No neurological findings

Bowel and bladder intact

(how do you check?)

Current kyphosis is about 10 degrees

50% canal compromise

What treatment do you recommend?

Custom Extension Type TLSO Brace

•19 degree kyphosis
•(Surgery considered for 25-30 degree kyphosis)
•50% or less canal compromise
•No neurological findings

Results of Incorrect Bracing

  • Pt was placed in a “fabric and metal stays” type of brace without any ability to mold the brace or maintain extension
  • Collapsed to a 35 degree kyphosis which places greater strain on lower facets (due to compensatory hyperlordosis)