
Hyperextension braces feature a rectangular metal frame that goes over the front of the body to limit front bending. This frame puts pressure on the chest and pubic bone. A hyperextension brace puts pressure and support on the thoracic spine, because it is primarily used to treat spinal compression fractures that occur where the upper back meets the low back. This pressure keeps the spine in an extended position
A Jewett brace is a three points pressure system of orthosis, which is used for controlling the flexion of the spine. It is a hyperextension orthosis, which allows extension but prevents flexion of the spine.
The Jewett Hyperextension Spinal Orthosis helps control and support your spinal posture, helps reduce pain, prevents further injury and promotes healing. It will remind you to keep your back upright and straight. It is often prescribed for the treatment of compression fractures or fractures on the front side of the spine.
By activating the back muscles the support straightens the dorsal spine to decrease the osteoporotic kyphosis. Simulation of the body's own muscle power, when optimally fitted the support eases the patient's pain and improved mobility. The easily mend back brace makes it possible to adjust individually to each patient. The brace is light and bearly visible under clothing, the "backpack" principle makes putting on the brace easy, no obstruction or thoracic or abdominal breathing, no restriction of sholder or arm movements.
A molded jacket or a thoracolumbosacral orthosis (TLSO), provides rigid stabilization to treat a number of spinal conditions, including spinal fractures and scoliosis.
A molded jacket is a total-coverage brace that supports a large area - from the thoracic spine, lumbar spine and sacrum. This type of spinal brace provides a strong external support for your thoracic and lumbar regions. Molded jackets may help treat a variety of spinal conditions like:
Spinal fractures (including burst fractures and spinal compression fractures)
- Scheuermann's kyphosis
- Ankylosing spondylitis
- Lumbosacral belts
The Miami Lumbar® is an easy-to-use lumbar orthosis for post-surgical immobilisation, pain relief and the protection of injured ligaments or muscles. The superior anatomical design follows the contours of the spine while simultaneously ensuring better immobilisation and patient comfort. The modular system enables step-down treatment options for every stage of the recovery process. A TLSO attachment can be used for maximum immobilisation, which stabilises the spine up to T7. Lumbosacral belts are designed to provide pressure on your abdominals, thereby reducing weight and stress on your low back. This type of brace provides lumbar spine stabilization, so it creates an optimal healing environment for a number of lumbar spine conditions, including low back muscle strain.