Health Information

Scoliosis Bracing

The brace we use to control a scoliosis curve of the spine is called a TLSO Brace (thoracolumbar sacral orthosis). There are many different types and brands of TLSO braces. At The Children's Hospital of Philadelphia, we recommend you wear your brace for 16 to 20 hours a day if instructed to do so. Brace wearing starts gradually and within two to three weeks, you should be at your prescribed brace-wearing routine.

In the beginning of the brace-wearing program, you may need someone to help you put the brace on. After a few weeks or months, most patients are able to do it alone.

Getting measured

Most braces are custom made, which means you will be measured for the brace, and it will fit your body perfectly. Once you are measured for the brace, it will usually take a few weeks before brace can be picked up.

Follow-up appointment

After wearing the brace for a few weeks, you will be instructed to come back to see the orthopaedic doctor. At that time, an X-ray will be taken of your spine while you are wearing the brace. The X-ray helps us determine if the brace is indeed holding your spine in the most optimal position.

A proper fit

At the same time you come back for your appointment, your brace will also be checked for proper fitting. If there are any concerns about properly fitting braces prior to your appointment with the doctor, please let the orthotist who made the brace know, or talk with the nurse in the Division of Orthopaedics. You can call 215-590-1527 for more information.

How long to wear your brace each day

Your goal is to wear the brace for 16 to 20 hours a day. These hours can be divided up however you desire, so that you are in control. This means you can choose whichever hours you would like to be out of the brace. The hours out of brace can be grouped together, or they can be split up. It should also be noted that time spent swimming (which is obviously done without the brace on) is not counted as time out of brace.

Cleaning

Cleaning the brace and skin care are important. This information will be reviewed with you at each doctor's visit.

Activities

The scoliosis brace is worn until you stop growing, which for most patients is one to three years. There are very few restrictions in activity. You can continue to play sports and take gym as well as participate in most activities of daily living.

Clothes

The brace is worn over your underwear and cotton T-shirt, and under your clothes. The T-shirts should be seamless (to prevent blisters) and can usually be provided by the orthotist making the brace for an additional fee. Generally speaking, loose fitting clothing is more comfortable over the brace. Sometimes you will need to purchase a larger size.

Support and friends

At The Children's Hospital of Philadelphia, we have a network of patients who communicate with each other regarding concerns over bracing. We also have a staff of nurses available to answer any questions or concerns that you may have. Some of you may also be instructed to work with a physical therapist in conjunction with your bracing program.

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