Spinal Orthoses
- Cervical
- Soft
collar – Least
restrictive and supportive
- used
primarily for cervical strain
- Philadelphia collar – Still allows considerable
degree of motion
- sometimes
used after anterior cervical discectomy with fusion
- Two- or
Four-poster brace – Mandibular and occipital supports connect to a rigid shoulder and
upper chest vest via 2 or 4 posts
- used
with multilevel cervical fusions
- SOMI
(Sternooccipito-mandibular immobilizer brace)
- Mandibular
and occipital supports connect to a rigid chest shell (usually a TLSO)
- Used
for cervicothoracic injuries
- Minerva
jacket
- Molder
plaster or plastic neck and chest vest
- Used
primarily in infants too small for other bracing options
- Halo vest
- Only
device that effectively controls upper cervical motion
- Metal
ring fixes to skull via 4 skull pins and connects to chest vest via 4
posts
- Used
with multilevel cervical fusions and to maintain immobilization in
non-operative C-spine injuries
- Thoracolumbar
- Jewitt
brace – Hyperextension
brace which maintains backward pressure at the manubrium and symphysis
pubis and forward pressure at the mid-dorsal region
- Used
for stable mid-thoracic fractures with minimal compression
- TLSO
(Thoraco-Lumbo-Sacral Orthosis) – Circumferential molded hard plastic shell extending
from high thoracic to sacral region
- Used
for most thoracic and lumbar stabilization (T3 to L3)
- Requires
SOMI addition for effective stabilization of T3 to T8
- Lumbosacral
- LS
(Lumbosacral) Corset – Flexible canvas support extending from lower rib cage to
symphysis pubis anteriorly and upper buttocks posteriorly
- Provides
minimal restriction of motion
- Lumbosacral
spica – Jacket
of molded plastic or plaster extending from 2 cm below the shoulder
blades to mid-sacrum posteriorly with thigh extension down symptomatic
leg
- Used
for stabilization from L3 to S1