Boston brace

Boston Brace

A Boston Brace used for scoliosis treatment

The Boston Brace is a type of thoraco-lumbo-sacral orthosis (TLSO) used primarily in the treatment of scoliosis, a condition characterized by an abnormal lateral curvature of the spine. The brace is designed to halt the progression of spinal curvature in growing children and adolescents.

Design and Function

The Boston Brace is a custom-fitted orthotic device made from lightweight plastic. It is designed to fit snugly around the torso, extending from below the shoulder blades to the pelvis. The brace applies corrective pressure on the convex side of the spinal curve while providing relief on the concave side, thereby encouraging the spine to grow in a straighter alignment.

The brace is typically worn under clothing and is designed to be as unobtrusive as possible. It is usually worn for 18 to 23 hours a day, depending on the severity of the curve and the specific treatment plan prescribed by an orthopedic surgeon.

Indications for Use

The Boston Brace is most commonly prescribed for patients with idiopathic scoliosis, which is the most common form of scoliosis with no known cause. It is typically recommended for patients with a spinal curve between 25 and 40 degrees, particularly when the patient is still growing.

Advantages and Limitations

The primary advantage of the Boston Brace is its ability to prevent further progression of spinal curvature in many patients, potentially avoiding the need for surgical intervention. However, the effectiveness of the brace depends on patient compliance, as it must be worn consistently to achieve the desired results.

Some patients may experience discomfort or skin irritation due to prolonged wear, and the brace may restrict certain physical activities. Despite these limitations, the Boston Brace remains a widely used and effective treatment option for managing scoliosis.

Related Pages

• Scoliosis
• Orthopedic surgery
• Spinal curvature
• Orthotics