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Boston Scoliosis Brace 


Boston Scoliosis BraceScoliosis is the abnormal curvature of the spine. The normal spine has natural curves that round the shoulders and make the lower back curve inward.  Scoliosis involves a three-dimensional deformity of the spinal column and rib cage. To varying degrees, the spine curves from side-to-side, and some of the spinal bones may rotate slightly, making the hips or shoulders appear uneven.  Hippocrates gave a name to scoliosis.


The purpose of bracing is to keep the curve from progressing as a child grows. While the curve will demonstrate improvement during the time the child is braced, it will typically revert to its original degree of severity when the use of the brace is eventually discontinued at the cessation of growth. Some individuals do achieve permanent correction, but holding the curve to an acceptable level, thus avoiding surgery, should be deemed a success.


In the early seventies, the most popular of the TLSO systems, the Boston Brace, was developed by Dr. John Hall and Dr. William Miller of The Boston Children's Hospital. The Boston Brace was the first brace to utilize symmetrical standardized modules eliminating the need for casting. It was also the brace used in the Scoliosis Research Society's bracing study. The Boston Brace extends from below the breast to the beginning of the pelvic area in front and just below the scapulae to the middle of the buttocks in the back. 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. Pads are placed to provide pressure to the curve, and areas of "relief" or "voids" are provided opposite the areas of pressure.








Your physician will determine the appropriate wearing protocol,




Normally, written instructions will be provided by your Orthotist.


While in the supine position (lying down on back), spread the brace enough to slip into the orthosis.




Use alcohol on liner every day to remove odor inside brace.


Use alcohol on areas of skin that may involve irritation.




Wearing a clean cotton shirt under brace will help with odor and skin issues. 


Your physician and orthotist will give specific instructions as to wearing time and follow-up.

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