# Spinal Technology LLC > Orthotics & prosthetics service in Yarmouth, Massachusetts # Spinal Technology Leaders in Custom Spinal Orthoses Over **1.2 Million** Braces manufactured. ## We’re an industry leader in Custom Orthoses & Prosthetics Since 1991, we have manufactured over **1.2 million braces**. Our experience partnered with orthotists worldwide delivers the best possible spinal corrections for your patients. ### [Scoliosis Braces](https://spinaltech.com/scoliosis-braces) We offer advanced custom scoliosis bracing solutions designed to effectively manage and treat spinal curvature. Combining innovative materials with precise measurements to provide optimal correction while maintaining comfort for patients of all ages. ### [Custom Spinal Braces](https://spinaltech.com/custom-spinal-braces) Each custom spinal orthosis is fabricated to address unique patient needs from thoracic stabilization to lumbar support systems. Our custom spinal braces focus on promoting proper spinal alignment, supporting rehabilitation goals, and enhancing quality of life. ### [Custom Hip Braces](https://spinaltech.com/custom-hip-braces) These effectively address conditions ranging from hip dysplasia and acetabular disorders to post-surgical stabilization, helping patients restore function and reduce discomfort through every stage of treatment and rehabilitation. ### [Custom Prosthetics](https://spinaltech.com/resources/for-practitioners/prosthetics) Using Computer Aided Design (CAD) modification and fabrication, our experienced team has been making prosthetic sockets for over 25 years. We specialize in both above the knee (AK) and below the knee (BK) diagnostic and definitive sockets. Resources ### For Practitioners - [Education/CE](https://spinaltech.com/resources/for-practitioners/training-ce) - [Bracing Resources](https://spinaltech.com/resources/for-practitioners/bracing-resources) - [Product Resources](https://spinaltech.com/resources/for-practitioners/product-resources) - [Technology](https://spinaltech.com/resources/for-practitioners/technology) - [Events](https://spinaltech.com/resources/for-practitioners/events) - [See All](https://spinaltech.com/resources/for-practitioners) [#### Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) [#### On Demand Learning](https://spinaltech.com/resources/on-demand-learning) Resources ### For Parents & Patients - [Scoliosis Awareness](https://spinaltech.com/resources/for-parents-patients/scoliosis-awareness) - [Education](https://spinaltech.com/resources/for-parents-patients/education) - [Bracing Information](https://spinaltech.com/resources/for-parents-patients/bracing-information) - [Videos](https://spinaltech.com/resources/for-parents-patients/videos) - [See All](https://spinaltech.com/resources/for-parents-patients) [#### Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) [#### 6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) ## Learn from Spinal Technology [Education Resources](https://spinaltech.com/resources/for-practitioners/training-ce) ## Why choose Spinal Technology? ### Better Fit Using the most advanced technology and methods, we customize every orthosis to meet each patient’s needs and shape. [3D Technology](https://spinaltech.com/resources/for-practitioners/technology) ### Better Results Medical experts around the world depend on our expertise for the assessment of patient curvature, the blueprinting of x-rays, the design of each orthosis, and the x-ray evaluation of patients in-brace. [Testimonials](https://spinaltech.com/testimonials) ### Fast Turnaround Spinal Technology is positioned to provide practitioners with unparalleled service 365 days a year, that includes delivery of our custom spinal braces within 24 hours and, in some cases, the same-day. [Hours & Lead Times](https://spinaltech.com/hours) ## We’re the Scoliosis Specialists™ [Global Leaders since 1991](https://spinaltech.com/company) --- # Careers Spinal Technology is the global leader in the design and fabrication of Spinal Orthoses, for the stabilization, immobilization, and the correction of various abnormalities of the spine. Specializing in the treatment of Adolescent Idiopathic Scoliosis, we employ the latest technologies and methods for treating each and every patient. **What We Offer You** • Outstanding medical, dental and vision insurance benefits • 401(k) retirement plan with company match, including traditional and Roth options • Paid vacation and sick time • Company-paid life, disability, and accident insurance We are committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. We are an Equal Opportunity Employer. See below for current openings. ### Don't see your position? Please e-mail us a cover letter and resume or visit our Human Resources Department at 191 Mid Tech Drive West Yarmouth, MA 02673 to complete an application. [Email Us](mailto:ma_careers@spinaltech.com) - [Learn More About Us](https://spinaltech.com/company) #### [Fabrication Technician](https://spinaltech.com/careers/fabrication-technician-ky) Louisville, KY We’re seeking individuals to join our production team. As an entry level technician, you’ll be trained in our fabrication process and methods to produce finished custom spinal braces. [Read More](https://spinaltech.com/careers/fabrication-technician-ky) --- # Archives #### [Winter Storm Delivery Delays](https://spinaltech.com/news/winter-storm-delivery-delays) Jan 23, 2026 Due to the severe winter storm traveling across the US, in an abundance of caution and the safety of our employees, we will be closing all operations Saturday January 24, 2026 at 12:00pm EST. [Read More](https://spinaltech.com/news/winter-storm-delivery-delays) #### [American Academy of Orthotists and Prosthetists (AAOP)](https://spinaltech.com/news/american-academy-of-orthotists-and-prosthetists-aaop) Dec 04, 2025 Spinal Technology is a proud member of the AAOP through our partnership with eqwal. We believe in sharing their mission of supporting Orthotists and Prosthetists as the individual practitioner. [Read More](https://spinaltech.com/news/american-academy-of-orthotists-and-prosthetists-aaop) #### [Announcing 2024 Price Increase](https://spinaltech.com/news/announcing-2024-price-increas) Nov 30, 2023 All of us at Spinal Technology are grateful for the chance to serve you. We constantly evaluate and source the highest quality materials and employ the industry’s most experienced technicians. We recognize this commitment to high standards comes at a higher cost. Despite our ongoing productivity improvements, we are compelled to pass on a portion of these costs to continue our commitment to provide you with uncompromising quality products, customer service, and ongoing educational support. [Read More](https://spinaltech.com/news/announcing-2024-price-increas) #### [Announcing a 2023 Price Increase](https://spinaltech.com/news/announcing-a-2023-price-increase) Nov 30, 2022 All of us at Spinal Technology are grateful for the chance to serve you. We are committed to improving your patient outcomes and providing your clinical practice with uncompromising quality products, customer service, and ongoing educational support. [Read More](https://spinaltech.com/news/announcing-a-2023-price-increase) #### [Options and Advancements in Treating Spinal Conditions with Travis Hood](https://spinaltech.com/news/options-and-advancements-in-treating-spinal-conditions-with-travis-hood) Feb 24, 2022 Positive Outcomes is a podcast for the P & O community. In this episode, Simon Beals sits with Travis Hood of Spinal Technology to discuss options and advancements in treating spinal conditions! [Read More](https://spinaltech.com/news/options-and-advancements-in-treating-spinal-conditions-with-travis-hood) #### [Going from traditional to digital : Spinal Technology’s story with Travis Hood](https://spinaltech.com/news/going-from-traditional-to-digital-spinal-technologys-story-with-travis-hood) Mar 26, 2021 In this episode of the TechMed 3D Podcast, Travis Hood, in charge of customer service at Spinal Technology, shares how they managed their digital transition. Hear about their challenges and how the benefits of 3D scanning technology helped them simplify their processes. [Read More](https://spinaltech.com/news/going-from-traditional-to-digital-spinal-technologys-story-with-travis-hood) #### [Med-Tech Magazine names Spinal Technology as Top Spine Device Company in 2020](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-spine-device-company-in-2020) Dec 21, 2020 West Yarmouth - based Spinal Technology was named by Med-Tech Outlook Magazine as one of its Top Spine Device Companies in 2020. [Read More](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-spine-device-company-in-2020) #### [Med-Tech Magazine names Spinal Technology as Top 10 Orthopedic Solutions Provider](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-10-orthopedic-solutions-provider) Apr 15, 2020 West Yarmouth - based Spinal Technology was named by Med-Tech Outlook Magazine as one of its Top 10 Orthopedic Solutions Provider in 2020. The annual listing of Top 10 companies that are at the forefront of providing Orthopedic solutions and impacting the healthcare industry. [Read More](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-10-orthopedic-solutions-provider) --- # Contact ### Sales and Orders P: 800-253-7868 F: 888-775-0588 Local: 508-957-8398 ### [Hours](https://spinaltech.com/hours) (Eastern Time) - **Mon–Fri:** 8:30 AM – 9:00 PM - **Sat:** 10:00 AM – 7:00 PM - **Sun:** 10:00 AM – 5:00 PM - **Holidays:** 10:00 AM – 7:00 PM Same day or Next Day delivery based on time order placed, flight availability & courier. **Track your** [**UPS shipment**](https://www.ups.com/track?loc=en_US&requester=ST/)**.** ### Mailing Address **Corporate Offices** 191 Mid Tech Drive West Yarmouth, MA 02673 **Kentucky Location** 8075 National Turnpike Louisville, KY 40214 --- # Content Blocks Page Example page with a hero image for the header area. ## Heading Two ### Heading Three #### Heading Four ##### Heading Five ###### Heading Six Etiam **porta** sem *malesuada* magna mollis [euismod](#). Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Donec id elit non mi porta gravida at eget metus. Donec id elit non mi porta gravida at eget metus. Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor auctor. - List Item - List Item Etiam porta sem malesuada magna mollis euismod. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Donec id elit non mi porta gravida at eget metus. Donec id elit non mi porta gravida at eget metus. Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor auctor. 1. Ordered List Item 2. Ordered List Item [Example of an inline link text.](#) ### Resources - [Example Document](https://spinaltech.com/uploaded/forms/Interactive.SpinalTechnology.KyphosisOrderForm-8.5x14inch.pdf) - [Example Contact Link](tel:+18002537868) - [Example Email Resource](mailto:info@hellodative.com) - [Example Link Resource](https://www.google.com) ### Prosthetics Questions? Call Glenn or a member of our Customer Service Support team at **855-569-3754**. Click below to find the Prosthetics Order Forms [Download Now](https://spinaltech.com/resources/prosthetics-order-forms) ### [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) ## Optional Heading for This Section - Etiam porta sem malesuada magna mollis euismod. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Donec id elit non mi porta gravida at eget metus. Donec id elit non mi porta gravida at eget metus. Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor auctor. - Etiam porta sem malesuada magna mollis euismod. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Donec id elit non mi porta gravida at eget metus. Donec id elit non mi porta gravida at eget metus. Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor auctor. ## Call To Action Headline Etiam porta sem malesuada magna mollis euismod. Aenean eu leo quam. Pellentesque ornare sem lacinia quam venenatis vestibulum. Donec id elit non mi porta gravida at eget metus. Donec id elit non mi porta gravida at eget metus. [Primary Button](https://spinaltech.com/news) [Secondary Button](https://spinaltech.com/contact) --- # Higgy Con 2024 Giveaway Comment on Social Media for a chance to win 2 tickets. Spinal Technology is a proud sponsor of Higgy Con! We believe in supporting a community of scoliosis families and helping each person grow and make friends with others just like them. As part of this year's sponsorship, we are giving away **Two pairs** (4) tickets to Higgy Con 2024. On ***May 12, 2024 and June 16, 2024*** we will post a giveaway on [Instagram](https://www.instagram.com/spinal.technology/) and [Facebook](https://www.facebook.com/spinaltechnologyllc). In order to enter you must comment on the post telling us why you deserve to attend Higgy Con. *If you are under 18, you must include their name and/or tag your parent in the post.* Winners will be selected at random and sent a private message when they win. The prize is only the registration ticket(s). It does not include accommodations or travel costs. You must provide your own transportation and hotel reservation. Details about [Higgy Con can be found on their website](https://higgycon.com/). ### Related Links - [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) --- # Cookie Policy **Last updated September 13, 2023** This Cookie Policy explains how Spinal Technology, LLC. (“**we**”, “**our**”, or “**us**”) uses cookies and similar technologies in connection with our Site. This Cookie Policy should be read in conjunction with our [Privacy Policy](https://spinaltech.com/privacy-policy). If you have any questions or concerns about the Cookie Policy, please contact us at **privacy@spinaltech.com** or as otherwise described in our Privacy Policy. **What are cookies and similar technologies?** - **Cookies** are text files that websites store and access on a visitor’s device to uniquely identify the visitor’s browser or to store information or settings in the browser to allow us to distinguish you from other users of our Site for the purpose of helping you navigate between pages efficiently, remembering your preferences, enabling functionality, helping us understand activity and patterns, and facilitating online advertising. - **Local storage technologies**, like HTML5, provide cookie-equivalent functionality but can store larger amounts of data, including on your device outside of your browser in connection with specific applications. - **Web beacons**, also known as pixel tags or clear GIFs, are used to demonstrate that a webpage or email was accessed or opened, or that certain content was viewed or clicked. This cookie policy refers to all these technologies, and other types of tracking technologies used through our Site, collectively as “cookies.” **How do we use cookies and other similar technologies?** We use both persistent cookies and session cookies. Persistent cookies stay on your device for a set period of time or until you delete them, while session cookies are deleted once you close your web browser. We use persistent cookies, for example, to record your choice of language and country location. The cookies placed through your use of our website are either set by us (first-party cookies) or by a third party at our request (third-party cookies). We also allow our advertising partners to collect this information through our website. **What types of cookies and similar technologies do we use?** We use the following categories of cookies: · **Strictly necessary cookies**: These cookies are necessary for the Site to function and cannot be switched off in our systems. They allow us to enable security, prevent fraud and debug the Site and are usually only set in response to actions made by you which amount to a request for Site, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but then some parts of the Site will not work. · **Functional cookies**: These cookies are used to recognize you when you return to our Site. · **Analytical cookies**: These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our Site. They help us to know which pages are the most and least popular and see how visitors move around the Site. All information these cookies collect is aggregated. If you do not allow these cookies we will not know when you have visited our Site and will not be able to monitor its performance. · **Advertising and tracking cookies**: These cookies allow us display advertisements to you based on relevant topics that interest you and to track your behavior across different websites. **Analytics and Advertising** We use analytics services, such as Google Analytics and Hotjar, to help us understand how users access and use the Site. In addition, we may work with agencies, advertisers, ad networks, and other technology services to place ads about our products and services on other websites and services. For example, we may place ads through LinkedIn that you may view on their platform. As part of this process, we may incorporate tracking technologies into our own Site as well as into our ads displayed on other websites and services. Some of these tracking technologies on our Site and within our advertisements may track your activities across time and services for purposes of associating the different devices you use, and delivering relevant ads and/or other content to you. **How can you control the use of cookies?** Depending on where you access the Site from, you may be presented with a cookie banner or other tool to provide permissions prior to non-essential cookies being set. In this case, we only set these non-essential cookies with your consent. You can also limit online tracking by: - **Blocking cookies in your browser**. Most browsers let you remove or reject cookies, including cookies used for interest-based advertising. To do this, follow the instructions in your browser settings. Many browsers accept cookies by default until you change your settings. For more information about cookies, including how to see what cookies have been set on your device and how to manage and delete them, visit [www.allaboutcookies.org](http://www.allaboutcookies.org/). Use the following links to learn more about how to control cookies and online tracking through your browser: - - [Firefox](https://support.mozilla.org/en-US/kb/cookies-information-websites-store-on-your-computer); [Chrome](https://support.google.com/chrome/answer/95647?co=GENIE.Platform=Desktop&hl=en); [Microsoft Edge](https://support.microsoft.com/en-gb/microsoft-edge/delete-cookies-in-microsoft-edge-63947406-40ac-c3b8-57b9-2a946a29ae09); [Safari (Mac)](https://support.apple.com/en-gb/guide/safari/sfri11471/mac); [Safari (Mobile/iOS)](https://support.apple.com/en-gb/HT201265) - **Blocking advertising ID use in your mobile settings**. Your mobile device settings can provide functionality to limit use of the advertising ID associated with your mobile device for interest-based advertising purposes. - **Using privacy plug-ins or browsers**. You can block our websites from setting cookies used for interest-based ads by using a browser with privacy features, like Brave, or installing browser plugins like [Privacy Badger](https://privacybadger.org/), [Ghostery](https://www.ghostery.com/), or [uBlock Origin](https://ublock.org/en), and configuring them to block third party cookies/trackers. - **Google Analytics**. For more information on Google Analytics, click [here](https://marketingplatform.google.com/about/analytics/). For more information about Google’s privacy practices, click [here](https://policies.google.com/technologies/partner-sites). You can opt out of by downloading and installing the browser plug-in available at: . - **Advertising industry opt out tools**. You can also use these opt out options to limit use of your information for interest-based advertising by participating companies: - Digital Advertising Alliance for Websites: [optout.aboutads.info](https://optout.aboutads.info/?c=2&lang=EN) and [https://www.aboutads.info/appchoicesh](https://www.aboutads.info/appchoices) (for mobile opt outs); - Network Advertising Initiative: [optout.networkadvertising.org](https://optout.networkadvertising.org/?c=1) - **Platform opt-outs.** Some of our advertising partners offer opt-out features that let you opt out of use of your information for interest-based advertising, including: - [Google](https://myadcenter.google.com/?sasb=true) - [LinkedIn](https://www.linkedin.com/psettings/guest-controls) Please be aware that if you disable or remove tracking technologies some parts of the Site may not function correctly. Note that because these opt out mechanisms are specific to the device or browser on which they are exercised, you will need to opt out on every browser and device that you use. **Do Not Track**. Some Internet browsers can be configured to send “**Do Not Track**” signals to the online services that you visit. We currently do not respond to “Do Not Track” or similar signals. To find out more about “Do Not Track,” please visit [http://www.allaboutdnt.com](http://www.allaboutdnt.com/). [Your Privacy Choices](https://spinaltech.com/?cky_preview=true) © 2023 Spinal Technology, LLC. All rights reserved. --- # What's New in 2022? We are looking forward to a great show at AOPA this year in San Antonio. There are alot of new offerings from Spinal Technology so be sure to stop by Booth #828, right across from our partners at Vorum. Our **Advanced Methodologies for Scoliosis Bracing** course covers the latest in-brace blueprinting and design, 3D scanning, fabrication and spinal curve x-ray evaluation to ensure the best patient outcome. Be sure to see Jonathan Taylor give an on-site Workshop Weds 9/28 @8am which discusses the **Advantages of Nocturnal Bracing** in room 008B in the convention center. We have redesigned our training courses and will be offering a variety of FREE online webinars, as well as on-location classroom presentations. To learn more or sign up for course information, please email Off-the-Shelf Introductory Package The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. [Click Here](https://spinaltech.com/stop-brace-aopa-2022-pricing) for special package pricing because you were at AOPA 2022. New Luma 3D Portable Scanner If you stop by our Booth #828, you will not only get a chance to use the Luma 3D Scanner, but you can also enter for a chance to win a scanner and scan credits for free. For more information on the Luma 3D Scanner, [read more here](https://spinaltech.com/resources/introducing-the-luma-3d-portable-scanner). --- # STOP Brace - Black Friday Pricing The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. See below for special **Black Friday package 25% discount.** ### Related Links - [Learn More about S.T.O.P. Bracing](https://spinaltech.com/resources/what-is-a-stop-brace) The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting. **A Solution for Spinal Stability** Suitable for a number of diagnoses and conditions, including spina fractures, kyphosis control, osteoporosis and spinal stenosis. **In-House Inventory When You Need It** When time is of the essence, you will be glad to have the necessary braces right off the shelf. Our starter kit provides the recommended inventory levels for you. Must mention **Black Friday** when placing your order. Orders must be placed by ***November 28, 2022*** to qualify for special pricing. Call 508-957-8288 to order now. --- # Photo Submission Form --- # Providence® with Progressive Correction-Patient X-RAY Instructions ## Patient X-RAY Instructions **1.** Turn on the control box and pair it with your phone through the Progressive Correction App. **2.** Next put your brace on. **3.** Lay down on the X-Ray table and tighten the straps of your brace to the X-Ray line drawn by your orthotist. **4.** Click the **settings symbol** on the Start/Stop page of the Progressive Correction App. **5.** Next click the **“X-Ray” button** at the bottom center of the page. **6.** Before the X-Ray is taken push the **“Start” button** on the X-Ray Settings page and wait for the bladders to inflate. **7.** Once the X-ray is completed click the **“Stop” button**. For help call **800 253 7868** --- # Providence® with Progressive Correction-Patient Instructions ## Patient Nightly Instructions **1.** Make sure the cell phone is plugged in, turned on, and located near your bed. **2.** Hold down the **On/Off button** on the control box until the light turns **Orange** (you will hear one beep) **3.** Open the “Progessive Correction App”. **You will need to enter the provided PIN below to access this app for the first time after the phone has been turned on.** **4.** Pair your control box with your phone - select the **device ID** followed by the **connect button**. If the ID doesn’t appear, turn the box off and on, and click the scan button. **5.** After successful pairing the light on the box will turn **Blue**. Make sure there aren’t any competing bluetooth devices in the same area (bluetooth speakers, earbuds, etc.) **6.** After successful pairing put your brace on and tighten to the line on the strap set by your orthotist. **7.** Tap the **start button** on your phone and lay down to sleep. Nothing will happen for 15 minutes giving you time to fall asleep. This 15 minute Start Delay can be adjusted anywhere from 0-60 minutes. This can be accessed by clicking the **settings symbol** on the top right of the Start/Stop Page. **8.** Once on the settings page **use the scroll dial to adjust to the desired Start/Delay Time** and then click the “Save” button to return to the Start Stop Page. **9.** During the night the pump in the control box will turn on and off according to a set schedule. **10.** Be sure to plug in your brace after wearing it during the night - so it will be ready for its next use. The orange light on the control box will blink when charging. When the control box is fully charged, the light will stop blinking. Check your brace score each morning. For help call **800 253 7868** --- # Providence® with Progressive Correction-Phone Setup ## Phone Setup Instructions **1.** To **power on**, hold the small button on the right side of the phone. **2.** From the lock screen swipe up from bottom center to unlock the phone. **3.** From the home screen swipe up from the bottom and click on the settings application **(green circle with a white gear in the middle)**. **4.** Type in the **4 digit pin provided by your orthotist** to unlock the settings. **5.** Once in the settings click on **Network & Internet** and connect to your home’s WIFI. **6.** Once connected **click the circle at the bottom** of the page to return to the home screen. **7.** From the home screen swipe down from the top and ensure the Bluetooth is on. **A green circle around the Bluetooth symbol will indicate it is on**. If the circle is grey click it to turn it on. **8.** Once the Bluetooth is **ON** click below the drop down menu to return to the home screen. The phone setup has now been completed. Next read “Patient Nightly Instructions” to navigate the Progressive Correction App For help call **800 253 7868** --- # World Health Day World Health Day calls attention to the challenges we face as a globe with regards to human health. While many in the health industry are doing their part within their own specialty, it is important to put a spotlight on the bigger global issues we all face. Learn more about [World Health Day](https://www.who.int/campaigns/world-health-day/2022) and what you can do to help. ### Need more information? Contact our Customer Relations Team for our international distributors, [**click here**](https://spinaltech.com/contact). We'll be glad to help you with your question. While the COVID-19 pandemic showed us the healing power of science, it also highlighted the inequities in our world. The pandemic has revealed weaknesses in all areas of society and underlined the urgency of creating sustainable **well-being societies** committed to achieving equitable health now and for future generations without breaching ecological limits. A well-being economy has human well-being, equity and ecological sustainability as its goals. [Read more](https://www.who.int/campaigns/world-health-day/2022) about what the World Health Organization is doing to sustain the World Health initiatives. Spinal Technology is a global leader and we work with many other distributors and health care practitioners outside of the United States from the following countries. ## Canada **Action O & P International**, Candiac, Quebec, Canada [actionop.com](http://actionop.com) **Ortoped Inc.** Montreal, Quebec, Canada [ortoped.ca](http://ortoped.ca) ## Denmark **Fillauer Europe AB** Midtjylland, Denmark [fillauer.eu](http://fillauer.eu) ## Finland **Fillauer Europe AB** [fillauer.eu](http://fillauer.eu) ## Germany **Hessing** **Hessing Maẞarbeit fūr Orthopädie** Augsburg, Germany [hessing-stiftung.de](http://hessing-stiftung.de) ## Hong Kong SAR **Orthopaedia Hong Kong** Tsim Sha Tsui, Kowloon, Hong Kong [orthopaedia.com.hk](http://orthopaedia.com.hk) ## Jamaica **Clinical Projects Limited** Kingston, Jamaica ## Singapore **Orthopaedia Pte Ltd.** Singapore [orthopaedia.com.sg](http://orthopaedia.com.sg) ## South Africa **INTEFAB** Pretoria, South Africa [intefab.com](http://intefab.com) ## Spain **Ortoprono** Valencia, Spain [ortoprono.es](http://ortoprono.es) ## Sweden **Fillauer Europe AB** Sollentuna, Sweden [fillauer.eu](http://fillauer.eu) ## The Netherlands **Dutch Scoliosis Center B.V.** Zeist, The Netherlands [dutchscoliosiscenter.nl](http://dutchscoliosiscenter.nl) ## Norway **Fillauer Europe AB** [fillauer.eu](http://fillauer.eu) ## Taiwan **Johnson A.L. Trading CO., LTD.** Taipei, Taiwan [johnson-yeh.com.tw](http://johnson-yeh.com.tw) ## United Arab Emirates **OrthoMENA** Al Bada’a, Dubai, United Arab Emirates [orthomena.com](http://orthomena.com) ## United Kingdom **SpineCorporation Limited** Derbyshire, UK [providenceuk.co.uk](https://www.providenceuk.co.uk) --- # What You Missed We are sorry we didn't have the chance to connect in person at the latest industry event. So we've compiled a few resources for you here. ### Learn More about Luma If you'd like to learn more about this new wireless scanner, please sign up here and we can email you more information. Don't miss out on this exciting news. [Sign Up Today](https://forms.microsoft.com/Pages/ResponsePage.aspx?id=xPvR7I-9sE-nOYNtdmIU-BP83N-PFjZOoIq-x2CL1gxUNlVMWjZERTI2RkJOT1BKWFZaSVlXQkEyTi4u) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. You might have also missed our friends at Vorum introducing us to their new Luma 3D Scanner™. Highlights: - Intuitive User Interface - Portable and wireless - File Storage - Accurate - Scan Cleaning If you'd like to learn more about this new wireless scanner, [please sign up here](http://eepurl.com/h-ZQq9) and we can email you more information. Our goal is to keep you up to date with the latest spinal bracing resources. We have a team of experts who can guide you every step of the way. These brochures are just a sample of the education materials we have. Please reach out to [**Jonathan Taylor**](https://spinaltech.com/education-with-jonathan-taylor) with any questions, or to schedule a training for your team. **Custom Spinal Orthoses Overview** **[Download](https://spinaltech.com/uploaded/forms/Spinal_Brace_Product_Brochure.pdf)** **Custom Scoliosis Orthoses Overview** **[Download](https://spinaltech.com/uploaded/forms/Scoliosis_Product_Brochure.pdf)** **Custom Flex Foam Spinal Orthoses Overview** **[Download](https://spinaltech.com/uploaded/forms/Flex_Foam_Product_Brochure.pdf)** As always, you can follow us on social media for the latest Spinal Technology news and product updates. Tag [@spinaltechnologyinc](https://www.instagram.com/spinaltechnologyinc/) in your photos from the shows. --- # Night vs. Day People often ask which is better, Night-time bracing or wearing a scoliosis brace all day long. Many patients ask if they can wear both. The straight answer is, each patient is unique and what works for one, may not have the same outcome for another. As practitioners, knowing how the benefits of each style of scoliosis bracing can positively impact your patient's outcome is critical. See the benefits of each style below. ### Questions on our prefabricated orthoses? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. Click for more information on the Providence Nocturnal Scoliosis® Orthosis Click for more information on the Full-Time Scoliosis Brace No matter which bracing option you choose, our team will work with you to make sure your patient has a positive outcome. Visit our [Scoliosis Bracing](https://spinaltech.com/scoliosis-braces) page for more information on each type of brace we offer. ### Related Links - [Scoliosis Braces](https://spinaltech.com/scoliosis-braces) - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) - [Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) --- # Five Reasons We should be your first choice for custom scoliosis orthosis fabrication. ## 1. Experience Specialists with over [30 years of experience](https://spinaltech.com/company) in crafting thousands of custom scoliosis orthoses in multiple styles. --- ## 2. Customer Service Our entire scoliosis team of clinicians, technicians and customer service are dedicated and ready to answer and assist any[questions concerning your order](https://spinaltech.com/contact). ## 3. Technology We use advanced technology, scanning & [3-D CAD/CAM](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology) systems along with traditional modification techniques to craft a custom scoliosis orthosis that precisely fits your patient to achieve a positive outcome. --- ## 4. Specification Each custom Full-Time or [Providence® Scoliosis Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) order is fabricated to your specifications. --- ## 5. Delivery We have two facilities, both with over 3,000 torso molds to speed production and provide nationwide delivery so your order arrives when you need it. These are the reasons orthotists choose to use Spinal Technology®. A custom orthosis from Spinal Technology® is designed to don faster, fit better and do its job without complications. **Call 508-957-8284 to place an order today** --- # What Makes Spinal Technology Legendary? There are many iconic products and services that are legendary for being multifaceted. See what makes Spinal Technology one of them. Spinal Technology is the global leader in the design and fabrication of Spinal Orthoses, for the stabilization, immobilization, and the correction of various abnormalities of the spine. ### Related Links - [About Us](https://spinaltech.com/company) - [Order Forms](https://spinaltech.com/order-forms) **Our Team is Legendary** Our team consists of American Board Certified Orthotists, highly skilled & experienced technicians, and dedicated Customer Service experts. - Over 30 years experience - 24% of our employees have been with Spinal Technology for two decades or more [Contact Us Today](https://spinaltech.com/contact) Our Team from MA ### We Want to Hear from You Click here to share a success story you've had with any of our Spinal Technology custom braces. [Share Your Story](https://forms.office.com/Pages/ResponsePage.aspx?id=xPvR7I-9sE-nOYNtdmIU-BP83N-PFjZOoIq-x2CL1gxUN0hBSloxNzJTQ05aRUVVSktKSUhCQ1dWNy4u) ### We're Global Searching for an international distributor? ### Need more information? Contact our Customer Relations Team for our international distributors, [**click here**](https://spinaltech.com/contact). We'll be glad to help you with your question. **Our Products are Legendary** We proudly maintain expertise in a wide range of proven scoliosis bracing methodologies and employ the latest technology for treating each and every patient. We continue to stay on the forefront of research and development, and we are the exclusive manufacturer of the [Providence Nocturnal Scoliosis® System.](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) Our Legendary Products **Our Support is Legendary** As part of our commitment to world-class patient care, we deliver custom fabrication services and support to practitioners across the United States and around the world. With two facilities in – West Yarmouth, Massachusetts and Louisville, Kentucky – Spinal Technology is uniquely positioned to provide unparalleled service that includes delivery of our custom braces within 24 hours. Already a Customer? Click on the image to tell us about your experience. --- # Hours Hours of operation for Spinal Technology **Weekdays** **8:30 AM – 9:00 PM** (EST) • Order by 9 PM (EST) for UPS\* Next Day orders **Saturday** Extended Service Hours **10:00 AM – 7:00 PM** (EST) • Sunday delivery available, subject to flight availability • UPS Next Day orders for delivery on Monday \* Check UPS Saturday delivery availability in your area **Sunday** Extended Service Hours **12:00 PM – 5:00 PM** (EST) • Same day or Monday delivery based on time order placed, flight availability **Holidays** Extended Service Hours **12:00 PM – 5:00 PM** (EST) • Same day or Next Day delivery based on time order placed, flight availability ### Track your UPS shipment. - [Click HERE to track](https://www.ups.com/track?loc=en_US&requester=ST/) ## Labor Day Weekend Friday **September 4th** *Business Hours* **8:30 AM – 8:00 PM** EST • UPS Saturday delivery • UPS Next Day orders for Tuesday delivery Saturday **September 5th** *Extended Service Hours* **10:00 AM – 7:00 PM** EST •Sunday delivery available, subject to flight schedule •UPS Next Day orders for Tuesday delivery Sunday **September 6th** *Extended Service Hours* **12:00 PM – 5:00 PM** EST •Monday delivery available, subject to flight schedule •UPS Next Day orders for Wednesday delivery Monday **September 7th** **Labor Day\*** *Holiday Premium Service Charges Apply* **12:00 PM – 5:00 PM** EST •Tuesday delivery based on flight availability •UPS Next Day orders for Wednesday delivery *\*Please contact Customer Service for UPS availability* --- # Accessibility Last Updated: November 21, 2019 ## Measures to support accessibility Spinal Technology takes the following measures to ensure accessibility of Spinal Technology Website: - Include accessibility as part of our mission statement. - Include accessibility throughout our internal policies. - Assign clear accessibility targets and responsibilities. - Employ formal accessibility quality assurance methods. ## Conformance status The Web Content Accessibility Guidelines (WCAG) defines requirements for designers and developers to improve accessibility for people with disabilities. It defines three levels of conformance: Level A, Level AA, and Level AAA. Spinal Technology Website is partially conformant with WCAG 2.1 level AA. Partially conformant means that some parts of the content do not fully conform to the accessibility standard. ## Feedback We welcome your feedback on the accessibility of Spinal Technology Website . Please let us know if you encounter accessibility barriers on Spinal Technology Website : Phone: [800-253-7868](tel:+18002537868) E-mail: We try to respond to feedback within 30 business days. ## Technical specifications Accessibility of Spinal Technology Website relies on the following technologies to work with the particular combination of web browser and any assistive technologies or plugins installed on your computer: - HTML - WAI-ARIA - CSS - JavaScript These technologies are relied upon for conformance with the accessibility standards used. ## Assessment approach Spinal Technology assessed the accessibility of Spinal Technology Website by the following approaches: Third party evaluation (Dative, Inc.) --- # Terms Of Use **Last updated September 13, 2023** **AGREEMENT TO TERMS** These Terms of Use constitute a legally binding agreement made between you, whether personally or on behalf of an entity (“you”) and Spinal Technology, LLC ("Company", “we”, “us”, or “our”), concerning your access to and use of the [spinaltech.com](https://spinaltech.com/) as well as any other media form, media channel, mobile website or mobile application related, linked, or otherwise connected thereto (collectively, the “Site”). 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NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN, OUR LIABILITY TO YOU FOR ANY CAUSE WHATSOEVER AND REGARDLESS OF THE FORM OF THE ACTION, WILL AT ALL TIMES BE LIMITED TO $500.00 USD. CERTAIN US STATE LAWS AND INTERNATIONAL LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MAY HAVE ADDITIONAL RIGHTS. **INDEMNIFICATION** You agree to defend, indemnify, and hold us harmless, including our subsidiaries, affiliates, and all of our respective officers, agents, partners, and employees, from and against any loss, damage, liability, claim, or demand, including reasonable attorneys’ fees and expenses, made by any third party due to or arising out of: (1) use of the Site; (2) breach of these Terms of Use; (3) any breach of your representations and warranties set forth in these Terms of Use; (4) your violation of the rights of a third party, including but not limited to intellectual property rights; or (5) any overt harmful act toward any other user of the Site with whom you connected via the Site. Notwithstanding the foregoing, we reserve the right, at your expense, to assume the exclusive defense and control of any matter for which you are required to indemnify us, and you agree to cooperate, at your expense, with our defense of such claims. We will use reasonable efforts to notify you of any such claim, action, or proceeding which is subject to this indemnification upon becoming aware of it. **USER DATA** We will maintain certain data that you transmit to the Site for the purpose of managing the performance of the Site, as well as data relating to your use of the Site. Although we perform regular routine backups of data, you are solely responsible for all data that you transmit or that relates to any activity you have undertaken using the Site. You agree that we shall have no liability to you for any loss or corruption of any such data, and you hereby waive any right of action against us arising from any such loss or corruption of such data. **ELECTRONIC COMMUNICATIONS, TRANSACTIONS, AND SIGNATURES** Visiting the Site, sending us emails, and completing online forms constitute electronic communications. You consent to receive electronic communications, and you agree that all agreements, notices, disclosures, and other communications we provide to you electronically, via email and on the Site, satisfy any legal requirement that such communication be in writing. YOU HEREBY AGREE TO THE USE OF ELECTRONIC SIGNATURES, CONTRACTS, ORDERS, AND OTHER RECORDS, AND TO ELECTRONIC DELIVERY OF NOTICES, POLICIES, AND RECORDS OF TRANSACTIONS INITIATED OR COMPLETED BY US OR VIA THE SITE. You hereby waive any rights or requirements under any statutes, regulations, rules, ordinances, or other laws in any jurisdiction which require an original signature or delivery or retention of non-electronic records, or to payments or the granting of credits by any means other than electronic means. **CALIFORNIA USERS AND RESIDENTS** If any complaint with us is not satisfactorily resolved, you can contact the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs in writing at 1625 North Market Blvd., Suite N 112, Sacramento, California 95834 or by telephone at (800) 952-5210 or (916) 445-1254. **MISCELLANEOUS** These Terms of Use and any policies or operating rules posted by us on the Site or in respect to the Site constitute the entire agreement and understanding between you and us. Our failure to exercise or enforce any right or provision of these Terms of Use shall not operate as a waiver of such right or provision. These Terms of Use operate to the fullest extent permissible by law. We may assign any or all of our rights and obligations to others at any time. We shall not be responsible or liable for any loss, damage, delay, or failure to act caused by any cause beyond our reasonable control. If any provision or part of a provision of these Terms of Use is determined to be unlawful, void, or unenforceable, that provision or part of the provision is deemed severable from these Terms of Use and does not affect the validity and enforceability of any remaining provisions. There is no joint venture, partnership, employment or agency relationship created between you and us as a result of these Terms of Use or use of the Site. You agree that these Terms of Use will not be construed against us by virtue of having drafted them. You hereby waive any and all defenses you may have based on the electronic form of these Terms of Use and the lack of signing by the parties hereto to execute these Terms of Use. **CONTACT US** In order to resolve a complaint regarding the Site or to receive further information regarding use of the Site, please contact us at: Spinal Technology, LLC 191 Mid Tech Drive West Yarmouth, MA 02673 United States Phone: 800-253-7868 --- # Privacy Policy **Last updated October 14, 2024** Thank you for choosing to be part of our community at Spinal Technology, LLC. (“**we**”, “**us**”, or “**our**”). We take your privacy very seriously. In this privacy policy, we seek to explain how we handle your personal information, and what rights you have in relation to it. This privacy policy applies to all personal information collected through our website (the “**Site**”), the applications we own and operate ("**Apps**"), and/or any related services, products, sales, marketing or events (together with the Site and the Apps, the "**Services**"). This privacy policy does not apply to personal information we process on behalf of our customers (such as patient data provided to us by healthcare practitioners), in connection with our customers’ use of our Services. Those processing activities are subject to the privacy policies of our customers. If your healthcare practitioner uses our Services to process your personal information, please contact them directly with questions about how they collect and use your personal information. 1\. WHAT INFORMATION DO WE COLLECT? 2\. HOW DO WE USE PERSONAL INFORMATION 3\. WILL YOUR INFORMATION BE DISCLOSED TO ANYONE? 4\. HOW LONG DO WE KEEP YOUR INFORMATION? 5\. HOW DO WE KEEP YOUR INFORMATION SAFE? 6\. DO WE COLLECT INFORMATION FROM MINORS? 7\. WHAT ARE YOUR PRIVACY RIGHTS? 8\. THIRD PARTY SITES 9\. INTERNATIONAL DATA TRANSFERS 10\. DO WE MAKE UPDATES TO THIS POLICY? 11\. HOW CAN YOU CONTACT US ABOUT THIS POLICY? **1.** **WHAT INFORMATION DO WE COLLECT?** **Personal information you disclose to us** ***In Short:*** *We collect personal information that you provide to us.* We collect personal information that you voluntarily provide to us through the Services or otherwise, including: · **Account and contact information**, such as your first and last name, name of company, temporary password, email and mailing addresses, phone number, and details of trade references or other contacts at your company that you may provide when you create an account with us to use our Services or when you place an order. · **Scoliosis and brace information,** such as your scoliosis journey, experience with braces or other information you may provide when you choose to become a Spinal Technology Ambassador. · **Communications that we exchange with you**, including when you contact us or send us testimonials via email, through the Site or App, by contacting our customer service team, through our social media pages, or otherwise with questions, feedback, or other communications. · **Marketing data**, such as your preferences for receiving our marketing communications, and details about your engagement with them. **Information we automatically collect** ***In Short:*** *Some information — such as IP address and/or browser and device characteristics — is collected automatically when you visit our Site or Apps.* We collect personal information about you automatically when you use our Site. This information does not directly identify you (like your name or contact information), but may include the following information: · **Device data**, such as your computer’s or mobile device’s operating system type and version, manufacturer and model, browser type, screen resolution, RAM and disk size, CPU usage, device type (e.g., phone, tablet), IP address, unique identifiers (including identifiers used for advertising purposes), language settings, mobile device carrier, radio/network information (e.g., WiFi, LTE, 3G). · **Online activity data**, such as pages or screens you viewed, how long you spent on a page or screen, the website you visited before browsing to the Site, navigation paths between pages or screens, information about your activity on a page or screen, access times, and duration of access, and whether you have opened our marketing emails or clicked links within them. Like many businesses, we collect this information through cookies and similar technologies. Please read our [Cookie Policy](https://spinaltech.com/cookie-policy) for more information. **2.** **HOW DO WE USE PERSONAL INFORMATION** ***In Short*:** *We process your information for purposes based on legitimate business interests, the fulfillment of our contract with you, compliance with our legal obligations, and/or your consent.* We use the personal information we collect or receive via our Services for the following purposes: **• To provide our Services.** We use personal information to operate, maintain, and provide you with our Services. In particular, we use personal information to enter into a contract with you or to perform our contractual obligations under our terms and conditions. **• To send you marketing and promotional communications.** We and/or our third-party marketing partners may use the personal information you send to us for our marketing purposes. You can opt-out of our marketing emails at any time (see the "WHAT ARE YOUR PRIVACY RIGHTS" below). Except where consent is required, we undertake such marketing and advertising on the basis of our legitimate business interests. Where we seek your consent, you may withdraw your consent at any time. **• For interest-based advertising.** We use cookies and similar technologies to engage in interest-based advertising. Please review our Cookie Policy for more information. Where required by applicable law, we will engage in interest-based advertising only with your consent. **• To send administrative information to you.** Where it is in our legitimate business interests, or to perform our contract with you, we may use your personal information to send you product, service and new feature information and/or information about changes to our terms, conditions, or policies. **• To fulfill and manage your orders.** We may use your information to fulfill and manage your orders, payments, returns, and exchanges made through the Services, to enter into or perform our contract with you. **• To share your story or testimonial**. If you have chosen to share your scoliosis journey, experience with braces or other information with us, for example as a Spinal Technology Ambassador, we may use or publish this information when it is in our legitimate interests or, if legally required, with your consent, to encourage and help others with their scoliosis journey and to advertise our Services. **• To protect our Services.** Where it is in our legitimate business interest, we may use your information as part of our efforts to keep our Services safe and secure (for example, for fraud monitoring and prevention). **• For compliance and legal reasons.** We may use personal information to comply with legal obligations, and it is in our legitimate business interests to use your personal information to defend us against legal claims or disputes, including to: - protect our, your or others’ rights, privacy, safety or property (including by making and defending legal claims); - audit our internal processes for compliance with legal and contractual requirements and internal policies; - enforce the terms and conditions that govern the Services; - comply with applicable laws, lawful requests and legal process, such as to respond to subpoenas or requests from government authorities. **• To respond to user inquiries or offer support to users.** We may use your information to respond to your inquiries and solve any potential issues you might have with the use of our Services. We do so to perform our contract with you or where it is in our legitimate business interest. **• For other business purposes.** We may use your information for other business purposes, such as data analysis, identifying usage trends, determining the effectiveness of our promotional campaigns, and evaluating and improving our Services, our marketing and your experience. We may use and store this information in aggregated and anonymized form so that it is not associated with individual users and does not include personal information. **3.** **WILL YOUR INFORMATION BE DISCLOSED TO ANYONE?** ***In Short:*** *We only disclose personal information to third parties for the purposes described below.* We do not sell personal information. We may disclose personal information to the following parties: **• Service providers.** We may disclose personal information to third party vendors, service providers, contractors or agents who perform services for us or on our behalf and require access to such information to do that work. Examples include: data analysis, email delivery, hosting services, technical support, customer service and marketing efforts. **• Site visitors and App users.** We may disclose personal information on our Site and Apps when you choose to share your scoliosis journey with us, for example as a Spinal Technology Ambassador, or when you submit a testimonial. **• Advertising partners**. We may allow third parties to use tracking technology on the Sites, which will enable them to collect data about how you interact with the Sites over time and provide you with interest-based advertising. This information may be used to, among other things, analyze and track data, determine the popularity of certain content, better understand online activity, and provide you with advertisements that may be of interest to you. **• Professional advisors**. We may share your personal information with professional advisors, such as lawyers, auditors, bankers and insurers, where necessary in the course of the professional services that they render to us. **• Authorities and others**. We may share your personal information with law enforcement, government authorities, and private parties, as we believe in good faith to be necessary or appropriate for the compliance and protection purposes described above. **• Business Transfers.** We may share or transfer your personal information in connection with, or during negotiations of, any merger, sale of company assets, financing, or acquisition of all or a portion of our business to another company. **• Affiliates**. We may share your information with our affiliates, in which case we will require those affiliates to honor this privacy policy. Affiliates include our parent company and any subsidiaries, joint venture partners or other companies that we control or that are under common control with us. **4.** **HOW LONG DO WE KEEP YOUR INFORMATION?** ***In Short:*** *We keep your information for as long as necessary to fulfill the purposes outlined in this privacy policy unless otherwise required by law.* We will only keep personal information for as long as it is necessary for the purposes set out in this privacy policy, unless a longer retention period is required or permitted by law (such as tax, accounting, or other legal requirements). To determine the appropriate retention period for personal information, we consider the amount, nature, and sensitivity of the personal information, the potential risk of harm from unauthorized use or disclosure, the purposes for which we use personal information, whether we can achieve those purposes through other means, and the applicable legal and regulatory requirements. **5.** **HOW DO WE KEEP YOUR INFORMATION SAFE?** ***In Short:*** *We aim to protect personal information from unauthorized access, use, disclosure, alteration and destruction through a system of organizational and technical security measures.* We have implemented appropriate technical and organizational security measures designed to protect any personal information we process. However, please remember that we cannot guarantee that the internet itself is 100% secure. Although we will do our best to protect your personal information, transmission of personal information to and from our Services or Apps is at your own risk. You should only access the services within a secure environment. **6.** **DO WE COLLECT INFORMATION FROM MINORS?** **In Short:** *We do not knowingly collect data from or market to children under 18 years of age.* We do not knowingly solicit data from or market to any children under 18 years of age. We may collect personal information of children under 18 years of age from their parents or guardian, for example where they choose to share their children’s scoliosis journey as a Spinal Technology Ambassador. Where required, we will always obtain parental consent. If we learn that we have collected personal information directly from children less than 18 years of age without the consent of the child’s parent or guardian as required by law, we will remove such information from our systems. If you become aware of any data we have collected from children under age 18 without the required consent of the child’s parent or guardian, please contact us at . **7.** **WHAT ARE YOUR PRIVACY RIGHTS?** ***In Short:*** *You have rights and choices about how we handle your personal information.* **Opt out of marketing communications.** You may opt out of marketing-related communications by following the opt-out or unsubscribe instructions contained in the marketing communication we send you or by contacting us as provided in the “HOW CAN YOU CONTACT US ABOUT THIS POLICY” section below. You may continue to receive service-related communications and other non-marketing emails. **Opt out of online tracking.** You can opt out of third-party cookies as described in our [Cookie Policy](https://spinaltech.com/cookie-policy). **Personal information requests.** We also offer you choices that affect how we handle your personal information. Depending on your location and the nature of your interactions with our Services, you may request the following in relation to personal information: - **Information** about how we have collected and used personal information. We have made this information available to you without having to request it by including it in this privacy policy. - **Access** to a copy of the personal information that we have collected about you. Where applicable, we will provide the information in a portable, machine-readable, readily usable format. - **Correction** of personal information that is inaccurate or out of date. - **Deletion** of personal information that we no longer need to provide the Services or for other lawful purposes. - **Opt out of sharing personal information for targeted advertising**. We may share personal information with advertising partners that display targeted advertisements to users around the web. You can limit online tracking as described in our Cookie Policy or by clicking on the “Your Privacy Choices” link on our website footer. - **Additional rights**, such as to **object** to and request that we **restrict** our use of personal information. To make a request, please email us or write to us as provided in the “HOW CAN YOU CONTACT US ABOUT THIS POLICY” section below. We may ask for specific information from you to help us confirm your identity. Depending on where you reside, you may be entitled to empower an “authorized agent” to submit requests on your behalf. We will require authorized agents to confirm their identity and authority, in accordance with applicable laws. You are entitled to exercise the rights described above free from discrimination. **Limits on your privacy rights and choices.** In some instances, your choices may be limited, such as where fulfilling your request would impair the rights of others, our ability to provide a service you have requested, or our ability to comply with our legal obligations and enforce our legal rights. If you are not satisfied with how we address your request, you may submit a complaint by contacting us as provided in the “HOW CAN YOU CONTACT US ABOUT THIS POLICY” section below. **Right to complain.** Depending on where you reside you may have the right to complain to your local data protection regulator. **8.** **THIRD PARTY SITES** ***In Short:*** *The Site might contain links to other websites, and other websites may reference or link to our Site.* The Services may contain links to websites and other online services operated by third parties. In addition, our content may be integrated into web pages or other online services that are not associated with us. These links and integrations are not an endorsement of, or representation that we are affiliated with, any third party. We do not control websites or online services operated by third parties, and we are not responsible for their actions. **9.** **INTERNATIONAL DATA TRANSFERS** ***In Short***: *We mainly use and store personal information in the U.S. If we transfer your personal information to third countries which may not have the same protections as the laws in your country, we take steps to ensure your personal information is adequately protected and we comply with applicable data protection laws.* The personal information we collect may be stored and processed in your country or region, or in any other country where we or our affiliates, subsidiaries, or service providers maintain facilities. Currently, we primarily use data centers in the U.S. The storage location(s) are chosen to operate efficiently and improve performance. If we transfer personal information across borders such that we are required to apply appropriate safeguards to personal information under applicable data protection laws, such as an EU Commission or UK government adequacy decision or on contractual protections, we will do so. Please contact us for further information about any such transfers or the specific safeguards applied. **10.** **DO WE MAKE UPDATES TO THIS POLICY?** ***In Short:*** *Yes, we will update this policy as necessary to stay compliant with relevant laws.* We may update this privacy policy from time to time. The updated version will be indicated by an updated “Revised” date and the updated version will be effective as soon as it is accessible. If we make material changes to this privacy policy, we may notify you. We encourage you to review this privacy policy frequently to stay informed of how we are handling your information. **11.** **HOW CAN YOU CONTACT US ABOUT THIS POLICY?** Spinal Technology, LLC is the entity responsible for the processing of personal information under this privacy policy (as a controller, where provided under applicable law). If you have questions or comments about this policy, you may contact our IT Security Officer, June Bertucci, by email at **privacy@spinaltech.com**, or by mail to: Spinal Technology, LLC. June Bertucci, IT Security Officer 191 Mid Tech Drive West Yarmouth, MA 02673 United States of America **EEA Representative Contact Information.** For users in the European Economic Area, we have appointed OVALIE DEVELOPPMENT 3, at 13 rue du Général Lionel de Marmier 31300 Toulouse, France as our EEA data representative. You can contact our EEA representative at the address above or by email at . © 2023 Spinal Technology, LLC. All rights reserved. --- # Order Forms **Please include any cast or X-rays with your order.** Your order can be emailed to or faxed 888-775-0588. If you have any questions concerning your order, please contact Customer Service at 800-253-7868. ### Looking for Prosthetic Order Forms? - [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) - [Providence® Orthometry Form](https://spinaltech.com/uploaded/forms/ST-ProvidenceOrderForm-Sept23.pdf) - [Scoliosis Kyphosis Order Form](https://spinaltech.com/uploaded/forms/SpinalTechnology-ScoliosisKyphosisOrderForm-ksh-5sep2023-interactive.pdf) - [Pectus Orthometry Form](https://spinaltech.com/uploaded/forms/Pectus_Orthometry_Form.pdf) - [Custom Spinal Orthometry Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) - [Custom Hip Orthometry Form](https://spinaltech.com/uploaded/forms/Custom_Hip_Orthometry_Form.pdf) For interactive fillable forms, please click on the order form and fill in your order information. Be sure to click on the boxes and choose a drop down choice where applicable. Once complete, choose save as to download your completed form and email it to **** - [Interactive Custom Spinal Order Form](https://spinaltech.com/uploaded/forms/Interactive.-SpinalTechnology-CustomSpinalOrderForm8.5x11.pdf) - [Interactive Providence Orthometry Form](https://spinaltech.com/uploaded/forms/Interactive.SpinalTechnology-ProvidenceOrderForm-8.5x14.pdf) - [Interactive Scoliosis Kyphosis Order Form](https://spinaltech.com/uploaded/forms/EB.ST.TechMedKyphosisOrderForm__8.5x14.pdf) **Account Form** To set up an account as a new customer, please fill out the Credit Application and email it to . - [Credit Application Form](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) **Need to place an order today?** Call us at 800-253-7868 during [business hours](https://spinaltech.com/hours) ask to speak with an Accounting Specialist. You will be asked to provide credit card information to pay for orders until credit has been approved. --- # About Us ## Spinal Technology Spinal Technology is the global leader in the design and custom fabrication of Spinal Orthoses, for the stabilization, immobilization, and the correction of various abnormalities of the spine. Specializing in the treatment of Adolescent Idiopathic Scoliosis, we employ the latest technologies and methods for treating each and every patient. Medical experts around the world depend on our expertise for the assessment of patient curvature, the blueprinting of x-rays, the design of each orthosis, and the x-ray evaluation of patients in-brace. We continuously maintain expertise in various scoliosis bracing methodologies, and remain on the forefront of research and development. Our clinical team proudly supports the medical community with advanced educational courses and seminars, along with the dedicated teaching and resources we deliver to various colleges and universities. At Spinal Technology, we believe that sharing our knowledge, and absorbing that of others, is the most effective way to advance the treatment and care for all patients. At Spinal Technology, our commitment to American manufacturing is a cornerstone of our identity. Every custom orthosis we create is proudly designed, fabricated, and finished in our specialized U.S. facilities, combining traditional craftsmanship with cutting-edge technology. Our Made in the USA approach ensures uncompromising quality control at every stage of production. By maintaining complete oversight of our manufacturing process, we deliver consistently superior orthotic solutions that medical providers can trust around the world. When you choose Spinal Technology, you're selecting a partner dedicated to excellence through American innovation, craftsmanship, and values—creating life-changing spinal orthotic solutions with precision, integrity, and care. Learn more about [our team](https://spinaltech.com/company#leadership-team) below. ## Leading through innovation since 1991 Custom spinal orthoses fabrication in West Yarmouth, MA and Louisville, KY Advanced 3D technology to achieve precise custom fit for the best patient outcome Detailed quality control from placing an order to delivering a patient's orthosis - Custom spinal orthoses fabrication in West Yarmouth, MA and Louisville, KY - Advanced 3D technology to achieve precise custom fit for the best patient outcome - Detailed quality control from placing an order to delivering a patient's orthosis Founded in 1991 by Jim Tierney, Spinal Technology emerged from a vision to revolutionize spinal orthoses. With exceptional expertise in the design, fabrication, and fitting of spinal bracing, Jim established the company to elevate industry standards and deliver superior quality care to patients worldwide. Over three decades later, our commitment to excellence remains unwavering. We've cultivated strategic partnerships with leading practitioners and prestigious medical centers across the globe. Through active collaboration with O&P industry experts, we continually advance the development and effectiveness of orthotic solutions, improving outcomes for patients everywhere. Innovation drives everything we do. We harness cutting-edge research and development tools to pioneer new concepts and breakthrough technologies in spinal bracing. By integrating the latest 3D scanning and CAD/CAM technology with sophisticated modification techniques, our team of specialists creates custom solutions with unmatched precision and effectiveness. Spinal Technology is the exclusive manufacturer of the[Providence Nocturnal Scoliosis® System](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis), a night-time bracing system designed to prevent the progression of adolescent idiopathic scoliosis (AIS) and the patented Flex Foam® Body Brace design spinal orthosis. In addition, Spinal Technology fabricates a myriad of other custom-designed orthoses to meet patient specifications. Today, Spinal Technology proudly stands as the industry leader in Custom Spinal Orthotics fabrication. Our unwavering dedication to excellence has established the gold standard for patient care, combining technical innovation with compassionate service to transform lives through better mobility and enhanced quality of life. ## Dedicated Experts At Your Service At Spinal Technology, we deliver custom fabrication services to practitioners across the United States and around the world. With two facilities located in the United States – West Yarmouth, Massachusetts and Louisville – Kentucky, Spinal Technology is positioned to provide practitioners with unparalleled service, that includes delivery of our custom spinal braces within 24 hours and, in some cases, the same-day. There’s a simple reason that Spinal Technology is a leader in custom spinal orthotics. Advanced research, coupled with our highly experienced manufacturing staff and dedicated customer service, has ensured that our orthotics consistently meet your highest expectations. We work hard to cultivate a true partnership with practitioners like you, to provide you with the service and top-quality fabrications you expect and your patients deserve. We provide around the clock support, 365 days a year, for thousands of medical practitioners and their patients. Our team consists of American Board Certified Orthotists, highly skilled & experienced technicians, and dedicated Customer Service experts. Together we’re focused on providing Orthotists and their patients with the most effective spinal orthoses, contributing to positive outcomes and enhancing quality of life. Made in America **Proudly Made in the USA** Our [Made in America](https://spinaltech.com/resources/made-in-the-usa) approach ensures uncompromising quality control at every stage of production. By maintaining complete oversight of our manufacturing process, we deliver consistently superior orthotic solutions that medical providers can trust around the world. By ordering a custom spinal orthosis from Spinal Technology, you are getting a product that is made start to finish in one of our USA locations. We are proud to say Spinal Technology is Made in the USA. **Accreditation and Affiliations** Our practitioners on staff are accredited by the **American Board for Certification in Orthotics, Prosthetics and Pedorthics**; and members of the **American Orthotic and Prosthetic Association**. ## Leadership Team - #### Sean Cadieux Director of Operations [508-957-8341](tel:508-957-8341) [Email](mailto:Sean_C@SpinalTech.com) **The best part of my job is** working with a great team of employees and fabricating custom braces that help people live better lives. **Outside of work I enjoy** golfing, fishing, traveling, a grilled ribeye and supporting all the Boston sports teams. Employee Since 1993 Location West Yarmouth, MA - #### Kris Hales Chief Business Officer [508-957-8354](tel:508-957-8354) [Linkedin Url](https://www.linkedin.com/in/krishales/) [Email](mailto:kris_h@spinaltech.com) **Fun Fact** My hobbies include being a passionate golfer always striving to get better. I love to cook interesting foods and try them on the family. Employee Since 2020 Location West Yarmouth, MA - #### Joshua Hersey Operations Manager [508-957-8251](tel:508-957-8251) [Email](mailto:Josh_H@SpinalTech.com) **The best part of my job is...** Working our unique team atmosphere and creating truly custom orthotics with the use of wood files and my two hands. The cad system is great but creating a human shape from a block of foam is truly satisfying and makes for a fulfilling day. Employee Since 1996 Location Louisville, KY - #### Travis Hood Director of Customer Relations [508-957-8345](tel:508-957-8345) [Linkedin Url](https://www.linkedin.com/in/travis-hood-63633b182/) [Email](mailto:Travis_H@SpinalTech.com) Outside of the work I do, I love spending time with my friends and family, playing golf and cooking. I also volunteer as a coach for my daughter's youth basketball league. Employee Since 2006 Location West Yarmouth, MA - #### David McIntyre Operations Manager [508-957-8263](tel:508-957-8263) [Email](mailto:Dave_M@SpinalTech.com) The best part of my job is helping people feel better. Employee Since 1993 Location Louisville, KY - #### Erick Osborne Production Manager [800-253-7868](tel:800-253-7868) [Email](mailto:Erick_O@SpinalTech.com) **The best part of my job is...** Making a difference in patients' lives. Employee Since 2011 Location West Yarmouth, MA - #### Jonathan Taylor Director of Global Strategy and Education [508-957-8362](tel:508-957-8362) [Linkedin Url](https://www.linkedin.com/in/jonathan-taylor-0762b93a/) [Email](mailto:Jon_T@SpinalTech.com) **The best part of my job is...** Meeting and sharing knowledge with others who have a passion for orthotics and prosthetics, particularly in caring for patients with scoliosis and spinal deformities. Expanding and strengthening the level of expertise globally is a fulfilling endeavor. Knowing that we’re helping patients overcome adversity and helping to improve their lives is what drives us to be the best at what we do. Employee Since 2018 Location West Yarmouth, MA ## Customer Relations - #### David Collins, ABC CO Customer Relations and Education Executive [508-957-8300](tel:508-957-8300) [Linkedin Url](https://www.linkedin.com/in/david-collins-a21ba2206/) [Email](mailto:David_C@SpinalTech.com) **If I could be any type of technology...** I'd be Google I would be the smartest person alive! Employee Since 2021 Location Phoenix, AZ - #### Derek Fuhs Customer Relations Executive [508-957-8357](tel:508-957-8357) [Linkedin Url](https://www.linkedin.com/in/derek-fuhs-60b6b792/) [Email](mailto:Derek_F@SpinalTech.com) As a native New Englander transplanted to the west coast, I enjoy a longer golf season and fly fishing. When I'm not working, I cheer on all of the Boston sports teams! Employee Since 2000 Location West Yarmouth, MA - #### Jake Mele Customer Relations Executive [800-253-7868](tel:800-253-7868) [Email](mailto:Jake_M@SpinalTech.com) **If I could be a type of technology...** I’d choose to be a neural interface—something like a direct brain-computer interface (BCI). Why? Because BCIs aim to create seamless communication between humans and machines, breaking down the barriers of language, speed, and accessibility. That aligns closely with my purpose: helping people access, understand, and interact with information in the most natural and empowering way possible. Employee Since 2019 Location West Yarmouth, MA ## Customer Service / CAD - #### Justin Ashley CAD Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Justin_A@SpinalTech.com) **If I could be a type of technology...** I would be a language translation device with advanced contextual understanding because it would allow me to bridge communication gaps across cultures and languages Employee Since 2017 Location West Yarmouth, MA - #### Joseph Aylmer Customer Service Supervisor [800-253-7868](tel:800-253-7868) [Email](mailto:Joe_A@SpinalTech.com) **Fun facts:** I play Rugby, enjoy riding my motorcycle, throwing disc, going to metal shows and watching all the Boston Sports. I volunteer at the Hyannis Marathon and Falmouth Road Race. Employee Since 2011 Location West Yarmouth, MA - #### Jay Blandford Customer Service Technician [502-367-4024](tel:502-367-4024) [Email](mailto:Jay_B@spinaltech.com) **If I could be any type of technology...** I'd be Nano technology. Employee Since 2009 Location Louisville, KY - #### Mayra Camara Customer Service Technician [800-253-7686](tel:800-253-7686) [Email](mailto:Mayra_C@SpinalTech.com) The best part about my job is knowing that I am contributing in a way for a child to get help with their scoliosis. I am from Mexico, but grew up in Georgia and now call Cape Cod my home. When I'm not at work I love to do any kind of crafting, painting, as well as photography and building Booknooks for all my books and Legos. Employee Since 2026 Location West Yarmouth, MA - #### Chris Campos CAD Technician [502-367-4024](tel:502-367-4024) [Email](mailto:chris_c@spinaltech.com) I grew up in Culver City, CA and am a lifelong LA Lakers basketball fan. If I were a superpower, I'd be a smartphone because then I would be able to do anything and everything. Employee Since 2025 Location Louisville, KY - #### Erik Finn Customer Service Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Erik_F@SpinalTech.com) In customer service, we collaborate with every department, including the orthotists who place the order. When the order leaves my hands it's just a blueprint, then I get to watch it go through several departments that will eventually turn into a device that will end up changing a patient's life. Employee Since 2025 Location West Yarmouth, MA - #### Kate Hall Customer Service Technician [(502)-367-4024](tel:(502)-367-4024) [Email](mailto:Kate_H@SpinalTech.com) Born and raised here in the Ville. (Near Churchill Downs). When I'm not helping patients at work, I enjoy watching my son run cross country and track and cheering on the Louisville Cardinals. Employee Since 2025 Location Louisville, KY - #### Sandy Hargrave, CO Customer Service Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Sandy_H@SpinalTech.com) Fun fact: I was born and raised in Honolulu Hawaii , moved to California for school and work in the O&P field. After 20 years, I moved to Massachusetts to work for Spinal Technology and I've been here ever since. Employee Since 1997 Location West Yarmouth, MA - #### Derek Leitner Customer Service & CAD Technician [502-367-4024](tel:502-367-4024) [Email](mailto:Derek_L@Spinaltech.com) I am fortunate enough to know how to work in the majority of the positions here at Spinal Technology manufacturing spinal braces from start to finish. When I'm not at work, I'm enjoying time with my 3 wonderful kids and my beautiful wife in the peaceful farmlands of Kentucky away from the big cities. Employee Since 2019 Location Louisville, KY - #### Matt McAllister Senior Scoliosis Specialist [800-253-7868](tel:800-253-7868) [Email](mailto:Matt_M@SpinalTech.com) **My superpower is...** X-Ray vision. If I could be any type of technology... I'd be a Leatherman multi-tool because of its durability and versatility. But also because I want to always be able to rely on a portable problem-solving tool. Employee Since 2018 Location West Yarmouth, MA - #### Scott McGaughey Customer Service Technician [(502)-367-4024](tel:(502)-367-4024) [Email](mailto:Scott_M@SpinalTech.com) If I could be any type of technology... I would be a rotary phone because it brings back memories of the good old days. Employee Since 2000 Location Louisville, KY - #### Danielle Mivelaz Customer Service & CAD Technician [502-367-4024](tel:502-367-4024) [Email](mailto:Danielle_M@SpinalTech.com) If I could be any type of technology, I think I would like to be a satellite, so I can see the world. Employee Since 2016 Location Louisville, KY - #### Paul Padden Customer Service Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Paul_P@SpinalTech.com) My job as a Customer Service Technician involves processing orders, making sure customers are providing what we need to fabricate, scheduling shipments, communicating with customers to answer questions for fabrication techs, as well as answering general questions about all of our product offerings! Employee Since 2025 Location West Yarmouth, MA - #### Andrew Peck Customer Service & CAD Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Andrew_P@SpinalTech.com) **The best part of my job is...** The satisfaction I get from knowing that my work contributes in a small way to the health and well being of a complete stranger. I process three-dimensional digital body scans for fabrication of a custom orthosis with the assistance of sophisticated yet user friendly computer software. Employee Since 2016 Location West Yarmouth, MA - #### Alfonso Plata Customer Service & CAD Technician [(502)-367-4024](tel:(502)-367-4024) [Email](mailto:Alfonso_P@SpinalTech.com) **If I were a type of technology...** I would like to be a cloning machine. I would like to clone myself and work in all the different departments I've learned to work at Spinal Technology over the years at the same time. Ever since I started working here, I have worked in every department we have, taking a brace from start finish. It would be cool seeing multiple Alfonso's in the shop! Employee Since 2012 Location Louisville, KY - #### David Routh CAD and Customer Service Co-Supervisor [(502)-367-4024](tel:(502)-367-4024) [Email](mailto:David_R@SpinalTech.com) **If I could be any type of technology...** I would like to be an algorithm that predicts peoples' wants and needs so that even though I may have a question for them I could go ahead and complete a task without waiting for an answer. Employee Since 2009 Location Louisville, KY - #### Matt Shultz Customer Service Technician [(502)-367-4024](tel:(502)-367-4024) [Email](mailto:Matt_S@SpinalTech.com) **Fun fact:** I grew up in Barnstable, MA and root for all Boston sports. I love New England style seafood. Employee Since 2009 Location Louisville, KY - #### Savannah Spencer Customer Service Technician [800-253-7868](tel:800-253-7868) [Email](mailto:Savannah_S@SpinalTech.com) Living and working on Cape Cod and knowing that by assisting orthotists with their brace orders, I am helping their patients is an amazing way to spend every day. When I'm not at work I love to go for nature walks, read, watch anime and play video games. Employee Since 2025 Location West Yarmouth, MA ## Administration - #### Catheren Andrade Marketing Manager [508-957-8332](tel:508-957-8332) [Linkedin Url](https://www.linkedin.com/in/catherenandrade/) [Email](mailto:Marketing@SpinalTech.com) **Fun Fact:** When I'm not working, you can find me sipping margaritas at the tiki bar listening to Radio Margaritaville. Employee Since 2021 Location West Yarmouth, MA - #### June Bertucci IT Manager [508-957-8300](tel:508-957-8300) [Linkedin Url](https://www.linkedin.com/in/junebertucci/) [Email](mailto:June_B@SpinalTech.com) **If you could be a type of technology...** I'd like to be drone, because I'd be able to fly high and anywhere. The view would be amazing! Employee Since 2024 Location West Yarmouth, MA - #### Grace Breton Customer Acquisition Specialist [508-957-8259](tel:508-957-8259) [Linkedin Url](https://www.linkedin.com/in/gracebreton/) [Email](mailto:Grace_B@SpinalTech.com) At Spinal Technology I work with potential new customers to see if we would be the right fit for each other! The best part of my job is the life changing outcomes each unique brace provides to change a patient's life. I'm originally from Hudson, Massachusetts but moved to Cape Cod after college to be closer to the beach. When I'm not working, I love sea glass hunting, playing with my dog, Roo and spending time with my family and friends. Employee Since 2026 Location West Yarmouth, MA - #### John Chaples Facilities Manager [508-957-8300](tel:508-957-8300) [Email](mailto:John_C@SpinalTech.com) I spend most of my day taking care of the buildings and fixing equipment. I'm from Stoughton, MA and enjoy fishing, pool and repairing motorcycles in my spare time. Employee Since 1996 Location West Yarmouth, MA - #### Jessila Diaz Controller [508-957-8300](tel:508-957-8300) [Linkedin Url](https://www.linkedin.com/in/jessila-diaz-55336634/) [Email](mailto:Jessila_D@SpinalTech.com) Fun Fact: I'm originally from Manilla,Philippines. And I always love family time (i.e., food trips, road trips, hiking - love NH and Maine!) Employee Since 2019 Location West Yarmouth, MA - #### Nancy Francis Accounts Receivable Specialist [508-957-8300](tel:508-957-8300) [Email](mailto:A.R@SpinalTech.com) I LOVE my job. We have a great team of like-minded people who work hard and really care about what we're doing, and we support each other. I am in Accounting but I am also cross-training in Customer Service, to better learn about our products and to assist in any way I can. Employee Since 2009 Location West Yarmouth, MA - #### Devon Kiernan Human Resource Administrator [508-957-8300](tel:508-957-8300) [Linkedin Url](https://www.linkedin.com/in/devon-kiernan-69137a1bb/) [Email](mailto:MA_careers@SpinalTech.com) **Fun Facts:** My dog is my life. But beekeeping and gardening are my hobbies. Employee Since 2017 Location West Yarmouth, MA - #### Jeannie Nazario Administrative Assistant [508-957-8300](tel:508-957-8300) [Email](mailto:Jeanette_N@SpinalTech.com) **If you could be any technology...** I'd be a cell phone! Very useful form of communication worldwide and are also equipped with applications that allow individuals to access information from anywhere. Employee Since 2014 Location West Yarmouth, MA - #### Kathryn Perry Corporate Compliance Manager [508-957-8300](tel:508-957-8300) [Email](mailto:Compliance@SpinalTech.com) **The best part of my job is...** The people I work with! We have a great team at Spinal Technology! I enjoy collaborating with others and learning various aspects of the business through working with my colleagues. Employee Since 2017 Location West Yarmouth, MA - #### Maria Rivera Human Resources Administrator [508-957-8300](tel:508-957-8300) [Email](mailto:maria_r@SpinalTech.com) **If I could be any type of technology...** I would be a phone because it can gain access to anything you might need at the tip of ones fingers. Employee Since 2024 Location Louisville, KY - #### John Stacy Purchasing Manager [508-957-8349](tel:508-957-8349) [Linkedin Url](https://www.linkedin.com/in/john-stacy-44542793/) [Email](mailto:John_S@SpinalTech.com) I've lived in Dennis, MA my entire life and enjoy hiking, bike riding, golf and playing Mahjong. I root for all the Boston teams and volunteer every year at the Pan Mass Challenge which raises money for Dana Farber Cancer Institute. Employee Since 2007 Location West Yarmouth, MA ## Prosthetics - #### Glenn Hutnick, CPO CTP Vice President of Prosthetics [855-569-3754](tel:855-569-3754) [Linkedin Url](https://www.linkedin.com/in/glenn-hutnick-cpo-ctp-aa60aa1b/) [Email](mailto:Glenn_H@SpinalTech.com) I have volunteered on numerous medical missions to Jamaica with Montefiore Medical Center in NY providing O&P services. Employee Since 2024 Location Louisville, KY - #### Kevin Canoy 3D Prosthetics Design Engineer [(855) 569-3754](tel:(855)-569-3754) [Linkedin Url](https://www.linkedin.com/in/kevincanoy/) [Email](mailto:kevin_c@spinaltech.com) My superpower is to visualize the prototype and bring it to fruition. Then I make a virtual model of the prosthetic or orthotic device to then have them 3D printed to test fit with the patient. I'm an outdoor adventurist. So when I'm not at work, I love hiking, biking, snowboarding, and camping. My favorite foods are any form of soup: chicken noodle, pho, ramen, hot pot, etc. Being a California native, my teams are 49ers and the SF Giants. Employee Since 2025 Location Salem, OR - #### John Lennington Prosthetics Technician [855-569-3754](tel:855-569-3754) [Email](mailto:ProstheticOrders@SpinalTech.com) **If I could be any technology...** I'd be GPS because who doesn't want to know the way? Employee Since 2024 Location Louisville, KY - #### Corey Mivelaz Prosthetics Customer Service Technician [855-569-3754](tel:855-569-3754) [Email](mailto:ProstheticOrders@SpinalTech.com) **If I could be a type of technology..** I would be a robot. Employee Since 2021 Location Louisville, KY - #### Wellington Quinton Prosthetics Technician [855-569-3754](tel:855-569-3754) I trained at UDB in El Salvador, and a Cenepa War veteran recognized for my service and heroism. As a former military parachutist and experienced skydiver with the Ecuadorian Army, I bring discipline, resilience, and technical skill to my work in patient care and rehabilitation. Outside of work, I enjoy outdoor sports, especially skydiving, and I am actively involved in community initiatives. When I'm not at work I volunteer with the Cenepa Heroes Association, supporting war veterans and their families through advocacy and outreach. Most of the time I can be found sampling local Ecuadorian cuisine, playing soccer or listening to a wide range of music, including pop, electronic, salsa, merengue, and Latin rock. Employee Since 2026 Location Louisville, KY - #### Ben Ryan 3D Prosthetics Modeling Specialist [(855) 569-3754](tel:(855)-569-3754) [Linkedin Url](https://www.linkedin.com/in/benryanambionics/) [Email](mailto:Ben_R@spinaltech.com) I support clinical teams around the US as a digital design and manufacturing specialists. I am currently based in the UK working virtually in Kentucky using my engineering and CAD skills to help improve the lives of physically challenged patients. In my spare time, I design upper limb devices for my son and children like him around the world. I also run a YouTube community channel and provide support for families with congenital upper limb differences. Employee Since 2025 Location United Kingdom - #### Trey Sweet Prosthetics Technician [855-569-3754](tel:855-569-3754) As an amputee, and a Shriner's kid, I'm looking to help others like me with the use of prosthetics. When I'm not working I enjoy watching the Texas Rangers, fishing or hanging out with my 2 exotic lizards. Employee Since 2025 Location Louisville, KY ### Mailing Address **Corporate Offices** 191 Mid Tech Drive West Yarmouth, MA 02673 **Kentucky Location** 8075 National Turnpike Louisville, KY 40214 ### Need help ordering? If you have any questions concerning your order, please contact our Customer Service Team at **800-253-7868**. --- # Providence® Orthosis Refresher Course Thank you for your interest in the Providence Nocturnal Scoliosis® Orthosis. Below is a link to the step-by-step guide to the Providence Nocturnal Scoliosis® System. This presentation includes audio on each slide and several videos illustrating pad placement for 4 scoliosis curve types, Lumbar, Thoracolumbar, Double and Thoracic. It also specifies measuring and fitting procedures and follow-up protocol for the Providence® brace. See below for login information. This course is only a refresher. There aren't any CE credits for this course. The link to the presentation is: You will be prompted to complete the required information: **First Name** **Last Name** **Email** ### In-Person Learning If you'd prefer to have a small group training, please let us know what you are looking for in this brief survey. [Tell Us More](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) --- # STOP Brace - FAOP 2022 Pricing # The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. See below for special package pricing because you were at FAOP 2022. The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting. **A Solution for Spinal Stability** Suitable for a number of diagnoses and conditions, including spina fractures, kyphosis control, osteoporosis and spinal stenosis. **In-House Inventory When You Need It** When time is of the essence, you will be glad to have the necessary braces right off the shelf. Our starter kit provides the recommended inventory levels for you. Must mention **FAOP 2022** when placing your order. Orders must be placed by ***September 15, 2022*** to qualify for show pricing. Call 508-957-8288 to order now. --- # STOP Brace - AOPA 2022 Pricing # The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. See below for special package pricing because you were at AOPA 2022. The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting. **A Solution for Spinal Stability** Suitable for a number of diagnoses and conditions, including spina fractures, kyphosis control, osteoporosis and spinal stenosis. **In-House Inventory When You Need It** When time is of the essence, you will be glad to have the necessary braces right off the shelf. Our starter kit provides the recommended inventory levels for you. Must mention **AOPA 2022** when placing your order. Orders must be placed by ***October 15, 2022*** to qualify for show pricing. Call 508-957-8288 to order now. --- # STOP Brace - Starter Package 2022 Pricing # The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. See below for our introductory package pricing. The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting. **A Solution for Spinal Stability** Suitable for a number of diagnoses and conditions, including spina fractures, kyphosis control, osteoporosis and spinal stenosis. **In-House Inventory When You Need It** When time is of the essence, you will be glad to have the necessary braces right off the shelf. Our starter kit provides the recommended inventory levels for you. Click the picture for more information. Call 508-957-8288 to order now. --- # Orthotic Management of AIS- FREE Guide At Spinal Technology, we believe that sharing our knowledge, absorbing that of others, and working together as a team, is the most effective way to advance the treatment and care for all patients. We have put together this FREE guide for you to learn more about the different components of managing Adolescent Idiopathic Scoliosis Orthotic Management of Adolescent Idiopathic Scoliosis Please [fill out this quick form](https://forms.office.com/Pages/ResponsePage.aspx?id=xPvR7I-9sE-nOYNtdmIU-BP83N-PFjZOoIq-x2CL1gxUOUxDVjBOWllRUlgyNjVUUzZOWVhKRjFaNy4u) and tell us about yourself. Once you submit, you will be able to download the full copy of our guide for free. As extensive research is presented on a broad scope of new concepts, the basic principles and understandings of effective bracing tend to become less clear. We believe a concise foundation of knowledge is critical to successful scoliosis management. At Spinal Technology we recognize the importance of continuous education and are pleased to provide informational material and support to those who share our commitment to advancing the care of patients challenged with scoliosis. Thank you for your interest. *The Clinical Development & Education Team at Spinal Technology* --- # Fabrication Technician ## About Us Spinal Technology is the global leader in the design and fabrication of Spinal Orthoses, for the stabilization, immobilization, and the correction of various abnormalities of the spine. Specializing in the treatment of Adolescent Idiopathic Scoliosis, we employ the latest technologies and methods for treating each and every patient. Our clinical team proudly supports the medical community with advanced courses and seminars, along with the dedicated teaching and resources we deliver to various colleges and universities. At Spinal Technology, we believe that sharing our knowledge, and absorbing that of others, is the most effective way to advance the treatment and care for all patients ## About You We’re seeking individuals to join our production team. As an entry level technician, you’ll be trained in our fabrication process and methods in order to produce a finished custom spinal brace and orthotics. The position requires the ability to work on a team, have good communication with team members and supervisor, as well as be able to complete multiple tasks for meeting deadlines. Your success will be measured by your ability to learn new skills, a positive attitude, precision and accuracy in completing customer order specifications. We are looking for individuals that can work in a fast-paced production environment, be a self-starter who is comfortable in learning new tools and has a passion for producing a quality product. Specifically, you will demonstrate high standards in the following duties: - Have the ability and desire to work with small hand tools and other equipment used during the fabrication process - Communicate effectively with team members and supervisor - Be self-motivated and comfortable learning new tools and procedures - Ability to meet deadlines and accomplish set goals - Attention to detail and precision in their work - Must be able to work in a manufacturing environment - Must be dependable and ready to work each shift - Must have good hand/eye coordination for assembly - Ability to stand for long periods of time and the ability to lift overhead/carry molds and other production materials (+/- 50lbs.) ## Your Qualifications and Experience • High school diploma or equivalent • Be dependable and willing to learn our fabrication methods and procedures ## What We Offer You • Job Type: Full-time • Salary - Entry Level Position • No experience necessary – we will train the right person for a career, not just a job • Performance evaluation after 90 days • Competitive compensation based on qualifications and experience • Outstanding health insurance benefits • 401(k) retirement plan with company match, including traditional and Roth options • Paid vacation and sick time • Company-paid life, disability, and accident insurance We are committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. ## How to Apply To apply for this role, please send a resumé and a cover letter. To send, [click here.](mailto:%20ky_careers@spinaltech.com) ### Apply Now! If you’re looking for a new opportunity, we look forward to hearing from you. Please e-mail a cover letter and resume to us or visit our Human Resources Department at 8075 National Turnpike Louisville, KY 40214 to complete an application. [Send Us Your Resumé](mailto:ky_careers@spinaltech.com) --- # Can Food Help Manage Scoliosis and Brace Comfort? [Scoliosis,](/resources/tag/scoliosis) [Nutrition](/resources/tag/nutrition) Living with scoliosis often means learning how to care for your child's spine more intentionally through regular check-ins, physical activity, bracing, and mindful daily habits. But what many families and individuals don’t realize is that nutrition can also play a quiet yet powerful role in managing the challenges of scoliosis. While scoliosis is a structural condition, so a healthy meal can’t directly “fix” it, food can influence how the body responds to stress, heals, and adapts. The right nutrients may help reduce inflammation, support bone strength, and even improve energy and focus, which is important for anyone navigating life in a scoliosis back brace. Let’s examine how the right diet can complement scoliosis braces and holistic treatment approaches, offering patients (and parents) another tool to feel stronger, comfortable, and more in control of their journey. ## The Role of Inflammation in Scoliosis Discomfort Scoliosis may be a condition of the spine, but its effects often ripple through the rest of the body. One of the most common challenges, especially for teens and adults, is managing discomfort and fatigue. And while every case is unique, inflammation can quietly amplify pain, making it harder to stay active, focused, or even optimistic. [Inflammation may heighten muscle soreness, joint stiffness, and nerve sensitivity](https://ssr.org.uk/scoliosis/pain-management-for-scoliosis/#:~:text=The%20curve%20of%20the%20spine,which%20can%20also%20cause%20pain.), issues that can already be present for someone who wears a spine brace for scoliosis during long school or workdays. For these individuals, reducing inflammation can improve their daily function and mental well-being. Anti-inflammatory foods like leafy greens, berries, nuts, and oily fish offer essential nutrients that may help the body stay balanced and less reactive to physical strain. When combined with consistent care, such as wearing a scoliosis spinal brace or following a physical therapy plan, an anti-inflammatory diet can become a meaningful part of pain management. It’s not a cure, but it’s a tool. And sometimes, small tools make a big difference. ### Related Links - [Scoliosis Pain Management](https://ssr.org.uk/scoliosis/pain-management-for-scoliosis/#:~:text=The%20curve%20of%20the%20spine,which%20can%20also%20cause%20pain.) - [Dietary Reference Intakes for Calcium](https://www.ncbi.nlm.nih.gov/books/NBK109827/) - [Effect of Hydration on Healthy Intervertebral Disk Mechanical Stiffness](https://pubmed.ncbi.nlm.nih.gov/26300418/) ## Nutrients for Bone and Muscle Health While a brace for a curved spine helps maintain alignment and reduce strain, the strength of your bones and muscles still plays a major role in how you feel daily. Nutrition can complement bracing by helping the body stay strong, flexible, and better equipped to handle the physical demands of treatment. A well-balanced diet rich in calcium, magnesium, and vitamin D can support bone health and help the body adapt to wearing a scoliosis spinal brace: - **Calcium**: Found in dairy, leafy greens, almonds, and fortified plant milks. Calcium is essential for maintaining bone density, something anyone wearing a back brace for scoliosis should prioritize. - **Vitamin D**: This vitamin helps the body absorb calcium and supports immune function. Sunlight exposure helps, but foods like salmon, eggs, and fortified cereals can also increase its levels. - **Magnesium**: Important for muscle function and relaxation. Magnesium is found in foods like spinach, beans, seeds, and whole grains. It may help ease tension in muscles that work harder due to spinal imbalances. - **Protein**: Muscles need adequate protein to stay strong and support the spine’s structure. Teens, especially those who may be adjusting to a scoliosis brace for teenagers, benefit from protein-rich meals to fuel growth and resilience. These nutrients don’t replace medical care, but they can support it. Nourishing the body helps build a stronger foundation for healing and mobility. For young patients, pairing healthy meals with a scoliosis brace ensures that they have the energy and nutrients needed to support growth and brace wear. When someone feels physically better, less fatigued, and less inflamed, it’s often easier to stick with the treatment and feel more confident, both physically and emotionally. For them, [brace compliance is important](https://spinaltech.com/resources/why-is-brace-compliance-so-important), so helping them to feel better makes a difference in their journey. ## Hydration and Its Underrated Benefits It’s easy to overlook water as a part of scoliosis management but staying well-hydrated plays a surprisingly supportive role. [Proper hydration helps maintain the elasticity of spinal discs](https://pubmed.ncbi.nlm.nih.gov/26300418/) and reduces muscle fatigue, which can be particularly important for those wearing a scoliosis spinal brace for several hours a day. When muscles are dehydrated, they tend to cramp and tighten more easily. For individuals braced for scoliosis, that extra tension can add discomfort to an already stressed area. Drinking enough water helps your muscles stay supple, and your joints move more freely, making it easier for your spine brace for scoliosis to do its job effectively. Encouraging children and teens to keep a water bottle handy, especially while adjusting to a scoliosis brace, is a simple but meaningful way to support their comfort and energy levels throughout the day. When paired with scoliosis braces and a balanced diet, hydration becomes another small yet powerful tool in managing everyday symptoms. ## Foods That May Contribute to Inflammation and Discomfort Just as certain foods can support spinal health, others may work against it. Highly processed foods, like sugary snacks, fried items, and refined carbohydrates, [can promote inflammation in the body](https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation#:~:text=Foods%20that%20cause%20inflammation), which may worsen discomfort in people with scoliosis. While these foods don’t directly cause curvature progression, they can increase muscle soreness and fatigue, especially for those who wear a back brace for scoliosis for long periods. [Excess salt and caffeine can also impact calcium levels](https://www.ncbi.nlm.nih.gov/books/NBK109827/)and bone density over time. And while it’s perfectly okay to enjoy treats in moderation, consistent overconsumption may leave your body less resilient and more prone to stiffness or tension. For kids and teenagers who may already be adjusting to the look and feel of a scoliosis back brace, adding sugar crashes or inflammation-triggering food to the mix can lead to lower energy and mood swings, both of which affect overall confidence and well-being. By swapping processed foods for whole options like fruits, vegetables, lean proteins, and whole grains, families can help reduce inflammation and better support how the body feels and functions. ## Nourishing the Body and Supporting the Spine Scoliosis management is never one-size-fits-all, but progress is possible with the right combination of tools. While scoliosis braces offer vital structural support, they work best when paired with overall wellness strategies, including thoughtful nutrition. Whether it’s a scoliosis brace for teenagers or adults, exploring holistic ways to manage discomfort can have a meaningful impact. At Spinal Technology, we believe in treating the whole person, not just the curve. That’s why [our custom-made scoliosis back brace](https://spinaltech.com/resources/not-all-braces-are-created-equal) options are designed with comfort, confidence, and long-term wear in mind. When combined with healthy habits, the right brace can help people braced for scoliosis live stronger, move better, and feel more in control. #### Related Articles ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [Why is the Spine Important?](https://spinaltech.com/resources/why-is-the-spine-important) ##### [The Winning Combination: Providence Nocturnal Scoliosis® Orthosis + stWear® Compliance Monitor](https://spinaltech.com/resources/providence-brace-stwear-compliance-monitoring-system-success) --- # Why Nocturnal Bracing Changes Everything [Providence,](/resources/tag/providence) [Nighttime Bracing](/resources/tag/nighttime-bracing) **Freedom That Drives Compliance** Unlike full-time bracing that demands 23 hours of daily wear, the Providence requires only 10-12 hours at night (up to 16 for juvenile patients). This fundamental difference transforms the treatment experience: **For Patients:** - No brace at school—no social stigma - Full daytime mobility for sports and activities - Easier adjustment period = higher long-term compliance - Better quality of life throughout treatment The Compliance Advantage **The Compliance Advantage:** Since patients only wear the brace while sleeping and during relaxed supine activities like homework or watching TV, the barrier to entry is dramatically lower. Research shows patients find nocturnal bracing significantly easier to adopt, eliminating the physical discomfort and social isolation many describe with full-time bracing. **Clinical Excellence You Can Measure** The Providence achieves 98% initial in-brace correction—compared to just 56% for full-time braces. That's a 42% differential that makes a dramatic difference in outcomes. **How It Works:** - Hyper-corrective design maximizes correction up to 98-115% during optimal growth hours - Works with elevated Human Growth Hormone levels at night (peak between midnight-2am) - Direct lateral and de-rotational forces target curve apices without gravity interference - Can treat curves with apices as high as T6—higher than full-time braces can address **Proven Results:** A 2019 [European Spine Journal](https://spinaltech.com/resources/providence-brace-studies) study of 124 patients reported an 89% success rate, proving Providence effective even for curves larger than 35°. #### Related Articles ##### [The Winning Combination: Providence Nocturnal Scoliosis® Orthosis + stWear® Compliance Monitor](https://spinaltech.com/resources/providence-brace-stwear-compliance-monitoring-system-success) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) ##### [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) --- # The Winning Combination: Providence Nocturnal Scoliosis® Orthosis + stWear® Compliance Monitor [stWear,](/resources/tag/stwear) [Compliance](/resources/tag/compliance) #### **Early Intervention, Better Outcomes—Day and Night** When scoliosis is caught early in juvenile or adolescent patients, the curves are typically smaller and treatment options are more diverse. **Early intervention is the key to successful non-invasive treatment**, and the Providence Nocturnal Scoliosis® Orthosis offers the most effective path forward—one that preserves normal daily life while achieving exceptional correction. ### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) ### **The Missing Piece: Objective Compliance Data** Here's the challenge every practitioner faces: **You can order the perfect brace, but success depends entirely on whether patients actually wear it.** Traditional methods rely on self-reporting, which research shows is notoriously unreliable. The [BrAIST Clinical Trial](https://spinaltech.com/resources/scoliosis-bracing-and-the-challenge-of-patient-compliance)revealed patients wore braces an average of just 12 hours per day—far below the 23-hour prescription for full-time bracing. ### **Enter the stWear® Compliance Monitoring System** See the full picture between visits. Our stWear® Compliance Monitoring System eliminates guesswork with three integrated components: an online portal for physicians and practitioners, a smartphone app for parents, and a compliance monitor with extended battery life and Bluetooth capability. **Real-Time Intelligence:** - Body heat-activated sensor tracks actual wear time automatically - Cloud-based, HIPAA-compliant portal accessible from any device - Customizable patient schedules via dashboard - Weekly or monthly reports showing frequency and duration of brace wear **Three Types of Users, One Seamless Experience:** **For Practitioners:** - Monitor all patients from a single dashboard - Generate comprehensive compliance reports - Identify non-compliance early, before curves progress - Make data-driven treatment decisions **For Parents:** - iOS and Android app for at-a-glance monitoring - Receive alerts and track progress - Support accountability without constant nagging - Share objective data with medical team **For Patients:** - Creates positive feedback loop when compliance = visible results - Gamifies treatment adherence - Builds ownership of treatment journey Why this Combination Works **The Synergy of Lower Threshold + Better Tracking** When you combine the Providence Brace's **easier wear schedule** with stWear® Compliance Monitoring System's **objective monitoring**, you create the optimal conditions for compliance: 1. **Easier to Start:** Nocturnal-only wear means lower initial resistance 2. **Easier to Sustain:** Better quality of life = less treatment fatigue over years 3. **Easier to Verify:** Real-time data catches slipping compliance immediately 4. **Easier to Succeed:** As average hours per day increased in clinical trials, success rates improved significantly (p<0.0001) > *Because successful scoliosis treatment requires more than a good brace—it requires a brace patients will actually wear, night after night. And now you can monitor it.* ### **The Positive Feedback Loop** Strong early compliance → Better initial correction → Visible curve stabilization/reduction → Motivated patient → Continued compliance → Sustained results **Long-Term Benefits:** - Curves stabilized at lower degrees remain treatable with nocturnal bracing - Patients less likely to progress to full-time bracing requirements - Reduced treatment fatigue over multi-year journeys - Better outcomes that last ### **Treatment Is a Marathon, Not a Sprint** Scoliosis treatment that begins with early intervention often spans years—through critical growth periods and adolescent development. Even the most compliant patients can grow tired of full-time bracing, which is why eliminating the social stigma and physical discomfort of daytime wear significantly impacts long-term adherence. **The Providence® Brace + stWear® Compliance Monitoring System Advantage:** - Patients maintain normal school and social lives - Reduced physical restrictions in daily activities - Objective data supports patients when they need encouragement - Healthcare team can intervene proactively when compliance dips ### Ready to Improve Outcomes? The Providence Nocturnal Scoliosis® Orthosis and stWear® Compliance Monitor represent the gold standard in scoliosis treatment: exceptional clinical outcomes combined with real-world compliance that actually works for adolescent patients. [For Practitioners: Learn more about ordering the Providence with stWear® Compliance monitoring, or contact our Customer Service Team at 800-253-7868.](tel:800-253-7868) --- ###### **Exclusively Manufactured by Spinal Technology** Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis. Each brace is fabricated using the patented Providence® measuring board and CAD/CAM technology, ensuring consistent and precise fabrication. **Made in the USA Quality:** - Proudly designed, fabricated, and finished in our specialized U.S. facilities in West Yarmouth, MA and Louisville, KY - American Board Certified Orthotists on staff - Highly skilled technicians with decades of experience - 365-day support for practitioners and patients **Industry Recognition:** - Named [Top Spine Device Company by Med-Tech Outlook Magazine](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-spine-device-company-in-2020) (2020) - [Top 10 Orthopedic Solutions Provider](https://spinaltech.com/news/med-tech-magazine-names-spinal-technology-as-top-10-orthopedic-solutions-provider) (2020) - [Massachusetts Manufacturer of the Year](https://spinaltech.com/resources/spinal-technology-named-manufacturer-of-the-year) (2019) #### Related Articles ##### [Are You Tired of Inadequate Patient Compliance?](https://spinaltech.com/resources/scoliosis-braces-patient-compliance) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) --- # A Technical Perspective [Bracing,](/resources/tag/bracing) [Nighttime Bracing,](/resources/tag/nighttime-bracing) [Providence](/resources/tag/providence) ## A Technical Perspective on Nocturnal Bracing for Adolescent Idiopathic Scoliosis Historically, full-time bracing has been the cornerstone of conservative management for adolescent idiopathic scoliosis (AIS). Numerous orthotic designs have been developed, each purporting to improve upon its predecessors. Despite the abundance of comparative studies among these full-time devices, there is limited high-quality evidence supporting the consistent superiority of one design over another. Ultimately, brace efficacy hinges on several foundational principles: achieving in-brace correction (including reductions in Cobb angle and axial rotation), maintaining sagittal and coronal balance, and ensuring sustained patient compliance. These criteria, while conceptually straightforward, often prove difficult to implement in practice, particularly given the biomechanical and behavioral demands placed on patients required to wear a brace 18 to 22 hours daily. A major complicating factor is the need for upright posture and mobility, which introduces substantial design constraints and increases the likelihood of patient discomfort. Creating, fitting, and adjusting to optimize the effectiveness of the brace requires a substantial level of expertise and understanding of proper force vectors and reliefs. However, by far, the most challenging complication with bracing by any means is that of patient compliance. This is most apparent with full-time bracing, when a patient is required to wear the brace outside of the home and throughout the day, including to school and social events. The psychosocial impact on teens and the challenges they face are well documented and continue to be reported on. Nocturnal bracing presents a biomechanically favorable alternative that mitigates many of these limitations. When patients are recumbent, gravitational load is neutralized, allowing the spine to elongate and intervertebral discs to decompress. This position facilitates enhanced access to the lumbar spine, horizontal orientation of the ribs for thoracic manipulation, and decreased resistance from paraspinal musculature. In this relaxed state, righting reflexes are suppressed, and considerations of stance and balance are eliminated. As a result, corrective forces can be applied with greater precision and intensity, often through simplified brace architecture. The biomechanical rationale for this approach is underpinned by the Hueter-Volkmann principle, which describes the inverse relationship between mechanical loading and physeal growth. Asymmetric loading, characterized by compressive forces on the concave side and tensile forces on the convex side of the curve, alters vertebral growth trajectories, promoting progression in skeletally immature patients. This imbalance can reach growth rate discrepancies of 40% or more. By reversing these forces through strategic unloading and hyper-correction, nocturnal bracing may not only arrest curve progression but actively promote regression. This same mechanistic model is employed in surgical interventions such as anterior vertebral body tethering (AVBT), where convex-side compression modulates growth to correct deformity. Additionally, nocturnal bracing capitalizes on circadian patterns of growth physiology. The majority of endogenous human growth hormone (GH) secretion occurs during stage 3 non-REM sleep, typically peaking between midnight and 2 a.m. This temporal alignment enhances the potential for modulating vertebral growth during bracing. For instance, devices such as the Providence Brace have demonstrated high in-brace correction rates, averaging 98%, with some cases exceeding 115%, due to the application of targeted hyper-corrective forces that would be intolerable under ambulatory conditions. Furthermore, by restricting brace wear to the nocturnal period, patient compliance significantly improves, circumventing the psychological and physical burdens associated with daytime bracing in social and academic settings. In summary, nocturnal bracing leverages optimal biomechanical conditions, growth physiology, and improved patient adherence to offer a compelling modality for the conservative treatment of AIS. When properly implemented, it can yield outcomes comparable to, or possibly in some cases, superior to traditional full-time bracing. #### Related Articles ##### [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) --- # Are You Tired of Inadequate Patient Compliance? [Practitioner,](/resources/tag/practitioner) [Compliance,](/resources/tag/compliance) [Bracing](/resources/tag/bracing) If you work with patients with curved spines who need to wear **scoliosis braces**, you've probably encountered the same issue multiple times—low compliance. After following every step—assessments, fittings and follow-ups—the patient isn’t wearing the brace as prescribed. And when that happens, the outcome is compromised. We get it. Compliance isn’t just a patient problem; it’s a daily frustration for practitioners too, especially when you know that consistent wear time is essential. Whether it’s a spine brace for scoliosis or another orthotic device, **the best results only happen when the patient sticks with the plan.** This blog highlights why patients struggle with brace wear, what makes compliance so challenging, especially for children and teenagers, and how practitioners can make a difference. At the end of the day, we all want the same thing: better outcomes for every patient. stWear® Compliance Monitoring System #### Give Patients the Tools to Succeed Sometimes compliance is just a matter of not realizing the time that has passed. Many practitioners hear the surprise when patients find out that really they weren't wearing the brace for 18 hours. With the [**stWear® Compliance Monitoring System**](https://spinaltech.com/resources/stwear-compliance-monitor), parents and practitioners can see the data in real-time on the stWear® app. The data is available to download any time, removing the guesswork and the time between appointments to find out that the brace wearing time isn't within the prescribed amount. Or maybe it is, and the child can be rewarded for their success with something that will motivate them further to be compliant. #### When Having the Best Back Brace for Scoliosis Isn’t Enough You can prescribe the most advanced **scoliosis spinal brace**, invest time in a perfect fit, and carefully walk a patient through every step while still watching compliance slip away. It’s not always about the brace itself. Often, it’s about how a patient feels in it. **For many, wearing a back brace for scoliosis is a daily emotional and social challenge.** Especially for younger patients, a brace for a curved spine can come with feelings of embarrassment, discomfort, or isolation. And for practitioners, this can be incredibly frustrating. You want to help. You want to see progress. But you’re also up against something that clinical expertise can’t fix. That’s where understanding and empathy come in. When we take time to acknowledge what patients are facing, not just physically but emotionally, we open the door to better results. You have the power to make a difference by being a steady, informed guide through this challenging process and by offering quality [**scoliosis braces**](https://spinaltech.com/scoliosis-braces). #### Why Patients Resist Wearing a Spine Brace for Scoliosis Even with the best intentions and education, many patients hesitate when it comes time to actually wear their **spine brace for scoliosis**. This isn’t because they don’t care or simply don’t want to wear it. It's because it’s hard. It’s a lot to manage physically, emotionally, and socially, especially for younger patients. **Physical Discomfort**: Many [**teenagers with scoliosis**](https://pmc.ncbi.nlm.nih.gov/articles/PMC9517878/) report that braces cause discomfort, including back pain and pressure points. This physical discomfort can be a significant barrier to consistent wear. ​ **Appearance and Social Stigma**: The visual aspect of being braced for scoliosis can lead to feelings of self-consciousness. Young patients may fear standing out or being judged by peers, leading to reluctance to wear the scoliosis back brace. ​ **Misunderstanding the Treatment**: Some patients and their families may not fully grasp the importance of consistent brace wear, leading to non-compliance. This highlights the need for clear communication about treatment goals and expectations. Recognizing these factors is the first step toward addressing them. Focusing on fostering open communication and understanding can help patients navigate these challenges and improve their experience and outcomes. #### Supporting Teenagers: A Special Kind of Challenge Teenagers face a unique kind of pressure regarding scoliosis. As a practitioner managing a treatment plan, you’re stepping into the emotional world of a teen and their family. **Adolescent idiopathic scoliosis** is the most common form of scoliosis, and bracing is often mandatory. But compliance at this stage is complicated. Teenagers want to fit in, move freely, and wear what their friends are wearing. Wearing a **scoliosis brace** **for teenagers** can feel like it’s getting in the way of all that. **That’s why empathy matters.** One small but powerful tip: Encourage scoliosis patients to connect with others going through the same ordeal. There are amazing communities where teens share stories, tips, and [**outfits that work with their braces**](https://www.bracingforscoliosus.org/what-to-wear-what-not-to-wear/). Seeing someone their age living a complete, stylish, and joyful life while wearing a brace can shift everything. Parents are also part of this picture. They want to help but often feel helpless. Giving them [**tools**](https://spinaltech.com/resources/for-parents-patients/education), language, and understanding can strengthen the support system around the patient. With the right attitude, community, and a well-fitted brace designed from the right types of scoliosis braces, teens don’t have to feel limited. They can still be themselves and stay on track with their care. #### Making Scoliosis Braces More Wearable and Acceptable Improving compliance involves educating patients and **giving them something they can and want to wear**. That’s where thoughtful design plays a critical role. Involving your patient from the beginning helps them get excited for their new brace. We introduced the [**3D Design Tool**](https://spinaltech.com/design-your-orthosis)that is interactive and patients have fun seeing how a new pattern will look on their brace. When a brace looks more like a medical device rather than unique, it’s easy to see why patients push back. At Spinal Technology, we focus on creating **custom braces** for kids, teens, and adults. Every scoliosis back brace we make is designed based on clinical input, imaging, and specific patient needs. This approach helps ensure a better fit, more comfort, and greater acceptance from the person who must wear it daily. #### Related Articles ##### [Design Your Own Brace](https://spinaltech.com/resources/design-your-own-brace) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) --- # What is One Piece of Advice? [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Ambassador](/resources/tag/ambassador) Ask Our Ambassador My name is Rianna Kesablyan and I'm so excited to partner with Spinal Technology for this special series during Scoliosis Awareness Month. There are so many questions surrounding a scoliosis diagnosis, and I'm going to tackle a few in this series. My name is Rianna Kesablyan and I'm so excited to partner with Spinal Technology for this special series during Scoliosis Awareness Month. There are so many questions surrounding a scoliosis diagnosis, and I'm going to tackle a few in this series. ### What is the one thing you wish someone had told you? If I could go back to the beginning of my scoliosis journey, there's one thing I wish someone had told me. > You are stronger than you think you are! When I was first diagnosed, it was overwhelming. The doctor visits, the uncertainty, learning to wear my brace and take care of it. But over time, I realized that scoliosis doesn't define me. It's a part of my story, but not my whole story. If you're just starting your scoliosis journey, know this. **You are not alone!** ### Read More from Rianna - [Scoliosis: The Strength to Bend and Not Break](https://spinaltech.com/resources/scoliosis-the-strength-to-bend-and-not-break) - [Stronger Than the Curve](https://spinaltech.com/resources/anyas-story) #### Related Articles ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) --- # Download our Practitioner Resources [Bracing,](/resources/tag/bracing) [Practitioner](/resources/tag/practitioner) We have a number of scoliosis orthoses resource guides. These are just a sample of our resources you can bookmark or download as a digital copy. Please feel free to download each one below. Custom Scoliosis & Spinal Orthoses Brochure Click the picture to download a pdf copy of our **Custom Scoliosis & Spinal Orthoses** full brochure. Getting Started with stWear® Compliance Monitoring System Visit [Spinal.Tech/stWear](https://spinaltech.com/resources/stwear-compliance-monitor) for all our FAQ videos and PDF Guides to get started using the new **stWear® Compliance Monitoring System** Watch our **YouTube video playlist** of how-to videos explaining the step by step to set up your new stWear® Compliance Monitoring System. [**Introduction**](https://youtu.be/yz3CCVHGOiY) [**Defining User Roles**](https://www.youtube.com/watch?v=RyzQadnfhqo) [**Getting Started**](https://youtu.be/aRJbMzv_Z8E) [**Access Patient Compliance Data**](https://youtu.be/zjoPZi5ZTtY) [**Set up the stWear® App**](https://youtu.be/nD9MOaeSHvI) [**How to Assign the stWear® Device to a Patient**](https://youtu.be/XklF-QyCIoY) **Or you can download a printable PDF guide to keep handy in your office below.** [**Getting Started Guide**](https://spinaltech.com/uploaded/uploads/StWear_Getting-Started_Letter-size_25-02-25.pdf) [**Defining User Roles**](https://spinaltech.com/uploaded/uploads/StWear_Defining-Roles.pdf) [**How to Access Patient Compliance Data**](https://spinaltech.com/uploaded/uploads/StWear_How-To-Access-Patient-Data_Letter-size_25-02-25.pdf) [**Setting up stWear® Compliance Monitoring App**](https://spinaltech.com/uploaded/uploads/StWear_Setting-up-stWear-app.pdf) [**How to Assign the stWear® Device to a Patient**](https://spinaltech.com/uploaded/uploads/ST-PDF-Guide-How-to-Assign-a-Device-Letter-Size.pdf) Custom Scoliosis Orthoses Click the picture to download a copy of our **Custom Scoliosis Orthosis** Overview. To get a copy of the individual product information sheets click the each link below. [**Providence Nocturnal Scoliosis® Orthosis**](https://spinaltech.com/uploaded/forms/Providence%C2%AE_Orthosis.pdf) [**SCT 3D Boston (Style) Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Full-Time_Orthosis.pdf) [**Boston (Style) Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/Full-Time_Orthosis.pdf) [**SCT 3D Chêneau (Style) Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Cheneau_Orthosis.pdf) [**SCT 3D Wilmington Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Wilmington_Orthosis.pdf) [**Kyphosis Brace**](https://spinaltech.com/uploaded/forms/ST-Kyphosis-Orthosis-Product-Info.pdf) [**Low-Profile Milwaukee Brace**](https://spinaltech.com/uploaded/forms/ST-Milwaukee-Orthosis-Product-Info.pdf) [**Kyphologic Brace**](https://spinaltech.com/uploaded/forms/SpinalTechnology-KyphologicProductInfoBrochure.pdf) Orthotic Management of Adolescent Idiopathic Scoliosis Click on the image to download a pdf of the **Orthotic Management of Adolescent Idiopathic Scoliosis** booklet. Advantages of the Providence Nocturnal Scoliosis® System Click on the image to download a pdf of **Advantages of the Providence Nocturnal Scoliosis® System** brochure. Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis Click on the image to download a pdf of **Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis** 2001 study. Providence Nocturnal Scoliosis® System Poster Click on the image to download a pdf of the **Providence Nocturnal Scoliosis® System** poster. Boston (Style) Scoliosis Orthosis Blueprint Steps Click on the image to download a PDF of the **Boston (Style) Scoliosis Orthosis Blueprint** poster. #### Related Articles ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [How to Take an In-Brace X-Ray](https://spinaltech.com/resources/how-to-take-an-in-brace-x-ray) --- # Shriners International Awareness Day [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Shriners Children's](/resources/tag/shriners-childrens) Visiting Shriners Children's Hospitals around the USA Spinal Technology has had a long lasting relationship with Shriners Children's Hospital for over three decades. David Collins, CO was one of the founding managers of POPS (Pediatric Orthotics Prosthetics Services) in 2009. **Shriners International Awareness Day** is celebrated annually on June 6th. It's a day to honor the founding of the Imperial Council, the original governing body of the fraternity, which occurred on June 6, 1876. [Shriners International Awareness Day](https://www.shrinersinternational.org/en/news-and-events/news/2021/03/celebrate-and-spread-the-word) is a chance for Shriners to reflect on their organization's history, the fellowship they share, and the charitable work they do to improve the lives of others. Spinal Technology is a proud partner of Shriners Children's Hospitals across the country. We sponsor many local events to help support and raise awareness for several Shriners locations including Walks for Love and the Fin-Raise Aquarium event recently held in Philadelphia. David Collins, CO who is now a Customer Relations and Education Executive at Spinal Technology spends a great deal of his time visiting the POPS departments in many different [Shriners Children's Hospitals](https://www.shrinerschildrens.org/en) across the United States. ### Learn More about Scoliosis Care at Shriners - [ShrinersChildrens.org](https://www.shrinerschildrens.org/en/pediatric-care/scoliosis) Stephanie is now 32 years old. She was diagnosed with scoliosis at the age of seven. Stephanie Polito is a proud scoliosis ambassador and a supporter of Shriners Children's Hospital. Below we will share the incredible story of Stephanie, a patient who received life-changing treatment at Shriners Hospitals for Children. From her diagnosis to her surgery and recovery, Stephanie's journey is a testament to the exceptional care provided by [Shriners Children's Hospital New England](https://www.shrinerschildrens.org/en/locations/new-england) in Springfield, MA. > "The reason why I picked Shriners Hospital is because there are a remarkable hospital. The things that they do for their patients, they go above and beyond and you will never see anything like this at any type of hospital."- Stephanie Polito *Stephanie's Journey:* Diagnosed at the age of 7, Stephanie began treating her severe scoliosis with a full-time brace at first and then a night-time brace for several years. Her spine had a curvature of 59 degrees, causing her significant discomfort and difficulty with everyday activities. The stigma associated with wearing a back brace was hard to endure as kids made fun of her for how she looked. After exploring various treatment options, Stephanie and her family chose Shriners Hospitals for Children for her surgery and recovery over 15 years ago. *The Surgery and Recovery:* On October 19, 2009 Stephanie underwent a 13-hour surgery at Shriners Hospitals for Children, where the medical team worked on her rib cage and spine to correct the curvature. After the successful surgery Stephanie had to learn how to do everything all over again with physical therapy learning how to walk again and learning how to do all her daily living skills again. Despite initial fears and wanting to cry and give up, Stephanie's recovery was supported by wonderful dedicated nurses, doctors, and therapists who went above and beyond to ensure her well-being. Today, Stephanie stands tall at 5'2", having grown 2 inches after her surgery. *The Shriners Difference:* Stephanie's positive experience at Shriners Hospitals for Children is a testament to the exceptional care and support provided to patients. The hospital's commitment to going above and beyond for their patients sets them apart, making it a place where children and families can find hope and healing. Having her family so close and helping her throughout the entire journey made the experience at Shriners so successful. > "I have to say a big thank you to the doctors and nurses from Shriner's New England for all their hard work, help and their support." -Stephanie Polito Photos from her time at Shriners New England Stephanie's journey at Shriners Hospitals for Children is a powerful reminder of the impact that dedicated medical care and support can have on a patient's life. If you or a loved one are facing a similar medical challenge, consider Shriners Hospitals for Children as a place of hope and healing. Because of Stephanie's experience and the positive impact it has had on her life today, Stephanie makes sure to share her story with others and spread Scoliosis Awareness. In 2019, Stephanie participated in a radio-thon that was hosted by her uncle to raise pledges for Shriners Children's Hospital of New England. ### Listen to Stephanie's Story - [2019 Radio-thon Show](https://spinaltech.com/uploaded/uploads/S-Polito-10-18-19.mp3) - [Read Stephanie's full story](https://spinaltech.com/resources/stronger-than-scoliosis) **What would you say to a family who has a child with severe scoliosis and worried about having surgery?** > I would say that you should go to Shriners Hospital in Springfield because it is the best surgery for any type of bone structure that you have. Shriners Hospital it's like Disney World, Magic Kingdom. It's the best place that you will ever go to. The nurses go out of their way. I remember my surgeon went out of his way to make sure I was okay. Because I remember I was struggling with a problem after my procedure and he made sure that everything went well and smoothly. > > I didn't have just one nurse who came into my recovery room, I had 4 or 5 nurses that came in my recovery room and I have never seen better service. I also remember after my surgery, I went into the physical therapy room and the whole staff, the nurses, the doctors were just wonderful. > > They really truly care about their patients and they want them to get better and succeed. So when a patient leaves the hospital they can feel good about themselves and they can look back 20 years from now and think wow I can't believe how well I did thanks to Shriners. #### Related Articles ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [Stronger Than Scoliosis](https://spinaltech.com/resources/stronger-than-scoliosis) --- # Scoliosis Awareness Resources [Scoliosis,](/resources/tag/scoliosis) [Resources](/resources/tag/resources) Thank you for your interest in our patient resources. This packet was designed specifically for Scoliosis Month but is mostly relevant for any time. You can click on any image below and print the pdf. Please email marketing@spinaltech.com if you have any other requests. Our 2026 Scoliosis Awareness Month Resource We have updated our Scoliosis Awareness Month Resource Book to include coloring pages, information about your scoliosis orthosis, books, mentor groups and more. Click on the image to download your printable copy. Use hashtags #StrongerThanTheCurve if you post any of your colored pictures. You can tag us [@spinal.technology](https://www.instagram.com/spinal.technology) on Instagram too. Click the image to download and print out this coloring page. Be sure to take a picture of your finished product and tag [@spinal.technology](https://www.instagram.com/spinal.technology) on Instagram. Describe S-C-O-L-I-O-S-I-S Click on the image to download and print out this worksheet. Use words to describe how you feel as a scoliosis warrior. Take a picture of the finished product and tag [@spinal.technology](https://www.instagram.com/spinal.technology) on Instagram. Higgy Bears Resource Packet Spinal Technology is proud to sponsor Higgy Bears and support their mission of making scoliosis "bearable." We have partnered together to bring you this packet of resources and letters from patients. Click on the image to download the full packet to print out. Scoliosis Journey Journals [Bracing for Scolios-us](https://www.bracingforscoliosus.org/resources/) has a mentor program and a custom brace journal to help you through your scoliosis journey. Whether you want to connect with bracers in a support group, find a custom brace to fit your favorite stuffed animal, or follow other bracers' journeys, Scolios-us has got you covered. Click the image for more information. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Proudly Made in the USA [Made in America](/resources/tag/made-in-america) ### Serving Patients Worldwide At Spinal Technology, our commitment to American manufacturing is a cornerstone of our identity. Every custom orthosis we create is proudly designed, fabricated, and finished in our specialized U.S. facilities, combining traditional craftsmanship with cutting-edge technology. Our Made in the USA approach ensures uncompromising quality control at every stage of production. By maintaining complete oversight of our manufacturing process, we deliver consistently superior orthotic solutions that healthcare providers can trust and patients can rely on. This commitment extends beyond quality to include faster turnaround times, responsive customer service, and the ability to quickly adapt to specific patient needs. Supporting American manufacturing also means we're investing in our local communities and economy while maintaining the highest standards of ethical production. When you choose Spinal Technology, you're selecting a partner dedicated to excellence through American innovation, craftsmanship, and values—creating life-changing spinal orthotic solutions with precision, integrity, and care. #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) ##### [HIPAA/HITECH Assessment](https://spinaltech.com/resources/hipaa-hitech-assessment) --- # How to Take an In-Brace X-Ray [X-Ray](/resources/tag/x-ray) In-Brace X-Rays are critical for evaluating the effectiveness of any scoliosis orthosis. These X-Rays are the primary tool for determining the impact the brace is having on the patient internally, and they help to inform the Orthotist of any adjustments or modifications that might be needed to improve correction and outcomes. Being able to review In-Brace X-Rays, regardless of the brace’s style, is important in evaluating mold modifications and ensuring effective brace blueprint design. This will also help our team of scoliosis specialists successfully maintain the highest quality for you (the clinician), your scoliosis referrals, and, most importantly, your patient. ### Full-Time In-Brace X-Ray Protocol It is critical that your In-Brace X-Ray is accurate. Download a PDF to bring to the radiologist to help ensure best results. [Download In-Brace X-Ray Protocol](https://spinaltech.com/uploaded/uploads/Full-Time-In-Brace-X-Ray-Protocol.pdf) ## **Important Note:** To properly evaluate the design and effectiveness of the orthosis: - The patient must be wearing the brace positioned on their body exactly as their orthotist has instructed them to do. - The brace must be worn at full tightness. - Providence® Brace X-Rays must be taken with the patient **lying down in supine position.** - Full-time braces (Boston, Chêneau, Wilmington, etc.) X-Rays **must be taken standing.** ### Providence® In-Brace X-Ray Protocol It is critical that your In-Brace X-Ray is accurate. Download a PDF to bring to the radiologist to help ensure best results. [Download In-Brace X-Ray Protocol](https://spinaltech.com/uploaded/uploads/Providence-In-Brace-X-Ray.pdf) - ##### Full-Time Scoliosis Orthosis - 6 Original In-Brace #### Related Articles ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) --- # Meet Glenn Hutnick [Prosthetics](/resources/tag/prosthetics) Glenn Hutnick, CPO CTP Glenn has been a Certified Practitioner since 1979. He opened his clinical practice in 1980 and has focused his career on prosthetics in socket development and fabrication methods. Glenn was the founding father of NAAOP in 1987, and its first president. Glenn and his team bring over 40 years of experience in clinical, technical, research, and education in Prosthetics and Orthotics, including 25 years of CAD modification and fabrication experience to the team at Spinal Technology. When Glenn is not working, you can find him enjoying golf, fishing, traveling, and cooking with his wonderful wife Diane, two adult sons Jonathan and Gregory, and daughter in-law Alicia. ### Prosthetic Order Forms - [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) #### Related Articles ##### [Prosthetics Fabrication](https://spinaltech.com/resources/prosthetics-fabrication) ##### [CAD Prosthetics Fabrication](https://spinaltech.com/resources/cad-prosthetics-fabrication) ##### [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) --- # CAD Prosthetics Fabrication [Prosthetics](/resources/tag/prosthetics) ### Related Links - [CAD Fabrication Brochure](https://spinaltech.com/uploaded/uploads/CAD-ETS-ST-Prosthetics-Brochure.pdf) The following pages contain images of various socket shapes and designs that we can produce for your patient from measurements. Please be aware that we can also image any socket shape that you may prefer and library it for your own use. We can then provide that shape for you using the measurements you provide. We also have the capacity to modify the mold from measurement to correct any particular problems your patient may have. Additional relief on the lateral distal end can be provided, or hugging in the lateral wall. We can even accommodate flexion and abduction problems. All we need from you is a completed form that describes, in detail, what you would like. Please feel free to call us to discuss these and other central fabrication services that we can support you and your patient with. **Socket Shapes Available** *1) GFH MILD IC* *2) GFH MODERATE IC* *3) GFH AGGRESSIVE IC* *4) GFH CAT-CAM DESIGN* *5) TRACER CAT-CAM DESIGN* *6) SOFT NARROW M-L* *7) NARROW M-L ONE* *8) NARROW M-L TWO* *9) NARROW M-L THREE* *10) NARROW M-L FOUR* *11) NARROW M-L FIVE* *12) SOFT QUAD DESIGN* *13) QUAD ONE* *14) QUAD TWO* *15) QUAD THREE* *16) QUAD FOUR* **Mild Ischial Containment Socket Template** #### Related Articles ##### [Meet Glenn Hutnick](https://spinaltech.com/resources/meet-glenn-hutnick) ##### [Prosthetics Fabrication](https://spinaltech.com/resources/prosthetics-fabrication) ##### [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) --- # Prosthetics Order Forms [Order Forms](/resources/tag/order-forms) Click below to download the **Prosthetics Order Form** needed. - [Transtibial Diagnostic Socket Fabrication Order Form](https://spinaltech.com/uploaded/forms/TRANSTIBIAL-DIAGNOSTIC-SOCKET-FABRICATION-FORM-ONLINE.pdf) - [Transtibial Definitive Fabrication Form](https://spinaltech.com/uploaded/uploads/Interactive-TRANSTIBIAL-DEFINITIVE-FABRICATION-FORM.pdf) - [Transfemoral Diagnostic Socket Fabrication Form](https://spinaltech.com/uploaded/forms/TRANSFEMORAL-DIAGNOSTIC-SOCKET-FABRICATION-FORM.pdf) - [Transfemoral Socket to Measurement Form](https://spinaltech.com/uploaded/forms/TRANSFEMORAL-SOCKET-TO-MEASUREMENT-FORM.pdf) - [Transfemoral Definitive Fabrication Form](https://spinaltech.com/uploaded/uploads/Interactive-TRANSFEMORAL-DEFINITIVE-FABRICATION-FORM.pdf) #### Related Articles ##### [Meet Glenn Hutnick](https://spinaltech.com/resources/meet-glenn-hutnick) ##### [Prosthetics Fabrication](https://spinaltech.com/resources/prosthetics-fabrication) ##### [CAD Prosthetics Fabrication](https://spinaltech.com/resources/cad-prosthetics-fabrication) --- # A Scoliosis Double Curve Animation [Providence,](/resources/tag/providence) [Brace,](/resources/tag/brace) [Video](/resources/tag/video) A Providence Nocturnal Scoliosis® Orthosis can be used to correct a Double Curve. Watch this video to see a rendition of how it works. #### Related Articles ##### [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) ##### [A Parent's Guide to the Providence Nocturnal Scoliosis® Brace](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) --- # 2026 Event Schedule [Exhibitions,](/resources/tag/exhibitions) [Trade Shows](/resources/tag/trade-shows) **2026 Exhibition Schedule** Many 2026 regional and national meetings are scheduled to be live, in-person events. Please see the individual chapters to confirm meeting information. ## January 2026 January 26-28 [**Hanger Live**](https://corporate.hanger.com/hanger-live/global-partners-summit/op-professionals/) American Academy of Orthotics and Prosthetics ## February 2026 February 18-21, 2026 [**AAOP**](https://www.oandpacademyannualmeeting.org/) Nashville, TN ## March 2026 March 13-14, 2026 [**OHAAOP**](http://www.ohiochapteraaop.com/) Cleveland, OH March 27-28, 2026 [**Scoliosis Day**](https://scoliosisday.com/en-scoliosis-day-2026/) Recife, Brazil ## April 2026 April 9-11 [**NWAAOP**](https://nwaaop.org/) April 23-25 [**GSOP**](https://www.georgiasop.com/) Seattle, WA April 29-May 2 [**ACPOC**](https://acpoc.org/2025-annual-meeting/) Philadelphia, PA ## May 2026 May 14-15 [**KOPA**](http://www.kyopa.net/) Louisville, KY May 19-22 [**OT World**](https://www.ot-world.com/en/otworld/overview/) Leipzig, GERMANY ## June 2026 June 3-5 [**MOPA**](https://m-opa.com/) Bay City, MI, USA June 19-20 [**PrimeFare East**](https://www.primecareop.com/primefare_east.htm) Chattanooga, Tennessee Join Us at the Annual Higgy Bears Convention ## July 2026 July 17-18 [**Higgy Con**](https://higgybears.com/higgy-con-2025) Grand Rapids, MI July 23-25 [**FAOP**](https://www.faop.org/events-1) Orlando, FL ## August 2026 August 21-22 [**TXSOPP**](http://www.txsop.org/annual-meeting.html) Richardson, TX AOPA National Assembly ## September 2026 September 9-12 **AOPA** Las Vegas, NV ## November Nov 4-6 [**NJ AAOP**](https://www.njaaop.org/) Atlantic City, NJ OT World, Leipzig, Germany AAOS AAOP 2022 Nashville Oregon San Diego Pennsylvania Vorum at AAOP California - OT World, Leipzig, Germany - AAOS - AAOP 2022 - Nashville - Oregon - San Diego - Pennsylvania - Vorum at AAOP - California #### Related Articles ##### [Spinal Technology is the World's Greatest](https://spinaltech.com/resources/spinal-technology-is-the-worlds-greatest) ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) ##### [Learn from Spinal Technology](https://spinaltech.com/resources/learn-from-spinal-technology) --- # A Parent's Guide to stWear® Compliance Monitor System [Compliance,](/resources/tag/compliance) [stWear](/resources/tag/stwear) ## The stWear® can improve the patient's outcome by monitoring brace compliance. In the treatment of Adolescent Idiopathic Scoliosis (AIS), **compliance is one of the most important factors in successful bracing**. Our stWear® Compliance Monitoring System takes guesswork out of the equation. The system includes our online stWear® portal for physicians, practitioners and office administrators; a smartphone app for parents, and a compliance monitor with extended battery life and bluetooth capability. The portal and stWear® app are designed to work with the stWear® Compliance Monitor that can be added to any one of the many custom scoliosis braces we fabricate. Practitioners can also purchase a stWear® Compliance Monitor separately. Practitioners can use our stWear® portal from any location, computer or device that has internet access. We also offer the smartphone app for iOS or Android as an additional way to monitor your patient's compliance at a glance. stWear® is a great tool for practices with multiple locations. Download our [Parent's Guide](https://spinaltech.com/uploaded/uploads/StWear_Setting-up-stWear-app-Parents-Version_R.pdf) to setting up the stWear® Compliance Monitoring App here. ### Download iOS App The new stWear® Compliance Monitoring System can be easily monitored by your smartphone app. You will still need to request a login from your practitioner or admin to access any data. [Download Now](https://apps.apple.com/us/app/stwear/id6468113509) ### Download Google Play App The new stWear® Compliance Monitoring System can be easily monitored by your smartphone app. You will still need to request a login from your practitioner or admin to access any data. [Download Now](https://play.google.com/store/apps/details?id=com.spinaltech.stWear&hl=en_US) **The stWear® Portal** The stWear® portal has a user friendly dashboard that allows practitioners to customize patient brace wearing data into easily read reports and three types of linear graphs to chart wearing compliance. Users have the ability to set up multiple patients, establish individual schedules by date and time, view & print reports. Each stWear® Compliance Monitor is formatted and can be easily customized for individual patient wearing schedules via the portal dashboard. The portal is cloud based and HIPAA compliant. You do not need to download any new applications to your PC or laptop. stWear® Compliance Monitor **The custom orthosis & stWear® Compliance Monitor** - **Sleek design** - **Extended battery life** - **Web based clinician interface** - **Share data between physicians, parents and orthotists** - **Parent access through stWear® smartphone app** Compliance Reports **Define and review reports** Through the stWear® portal the orthotist has the ability to create weekly or monthly reports that will tell how often, and for how long, the patient is actually wearing the brace. The orthotist and parents both have the opportunity to see the compliance data in real time using the stWear® app. #### Related Articles ##### [The Winning Combination: Providence Nocturnal Scoliosis® Orthosis + stWear® Compliance Monitor](https://spinaltech.com/resources/providence-brace-stwear-compliance-monitoring-system-success) ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) --- # The stWear® Compliance Monitoring System [Compliance,](/resources/tag/compliance) [stWear](/resources/tag/stwear) ##### **The stWear® can improve the patient's outcome by monitoring brace wearing compliance.** In the treatment of Adolescent Idiopathic Scoliosis (AIS), **compliance is one of the most important factors in successful bracing**. Our stWear® Compliance Monitoring System takes guesswork out of the equation. The system includes our online stWear® portal for physicians, practitioners and office administrators; a smartphone app for parents, and a compliance monitor with extended battery life and bluetooth capability. The portal and stWear® app are designed to work with the stWear® Compliance Monitor that can be added to any one of the many custom scoliosis braces we fabricate. Practitioners can also purchase a stWear® Compliance Monitor separately. Practitioners can use our stWear® portal from any location, computer or device that has internet access. We also offer the smartphone app for iOS or Android as an additional way to monitor your patient's compliance at a glance. stWear® is a great tool for practices with multiple locations. **The stWear® Portal** The stWear® portal has a user friendly dashboard that allows practitioners to customize patient brace wearing data into easily read reports and three types of linear graphs to chart wearing compliance. Users have the ability to set up multiple patients, establish individual schedules by date and time, view & print reports. Each stWear® Compliance Monitor is formatted and can be easily customized for individual patient wearing schedules via the portal dashboard. The portal is cloud based and HIPAA compliant. You do not need to download any new applications to your PC or laptop. ### Sign in to your stWear Account - [Sign into your stWear Account](https://stwear.spinaltech.com/auth/signin) ### stWear® Support If you are experiencing any technical difficulties with the stWear® Compliance Monitoring System, please use our support ticket to tell us about your problem with as much detail or screen recordings so that we can quickly assist you. [Submit a Support Ticket](https://forms.monday.com/forms/846d06b780592a5b8fc0f2535f4c663f?r=use1) ### Download iOS App The new stWear® Compliance Monitoring System can be easily monitored by your smartphone app. You will still need to request a login from your practitioner or admin to access any data. [Download Now](https://apps.apple.com/us/app/stwear/id6468113509) ### Download Google Play App The new stWear® Compliance Monitoring System can be easily monitored by your smartphone app. You will still need to request a login from your practitioner or admin to access any data. [Download Now](https://play.google.com/store/apps/details?id=com.spinaltech.stWear&hl=en_US) The stWear® Portal Interface Display stWear® Compliance Monitor **The custom orthosis & stWear® Compliance Monitor** - **Sleek design** - **Extended battery life** - **Web based clinician interface** - **Share data between physicians, parents and orthotists** - **Parent access through stWear® smartphone app** Compliance Reports **Define and review reports** Through the stWear® portal the orthotist has the ability to create weekly or monthly reports that will tell how often, and for how long, the patient is actually wearing the brace. The orthotist and parents both have the opportunity to see the compliance data in real time using the stWear® app. ## Ordering and Installation The orthotist orders a custom scoliosis orthosis with the stWear® Compliance Monitor indicated on the order form. The monitor arrives with the brace in a separate bag. The brace is fabricated with a recessed pocket to hold the monitor. Remove the plastic tab protecting the battery before placing it in the pocket and applying the Moleskin fabric on top. The orthotist assigns the device by ID number to the patient on the stWear portal. The stWear® monitor button works by reading body heat when the brace is donned. ## Step by Step Guides Watch our **YouTube video playlist** of how-to videos explaining the step by step to set up your new stWear® Compliance Monitoring System. [Introduction](https://youtu.be/yz3CCVHGOiY) [Defining User Roles](https://youtu.be/PQpUAM4eA5E) [Getting Started](https://youtu.be/kHdN2saqHJ4) [Access Patient Compliance Data](https://youtu.be/zjoPZi5ZTtY) [Set up the stWear® App](https://youtu.be/nD9MOaeSHvI) [How to Assign the stWear® Device to a Patient](https://youtu.be/XklF-QyCIoY) **Or you can download a printable PDF guide to keep handy in your office below.** [Getting Started Guide](https://spinaltech.com/uploaded/uploads/StWear_Getting-Started_Letter-size_25-02-25.pdf) [Defining User Roles](https://spinaltech.com/uploaded/uploads/StWear_Defining-Roles.pdf) [How to Access Patient Compliance Data](https://spinaltech.com/uploaded/uploads/StWear_How-To-Access-Patient-Data_Letter-size_25-02-25.pdf) [Setting up stWear® Compliance Monitoring App](https://spinaltech.com/uploaded/uploads/StWear_Setting-up-stWear-app.pdf) [How to Assign the stWear® Device to a Patient](https://spinaltech.com/uploaded/uploads/ST-PDF-Guide-How-to-Assign-a-Device-Letter-Size.pdf) #### Related Articles ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Why is Brace Compliance so Important?](https://spinaltech.com/resources/why-is-brace-compliance-so-important) ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) --- # Seven Steps for Successful 3D Scanning [3D Bracing,](/resources/tag/3d-bracing) [Scanning Patients,](/resources/tag/scanning-patients) [3D Scan](/resources/tag/3d-scan) ##### 3D Scanning Tips for Accuracy Follow these seven steps to help you capture scans that provide the most detailed information for a custom spinal orthosis. ### 3D Scanning Steps Print the PDF guide to keep in your clinic. [Download Flyer](https://spinaltech.com/uploaded/uploads/ST-3DScanning-Flyer.pdf) 1. Tight-Fitting Clothing for a Clean Scan **1. Tight-Fitting Clothing for a Clean Scan** A clear scan requires a clean representation of the patient’s true anatomy, not their clothing. Skin-tight clothing (like a stockinette or tight-fitting tank) helps eliminate creases and distortion caused by baggy fabric. **2. Neutral, Upright Stance** For accurate anatomy and alignment, the patient should stand naturally upright with legs parallel and no angles or pelvic tilt. Avoid posed or exaggerated posture that changes the spine’s true shape. **3. Clear Torso Visibility** Hair must be pulled back so it doesn't block the back and torso landmarks. Anything that obstructs the scan can remove detail and reduce accuracy. **4- Consistent Arm Positioning** Positioning matters: keep arms out to the side at the same angle (anywhere from 45-70°), without raising or rolling the shoulders. Shoulders should stay level over the pelvis (as close as possible), and the back should not be arched. It is important that the arms do not move while scanning the complete 360° scan. **5- Waist Belt Placement** Use a waist belt to improve measurement accuracy. By placing the waist belt in the correct location, all measurements can easily be verified. It should be snug enough to mark the waist, but not so tight that it displaces soft tissue on overweight patients. **6- Full Torso Coverage** Capture the complete torso to avoid incomplete data; scan from above the axilla to well below the trochanter head, including the glutes and G-fold. Partial scans can limit what is usable for fabrication. **7- Final Scan Check Before Submitting** Before sending scans to Spinal Technology, review for distortion—especially severe boundary errors (“block segments”) that misrepresent anatomy. Confirm that the scan looks human, complete, and clean. ## Get Started with Scanning Read through time-tested tips from David Collins, CO as published in O&P Edge [Read Now](https://spinaltech.com/uploaded/uploads/Ten-Tips-to-Take-an-Effective-3D-Scan-for-Spinal-Bracing-The-OP-EDGE-Magazine.pdf) ## Get the SpinalTech3D™ ScanApp Download the FREE SpinalTech3D™ Scan App from the Apple store. [Download Today](https://apps.apple.com/us/app/spinaltech3d-scan/id1441661271) ## Frequently Asked Questions - Follow these seven key steps: dress the patient in tight-fitting clothing, ensure a neutral upright stance, pull hair back, position arms anywhere from 45-70° without raising or rolling the shoulders, apply a snug waist belt, capture the full torso from above the armpit to below the hip, and review the scan carefully before submission. Consistent preparation and technique are the biggest factors in scan quality. - Distortion is usually caused by baggy clothing, obstructions like loose hair, improper arm or shoulder positioning, or the scanner not capturing the full torso. Severe boundary errors — sometimes called "block segments" — can also misrepresent anatomy. Always review the scan before submitting to confirm it looks complete, clean, and human in form. - The patient should stand in a natural, upright position with legs parallel and no pelvic tilt. Arms should be extended out to the sides at roughly 90° without raising or rolling the shoulders. A snug waist belt should be placed at the natural waistline to serve as a measurement reference point. The goal is a relaxed, neutral posture — not exaggerated or posed. #### Related Articles ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [Exacting fit & fabrication through advanced technology](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology) --- # Learning at an Industry Event [Education,](/resources/tag/education) [eqwal](/resources/tag/eqwal) Having a global presence means being present at industry events around the world. From Massachusetts to Germany and from Dubai to Louisville, our team travels to meet you and showcase our expertise. It also means sharing resources with our global partners like eqwal, Qwadra, Dutch Scoliosis Center and many more to bring you the highest quality in custom spinal orthotics. Being able to showcase all of our treatment options and educate medical professionals about the possibilities is only the first step. We attend these industry events around the world including many local O&P chapters across the USA to teach others how to rely on custom orthotics and the knowledge of our team to provide positive outcomes for patients. ### In-Person Learning If you'd prefer to have a small group training, please let us know what you are looking for in this brief survey. [Tell Us More](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) At Spinal Technology, we believe that sharing our knowledge, and absorbing that of others, is the most effective way to advance the treatment and care for all patients. Please bookmark our [Exhibitions page](https://spinaltech.com/resources/exhibition-schedule-2025) to find out where we will be next. Quite often, one of our Spinal Technology experts will be presenting a talk or showcasing a product for you to learn more about. ### Where in the World - [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) #### Related Articles ##### [Learn from Spinal Technology](https://spinaltech.com/resources/learn-from-spinal-technology) ##### [Scoliosis Bracing Education for Practitioners](https://spinaltech.com/resources/education-for-practitioners) ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) --- # Scoliosis & Bikinis [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Clothes](/resources/tag/clothes) Follow @bravingscoliosiswithcaitlyn on Instagram This article was written by Caitlyn and shared with permission. Please visit her [instagram profile](https://www.instagram.com/bravingscoliosiswithcaitlyn) for more scoliosis inspiration. #### Scoliosis & Bikinis *A Guide for Self-Love During the Summer* As summer starts to roll around, or maybe it has for many of you, people begin to worry about their "perfect bikini body" and what bathing suit makes them look "skinny." I'll admit to being a victim to this thought process, yet that perfect depiction is always overshadowed by scoliosis, no matter what I do or buy. Before my surgery, my shoulders were always crooked, hips were unaligned, my neck and head always dipped to the side, and I could do nothing to change that. Now I have to worry about covering up my scar to make sure it heals properly. I know I am not the only scoliosis warrior out there feeling this way. I know that someone out there struggles with body image and scoliosis, and they know that summer wardrobes do not help. It's easy to fall victim to the displeasures of our condition because it's hard to love something that makes us different than the rest of society. It's hard to feel comfortable in a body with scoliosis, braced or scarred at any time during the year. But when our bodies are constantly put on display with the shorter clothes that come with summer, its easy to feel self conscious. I've had scoliosis all my life, so it sometimes is hard for me to think too much about how I look with it since it has been all I've known. Before my surgery, between standing, walking, or even sitting, I wasn't constantly reminding myself to stand straight or fix myself. However, I started to look at pictures of myself from behind in both a bikini and shorts or a tank top. I noticed my butt stuck out to the side, and I noticed most of all that my hips created a line between the upper and lower parts between my hips and butt. It was so embarrassing and I began to hate the body I lived in. To this day, it is still hard for me to see those pictures or videos. I didn't truly understand the value of self love until after my surgery and I wish I had found it sooner. You can love your scoli-body. You can feel confident going to the beach or out with your friends in a cute top. You can enjoy taking the pictures that you want to take. It just all comes with time and much practice balancing love and the tiny voice in your head that wishes your body was different. **Here are some useful tips that helped me overcome this.** > 1) **Daily affirmations**- Telling yourself you love your body comes with time, so say it even if you don't mean it. Look at yourself in the mirror as you do this. One day, you will mean it, and it will feel so good. > 2) **Buying bikinis that fit YOUR body**- Shop according to what you feel comfortable in and think you look your best in, not what you think others want you to wear. Your body is your own and nobody should take that from you. > 3) **Starting off slow**- Loving something that's hard doesn't happen overnight. It takes work and practice. Start pushing yourself out of your comfort zone in small settings, maybe with a group of close friends. Then work up to doing something bigger, such as wearing a top at a party or new bikini at the beach. Move at your pace, this is YOUR story! > 4) **Changing those negative thoughts**- Every time you feel yourself falling into the well of emotions that comes with feeling ashamed of your body, tell yourself "NO." Take a breath and either change the topic, or take a risk and say something nice about yourself. Allow yourself time to heal and give yourself grace. (ie it was just winter! We as humans naturally gain a few pounds just by being inside and in comfy clothes, it is OKAY if your body changed a bit since last summer.) Your body is worthy of being on this Earth. Believe me, I understand what it's like to feel defeated in my curvy body and I've learned its purpose in my life. Confidence isn't supposed to come easily to us, but the hardships and the journey we take to get there is what makes you human and defines our bravery and people with scoliosis. Changing that mindset and understanding you're not alone are how we are going to choose to accept ourselves every day. And that is how we can truly love showing off our scol-bodies. #### Related Articles ##### [Best Clothes to Wear with a Scoliosis Brace](https://spinaltech.com/resources/best-clothes-to-wear-with-a-scoliosis-brace) ##### [Keeping Cool with Your Scoliosis Brace in the Summer](https://spinaltech.com/resources/keeping-cool-with-your-scoliosis-brace-in-the-summer) ##### [Scoliosis: The Strength to Bend and Not Break](https://spinaltech.com/resources/scoliosis-the-strength-to-bend-and-not-break) --- # Why is the Spine Important? [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Video](/resources/tag/video) **Why is the Spine Important?** The spine protects the spinal cord and provides a base of support for the head and organs. It also provides mobility for your trunk. **What are the different parts of the spine?** The spine is made up of 24 individual bones called vertebrae that are separated by discs. These spinal discs allow for the flexibility of the spine. There are three regions of the spine. The **cervical** spine is the neck region made up of 7 vertebrae. The **thoracic** spine is the chest region made up of 12 vertebrae. The **lumbar** spine is the lower back region made up of 5 vertebrae. In addition, there are 5 fused vertebrae below the lumbar spine called the sacrum, commonly known as the tailbone. ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [What is Scoliosis?](https://spinaltech.com/resources/what-is-scoliosis-2) ##### [What are Scoliosis Braces?](https://spinaltech.com/resources/what-are-scoliosis-braces) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) --- # What are Scoliosis Braces? [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Video](/resources/tag/video) Did you know scoliosis braces come in a variety of styles to suit your child's needs and lifestyle? From traditional rigid braces to more flexible options, each type is designed to provide optimal support and correction. By understanding the different types, you can make an informed decision and ensure your child feels both comfortable and supported throughout their treatment. For treatment of mild curves between 25-40 degrees, scoliosis bracing is a non-surgical option that can be prescribed by your physician. Did you know regular check-ups and adjustments are vital for the brace's effectiveness? Stay proactive by scheduling consistent appointments and monitoring your child's progress. It's all about teamwork in this journey towards better spinal health. ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [What is Scoliosis?](https://spinaltech.com/resources/what-is-scoliosis-2) ##### [6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) --- # 6 Signs of Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) **Understand and Identify Scoliosis Early** Being aware of the signs of scoliosis is crucial for timely intervention and effective treatment. Our expert guide helps healthcare providers, orthotic practitioners, and potential clients in need of orthoses to recognize scoliosis at an early stage. **Six Signs of Scoliosis** 1\) Head- Off center: When looking at your child directly, their face looks like it's off-center from the rest of their body. 2\) Uneven Shoulders: One shoulder blade may appear more prominent than the other. 3\) Prominent Shoulder Blade: One shoulder blade may be more prominent. 4\) Elevated Rib Cage: One side of the trunk or rib cage may be more prominent. 5\) Uneven Waist: The waistline could appear uneven or asymmetrical. 6\) Clothes Fit: Clothes might hang unevenly on the body. **Why Early Detection Matters** Early detection of scoliosis can prevent the condition from worsening and reduce the need for invasive treatments. It allows for timely intervention with custom orthoses, which can significantly improve patient outcomes and quality of life. There are 6 signs to determining if your child might have scoliosis. If you are not sure, ask your pediatrician to check at your next visit. There are varying degrees of scoliosis and not all of them require treatment. For more information visit ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [What is Scoliosis?](https://spinaltech.com/resources/what-is-scoliosis-2) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) ##### [What are Scoliosis Braces?](https://spinaltech.com/resources/what-are-scoliosis-braces) --- # How Common is Scoliosis? [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Video](/resources/tag/video) **Shedding Light on Adolescent Idiopathic Scoliosis: What Parents Need to Know** Adolescent Idiopathic Scoliosis (AIS) is a condition that concerns many parents, as they navigate their child's diagnosis. Idiopathic Scoliosis means "Cause Unknown" Adolescent Idiopathic Scoliosis is the most common type found in children ages 10-15. A closer look at AIS metrics on a regional scale reveals a patchwork of incidence rates. North America reports AIS prevalence around 2.5%, thanks to proactive public health campaigns. Europe's pattern is similar, though nations like Norway and Greece notice a modestly higher frequency. Asia presents more diverse figures; places like China and Japan cite AIS rates reaching 3.5%, possibly linked to hereditary or environmental elements. AIS commonly surfaces during the key years of adolescence, especially from age 10 to 15, a vital time due to the swift bone growth that can intensify spinal deviations. The condition also shows a distinct gender angle, with girls more frequently developing AIS than boys, around a 4:1 ratio when it comes to curves that need medical follow-up. This gender difference becomes even more striking with increasing curve severity. For parents, understanding the age and gender factors is critical—it can direct closer observation of their children when it's most required. Spotting the signs early is essential for managing this condition effectively, making parental alertness to these risk factors a key part of ensuring timely and appropriate care. It should be noted than roughly 1 in 500 cases even needs medical treatment and only 1 in 1000 cases of Idiopathic Scoliosis needs spinal surgery. ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) ##### [What is Scoliosis?](https://spinaltech.com/resources/what-is-scoliosis-2) ##### [Why is the Spine Important?](https://spinaltech.com/resources/why-is-the-spine-important) --- # Coping with scoliosis: the story behind “The Silver-Horned Girl” [Resources](/resources/tag/resources) Written by Guest Contributor, Lisa B. Owens, author of “The Silver-Horned Girl” *“When a girl suddenly wakes up with a beeping silver horn growing out of her head, her normal life is changed. She finds herself scared, left out and bullied by her peers.” – The Silver-Horned Girl* This girl was me. No, I didn’t have a beeping silver horn growing out of my head, but I did have a silver metal back brace that I had to wear all through high school. In 1978, when I was in the eighth grade, I injured my ribs in gym class. While examining my X-rays, a doctor discovered that I had an “S” curve in my spine. I was diagnosed with scoliosis. The term, not to mention the journey ahead, was new to my parents and me. I was referred to a scoliosis specialist in Rochester, NY to be fitted for a [Milwaukee Brace](https://spinaltech.com/scoliosis-braces/milwaukee-orthosis). The brace had two steel pieces in the back, one in the front, and a hard, thick plastic shell around my hips. There was an extra metal piece on my right side, a chin rest and supports on the back of my neck. Overnight, I went from a carefree kid to someone who couldn’t bend properly or fit into clothes without feeling like a robot. I constantly felt like I was choking and had sores all over my body. I had to wear the brace 23 hours a day for my entire four years of high school. Thankfully, we lived in Pennsylvania at the time because there were more cold days than warm and it was much easier to hide my brace with turtlenecks and long pants. I was grateful the brace was correcting my curvatures but I didn’t appreciate having to wear the brace to important functions or on the occasional date, and driving with it was hard because I had less mobility and reaction time. I was bullied by some of my classmates and struggled with anxiety and low self-esteem. It was very hard to feel normal. Determined to find something to feel good about, I tried out for our school’s tennis team and made it! Originally, I tried to play tennis with my brace on, but it was nearly impossible. I convinced my parents that my hour out of the brace would be used for playing tennis. Of course, one hour often stretched into more, but it was the only time I could divert my attention to something else and feel like me again. Having to wear a brace at such a formidable time in my life hurt my confidence, something I’ve struggled with ever since. But after years of therapy, meditation, and immersing myself in education, I decided I wanted to make a difference and help others. Three years ago, I decided to write “[The Silver-Horned Girl](https://www.thesilverhornedgirlbook.com/)” based on my experience with my back brace. For me, the “silver horn” represents my brace but it also represents any type of challenges we experience: anxiety, depression, eating disorders, etc. In the story, the protagonist realizes she is much more than just the silver horn on her head. Designed as a conversation starter for facing anxiety, “The Silver-Horned Girl” demonstrates to children ages 8 and up how similarly insecurity affects everyone. Whether a child experiences a visible difference or one less obvious, no one should have to suffer in silence. My hope is that through this story, along with its tools and resources, children, families and schools can create a safe space to have these conversations and set a better foundation for a student’s mental health. At the end of the book, I’ve included “Talking Points,” a “Mental Health Tool Kit” and other valuable resources for students, parents and teachers. I also included a special space to journal. I am very proud and humbled by the outpouring of support for “The Silver-Horned Girl” since it’s release in September 2022. And, I’m very proud to team up with Spinal Technology, [Higgy Bears](https://higgybears.com/), [Scolios-US](https://www.bracingforscoliosus.org/resources/) and others as a resource for Scoliosis Warriors! Even though it’s written for ages 8 and up, I’ve had a number of families not only share the story with younger children but see themselves in the tale as well. My hope is to offer peace and a much needed message within the pages of “The Silver- Horned Girl” for a child in your life or for yourself. After raising two daughters, who are now 28 and 24 years old, I have realized we are never too old to embrace a children’s book. And, if the format seems a bit different, then that’s exactly the point of this story. We all have differences and that’s what makes us special! “The Silver-Horned Girl” has been awarded the 2023 Golden Wizard Book Prize & the 2024 International Impact Book Awards in the Children’s Inspirational/Motivational category. > If you want to read more, the book can be found at: > [Amazon.com](https://www.amazon.com/Silver-Horned-Girl-Lisa-Owens/dp/1646101502) > [BarnesandNoble.com](https://www.barnesandnoble.com/w/the-silver-horned-girl-lisa-owens/1142206647?ean=9781646101504) > Website:[www.TheSilverHornedGirlBook.com](http://www.thesilverhornedgirlbook.com/) > To follow Lisa on Instagram: [@thesilverhornedgirl](https://www.instagram.com/thesilverhornedgirl) ### Related Links - [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) - [A Patient's Guide to Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis) ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Understanding the Different Types of Straps [FAQ,](/resources/tag/faq) [Bracing](/resources/tag/bracing) There is often confusion surrounding the different types of straps available for a custom spinal orthosis. There are many different variations of straps designed for comfort, functionality as well as patient compliance. In this video, Erick Osborne describes the types of straps that are often misidentified. The Houdini strap and the Tamper Proof strap are both solutions for the issue of patients trying to take off their brace. As with any of our custom fabricated orthoses, a spinal brace can be ordered with a choice of straps. Knowing your patient, and their willingness to tolerate the brace will determine which strap will work best for each order. A regular strap is an overlapping velcro that can be opened easily with one hand pulling in the opposite direction. A tamper proof strap is attached the same way as a regular strap, but has 3" of velcro extending past the attachment point. When the strap is closed, it is difficult to open with one hand. Instead, this strap requires two hands to pull apart the two pieces of velcro to release the strap. The Houdini strap is a much longer strap that is used on an anterior opening, attached posteriorly so that the child cannot reach it to undo. This is the best option for patients who like to escape from their orthoses. #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Higgy Con 2024 Giveaway Check out our Mother's Day post Spinal Technology is a proud sponsor of Higgy Con! We believe in supporting a community of scoliosis families and helping each person grow and make friends with others just like them. As part of this year's sponsorship, we are giving away **Two pairs** (4) tickets to Higgy Con 2024. On May 12, 2024 and June 16, 2024 we will post a giveaway on [Instagram](https://www.instagram.com/spinal.technology/) and [Facebook.](https://www.facebook.com/spinaltechnologyllc) In order to enter you must comment on the post telling us why you deserve to attend Higgy Con. If you are under 18, you must include the name or tag your parent in the post. One winner will win two (2) tickets from Facebook, and one winner will be chosen from Instagram to win two (2) tickets. The comments must be made on Spinal Technology's social media post to be entered to win. Winners will be selected at random and sent a private message when they win. The drawing will be Monday May 13, 2024 and Monday June 17, 2024. The prize is only the registration ticket(s). It does not include accommodations or travel costs. You must provide your own transportation and hotel reservation. Details about [Higgy Con](https://higgybears.com/higgy-con-1) can be found on their website. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Brace Patterns Photo Gallery [Brace](/resources/tag/brace) We know that sometimes it is easier to visualize what your brace will look like with a true photo. Below are some examples of the different patterns custom made on life size orthoses. We also have a limited amount of patterns on [a 3D tool here](https://spinaltech.com/resources/design-your-own-brace)that you can design your own and see the pattern on a 3D brace. To see all of our available transfer patterns, [click here](https://spinaltech.com/transfer-patterns). *The actual appearance of your finished custom orthosis may vary based on performance due to screen images, manufacturing tolerances and the specific polymers used in fabrication of the orthosis. While we've done the best we can to display photos, it is not 100% accurate and meant for visualization purposes only. No warranties will be made from what is seen on this screen.* Bear Arms Blue Camouflage Blue Soccer Blue Swirl Cracked Skullz Dark Sky Desert Camo Digi Green Camo Hearts Hearts and Roses Lotus Mermaid Ocean Pals Pink Hearts Puppies Purple Unicorn Sassy Woods Skulls Stars Tornado Victoria - Bear Arms - Blue Camouflage - Blue Soccer - Blue Swirl - Cracked Skullz - Dark Sky - Desert Camo - Digi Green Camo - Hearts - Hearts and Roses - Lotus - Mermaid - Ocean Pals - Pink Hearts - Puppies - Purple Unicorn - Sassy Woods - Skulls - Stars - Tornado - Victoria #### Related Articles ##### [Design Your Own Brace](https://spinaltech.com/resources/design-your-own-brace) ##### [Learning You Have Scoliosis](https://spinaltech.com/resources/learning-you-have-scoliosis) ##### [Download our Coloring Pages](https://spinaltech.com/resources/download-our-coloring-pages) --- # Download our Resources We have a number of scoliosis orthoses resource guides to help you in your practice. These are just a sample of our resources you can bookmark or download as a digital copy. Please feel free to download each one below. If you still would like a paper copy mailed to you, please fill out the form below and we will get one out to you ASAP. ### Related Products - [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) - [Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) - [SCT 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) HD Custom Orthoses Packages Reference Guide Click the picture to download a pdf copy of our **Reference Guide for HD Custom Orthoses Packages**. stWear® Compliance Monitoring System Click the picture to to download a pdf flyer about **stWear® Compliance Monitoring System** or [click here](https://spinaltech.com/resources/stwear-compliance-monitor)to learn more. Custom Scoliosis Orthoses Click the picture to download acopy of our **Custom Scoliosis Orthoses** Overview. Orthotic Management of Adolescent Idiopathic Scoliosis Click on the image to download a pdf of the **Orthotic Management of Adolescent Idiopathic Scoliosis** booklet. Advantages of the Providence Nocturnal Scoliosis® System Click on the image to download a pdf of **Advantages of the Providence Nocturnal Scoliosis® System** brochure. Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis Click on the image to download a pdf of **Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis** 2001 study. Providence Nocturnal Scoliosis® System Poster Click on the image to download a pdf of the **Providence Nocturnal Scoliosis® System** poster. Blueprinting Full-Time Scoliosis Orthosis Poster Click on the image to download a pdf of the **Full-Time Blueprinting Poster** ### Spinal Technology Swag If you missed out on our favorite giveaways, please fill out this quick order form and we will send you some for free. [Order Now](https://forms.monday.com/forms/761c1130e7fd4746d8152bbce63441c8?r=use1) ### Mail a Printed Copy If you would still like a physical copy, please fill out your contact information and we will send one out to you. Certain shipping restrictions apply based on your location. [Submit Contact Info](https://forms.monday.com/forms/0934cd0a967dea89e3580fc95a8d0ab0?r=use1) #### Related Articles ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [O&P Clinical Insiders Podcast-Industry Partner Edition](https://spinaltech.com/resources/o-p-clinical-insiders-podcast-industry-partner-edition) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Design Your Own Brace [Brace,](/resources/tag/brace) [Scoliosis,](/resources/tag/scoliosis) [Providence](/resources/tag/providence) Use our 3D Interactive Brace Design Tool **[CLICK HERE](https://spinaltech.com/design-your-orthosis)** to test out our new 3D Interactive Brace Design Tool. You can use it on any device, but if you check it out on a mobile device, there is also the option to see it using AR. It is not inclusive of all our transfer patterns right now. And it is only using one type of custom orthosis, but it gives you more in depth look of how your custom brace might look using some of our popular patterns. Check it out and let us know what you think. You can post your AR photos on Instagram and tag us [@spinal.technology](https://www.instagram.com/spinal.technology) using #3DSpinalTechnology #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Learning You Have Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Ambassador](/resources/tag/ambassador) Braelyn shares her story below. My name is Braelyn and I am an 11-year-old gymnast. You may be in a sport or maybe not, this is a hard thing to go through. I have a story that might be similar to yours. One day I was at gymnastics practice and we were all doing a drill, which was one of our assignments. My coach told me to tuck my ribs in but they saw I was having a hard time doing that. So one of my coaches pulled me aside and looked at my back. They told me they felt a curve. So after my practice they pulled not just me, but also my mom and dad to the side. My coach told my parents that she felt a curve in my back. She also mentioned that I had a hard time tucking my ribs under. So after that talk, she told my mom and dad to get this checked out at my next yearly checkup. It was just in time because the doctor's appointment was only a week away. We told my doctor that my coach felt a curve. My doctor told us that we could go downstairs after the appointment to get X-rays. Of course, I wanted this to get better so I did it. I got my X-rays. I was nervous, but I did it. About a week later my mom got a call from the doctor saying that I should see a specialist and do physical therapy. So we went from there. We had to drive about an hour and a half to see a specialist because we don’t have one in our area. The first thing I did was physical therapy where we did some breathing exercises. They were not easy, I have to say that. The next day we went to an orthopedic doctor who took a look at the X-rays with me, my mom, and my dad. We talked about my curve and that it was a 31-degree curve. They told me that I would have to get fitted for a Boston Brace. They told me it might take a month or two to get my brace back…so I waited. While waiting I had physical therapy once a week and had to practice my exercises at home. So we went there for about a month until it was time to get my brace. We went in and we waited for about 5 minutes then ***bam*** they called my name, "*Braelyn, are you ready?*" I had to be brave so I said, "*Yes.*" After we got in the room my orthotist said, "*Do you want to see that purple color you picked?*" I said, "*Yes of course! I really think that purple was pretty.*" So I tried it on. She asked me how it felt a couple of times. I said good. After some time, I started to get used to it. But it took a while to get comfortable. And that’s my story so far. I am just beginning my scoliosis journey. I cannot wait to read your stories or words of wisdom. --- I do have some words of advice for you guys; **Remember this is not forever, and that we all can do hard things.** #### Related Articles ##### [Become a Spinal Technology Ambassador](https://spinaltech.com/resources/become-a-spinal-tech-ambassador) ##### [Scoliosis: The Strength to Bend and Not Break](https://spinaltech.com/resources/scoliosis-the-strength-to-bend-and-not-break) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis) --- # Download our Coloring Pages [Games,](/resources/tag/games) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) Click on the image to download Sometimes we need a little break from the rest of the world. Coloring can help relieve anxiety and can also be a good way to de-stress at the end of the day. Please enjoy these free coloring pages with a few mantras we think you'll like. Click on the image to download Whether or not you wear a scoliosis brace, show us how you would design each one and tag us on Instagram @spinaltechnologyinc to show us your creativity. Click on the image to download **\#StrongerThanTheCurve** It's not easy being diagnosed with scoliosis. Life has thrown you a pretty mean curve ball. There will be ups and downs along your journey, but we want you to know that you are stronger than you think. Going through this process will make you tougher than you ever thought possible. A coloring page is just something to help you with one step along the way. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Become a Spinal Technology Ambassador [Ambassador,](/resources/tag/ambassador) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) **Share your story and help others with their Scoliosis journey.** Whether you are just beginning your scoliosis journey, or you have had scoliosis for a long time, we understand the importance of community. Hearing from someone else who has been through the same experience can be so helpful. 1\. What do you wish you knew when you first got your diagnosis? 2\. What was something that someone else shared with you that helped you not feel so alone? 3\. Have you had an experience that you want to share that made living with scoliosis bearable? Read Rianna's Story **"You never know how strong you are, until being strong is the only choice you have."** *- Rianna.* If you'd like to submit your story, please fill out the questionnaire here. If you are under 18, a parent must fill out the waiver. You may also submit a photo or just some inspirational quotes. We welcome anyone to join our Spinal Technology community. #### Related Articles ##### [Scoliosis: The Strength to Bend and Not Break](https://spinaltech.com/resources/scoliosis-the-strength-to-bend-and-not-break) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) --- # A Patient's Guide to Adolescent Idiopathic Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) A Patient's handbook to Adolescent Idiopathic Scoliosis The [Scoliosis Research Society](https://www.srs.org/UserFiles/file/AdolescentIdiopathicScoliosis_AHandbookforPatients.pdf) has put together a thorough handbook for patients to help navigate and answer questions that may come up along their scoliosis journey. Click on the image to download the full guide. #### Related Articles ##### [We are the Scoliosis Specialists™](https://spinaltech.com/resources/we-are-the-scoliosis-specialists) ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) --- # Educate Yourself [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) Being confronted with a scoliosis diagnosis can be overwhelming. It's important to know the facts and the reality so that it doesn't seem so scary. We have developed some resources on our website, as well as on our social media channels that can help you understand what to look for, what the signs are, and what to do if you or someone you know has scoliosis. It's going to be ok. We've got your back! ****1. What is Scoliosis?**** Scoliosis is defined as the lateral deviation of the normal vertical line of the spine which, when measured by x-ray, is greater than ten degrees. Scoliosis consists of a lateral curvature of the spine with rotation of the vertebrae within the curve. Rotation of the vertebrae also occurs which produces the rib cage and flank muscle asymmetry.-*SRS.org* **2. How Common is Scoliosis?** According to the National Scoliosis Foundation, roughly 2-3% of the US population has been diagnosed with some form of scoliosis. Based on the 2020 census, that is close to 7 million people of all ages living with mild to severe cases of scoliosis. **3. What are the signs that someone has scoliosis?** There are six common signs that someone may have scoliosis. It is important to note that even if you see some of these signs, you should get a screening from your pediatrician or the school nurse to confirm it. In many cases, it is not severe enough to need treatment. - Your head looks off-center - One shoulder looks higher than the other - One shoulder blade is more prominent than the other - Your trunk and ribcage appear shifted to one side - Your waist and hips look uneven - Your clothes may hang unevenly **4. Why is early detection important?** If you have regular checkups or participate in the school screening for scoliosis, many times even if a curve is detected it is mild enough that all you need to do is be aware and monitor the curve over time. Early detection of the curve is important so that it doesn't progress or get worse without knowing about it. There are many non-surgical options to treat scoliosis that can prevent the curve from getting worse if it is detected early. **5. Is scoliosis contagious?** No. While researchers still don't know exactly what causes scoliosis, it is not something you can catch. It is believed to have some genetic components, so it may be hereditary, but even that is not 100% guaranteed. It is not a virus. Scoliosis is a curve in your spinal vertebrae. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Hands On Training [Education](/resources/tag/education) Hands on training in our West Yarmouth, MA facility If learning by demonstration is something you and your team can benefit from, we've got your back! Many of our training opportunities throughout the year are at industry conferences, and we also offer periodic online webinars. As time allows however, our training team can also host in person training for you. Do you want to travel to us to see the manufacturing plant in West Yarmouth, MA or Louisville, KY? Or is it easier for your staff to host us on site at your location? Let us know. We also have educational programs for graduate students looking for specifics in scoliosis and spinal orthoses. [Fill out this brief questionnaire](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) and let us know what you are looking for and one of our education experts will be in touch. ### Related Links - [On-Demand Learning](https://spinaltech.com/resources/on-demand-learning) - [Education with Jonathan Taylor](https://spinaltech.com/education-with-jonathan-taylor) ### In-Person Learning If you'd prefer to have a small group training, please let us know what you are looking for in this brief survey. [Tell Us More](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) Locations where we have held hands on training in the past Previous Training Locations Montgomery, AL Dominguez Hills, CA Loma Linda, CA Oakland, CA Cleveland, OH Columbus, OH Detroit, MI Grand Blanc, MI Grand Rapids, MI Troy, MI Portland, OR Pittsburgh, PA Houston, TX Seattle, WA #### Related Articles ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) ##### [Education with Jonathan Taylor](https://spinaltech.com/resources/education-with-jonathan-taylor) ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) --- # Learn from Spinal Technology [Education](/resources/tag/education) When it comes to continuing your education or enhancing your training, learning from the Scoliosis Specialists ensures success. Spinal Technology offers an array of educational options to ensure you get the best training on the specific topics that you and your team need the most. Whether it's a refresher course or understanding what the latest research says, we've got your back. See below all the options for online, small group or trade show talks we have available. ### In-Person Learning If you'd prefer to have a small group training, please let us know what you are looking for in this brief survey. [Tell Us More](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) ### Related Links - [Providence® Orthosis Refresher Course](https://spinaltech.com/providence-orthosis-refresher-course) - [Education with Jonathan Taylor](https://spinaltech.com/education-with-jonathan-taylor) - [Academy Today- Winter 2023](https://spinaltech.com/news/academy-today-winter-2023) Education with Spinal Technology Course Title Location Principles and Considerations for Effective Bracing in Scoliosis Online Webinar- 2 CE credits Advantages of Nocturnal Bracing for Scoliosis and Hypercorrection with the Providence Nocturnal Scoliosis® Orthosis AOPA Comparative Analysis of Brace Designs and Methods in Scoliosis Online Webinar- 2 CE credits Variations and Considerations in Brace Designs for the Treatment of Adolescent Idiopathic Scoliosis Various The Providence Nocturnal Scoliosis® Orthosis System- Half Day Course Online Webinar 4 CE credits Advanced Methodologies for Better Bracing and Patient Outcomes in the Treatment of Scoliosis Online Webinar- 4.5 CE credits Advantages of Nocturnal Bracing for Scoliosis (AT019-1B) Click the image to read the full article. Academy TODAY: Winter 2023 - Volume 19, Number 1$50 (Members pay $20) #### Related Articles ##### [Scoliosis Bracing Education for Practitioners](https://spinaltech.com/resources/education-for-practitioners) ##### [Principles of 3D Bracing – Design and Methodologies](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) --- # What Others Say about Spinal Technology [Testimonial,](/resources/tag/testimonial) [Practitioner,](/resources/tag/practitioner) [Brace](/resources/tag/brace) It is rewarding to hear from our customers about their patient's experience with their custom spinal brace. Don't just take our word for it, here are some reviews from practitioners and patients over the years. Read more testimonials [here](https://spinaltech.com/testimonials). > Thank you so much for calling on our order and paying attention to detail. Matt and your team are by far and away the best customer service I deal with. I have built my scoliosis business off of your customer service team and the attention to detail you provide. You follow up on things that you see on my order form and x-rays that I have missed. I just wanted everyone to know how awesome I think you are! > > C.L., CPO • Webster Groves, MO > I’m ecstatic about the results the patient is getting on this brace. The patient is now 34 degrees down from 78 degrees. The patient’s parents, the doctor and practitioner are all beyond thrilled with this brace. We really appreciate the work that we do here at Spinal Tech and just wanted to pass it along. > > M.J., BOCO, BOCP • Lexington, SC > ST is our go to for taking care of all of our Emergency patients for our hospital contracts. We can order at 5pm pacific time (8pm eastern time) and have a custom TLSO arrive the next morning before 9am pacific time to deliver to our patient. It is amazing! There is no one we trust more for our critical care patients. > > K.S., Director • Bakersfield, CA > This brace was for an armless patient who wanted the ability to steer her bicycle using the brace. With a little modification to the bike, it is working out great. He wanted to pass along a special thanks to Jonathan who helped put it all together. > > N.W., C.O. • Tulsa, OK > Things to love about getting a TLSO from Spinal Tech: 1. The straps are always the correct length 2. The barrel screws are always the exact same ones to make tightening easy. 3. The fit is on the money, exact. And because of these things...Easy, fast fittings. > > P.R. CO, LO, OTR/L • Skokie, IL > Thank you for the phenomenal results with this patient. Per the doctor, we reduced a nearly 50° curve to 10°. The mother was in tears, the doctor came over and shook my hand. I’m only the vehicle, your team did the work and made this miracle possible. > > M.F. CPO • Wilmington, NC > When I called I didn't know if my patient would even make it through the night. I sent some pictures and we discussed options for quite a while. The patient had 5 tubes in him of varying shapes, sizes and lengths. The end result was a Flex Foam Bi-valve brace that fit perfectly. Absolutely incredible Spinal Tech! Please also thank Mario who was heavily involved on all finish work, cutouts, and build ups. Awesome job Mario! > > C.H. CP, BOCCO • Johnson City, TN > My patient's molded Flexfoam II fit him perfectly, which was not easy to fabricate for a scoliosis curve greater than 150 degrees with much rotation. I know that it took many people at Spinal Tech to accomplish this. Thank you for all of your work to help resolve these challenging cases during what I know was an extremely busy week for you all. > > T.C., CPed, CO, FAAOP • Stoughton, MA > THANK YOU!!! For having the BEST customer service in O&P. Seriously. > > J.E., LCPO Athens, GA > I am thrilled with the Wilmington Scoliosis braces I've been getting from Spinal Tech and the correction of 50% to 70% that those braces are yielding. The 6 Neuro Docs that use me are in amazement of how much correction I'm getting from your braces. > > T.P. • Morgantown, WV > Please convey our thanks to the fabrication team for the excellent work they have been doing. We've had minimal adjustments if any to the last 4 lot of braces we've received and everyone has been very pleased. Even the excessive curves which were braced to hopefully prevent further curvature pending surgery, are showing significant improvement. > > H.J., RPT.,C.PED • Kingston, Jamaica > If nobody has told you, I will. You and your company are awesome! Your staff is always kind and your amazing service and spinal products are the best and most consistent I’ve ever seen. I’m proud every time I have the opportunity to deliver one of your spinal braces. > > P.K.,LCO - Fort Lauderdale, FL > Last week I ordered a custom molded bivalve lined TLSO from measurements. The patient recently sustained multiple compression fractures and was in severe pain for which he needed the TLSO. The brace fit him perfectly contouring exactly to his body without needing any heat gun adjustments. I wasn’t at all surprised at how well it fit, but was thoroughly impressed. Whomever worked on this did an outstanding job. As always, thank you. > > T.C., CPO – Boston, MA > I can not thank you guys enough! That brace was amazing, fit like a glove! You guys always do an amazing job, but I had no idea where to even begin with that one. Thank you. > > M.B., COF - Maryland > Just a quick note on the brace I fit this morning. I literally put the brace on, trimmed the ends off of the velcro straps, and the patient walked out the door. Please let whoever was responsible for making this brace know that they did a fantastic job. > > J.P. CO - Canada #### Related Articles ##### [Top 10 Reasons You Should Choose Spinal Technology](https://spinaltech.com/resources/top-10-reasons-you-should-choose-spinal-technology) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) --- # Collaboration with Mary Free Bed Rehabilitation [Bracing](/resources/tag/bracing) In just two days, Mary Free Bed's Orthotics and OrthoSEAT teams partnered with experts at Spinal Technology to create a life-altering brace for Bryon Beutler, a patient with scoliosis. The teams used advanced scanning technology to fabricate and adjust a custom brace that is now part of his chair and greatly improves Bryon’s posture helping him breathe easier. The brace is already demonstrating a future of positive impact for Bryon. #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Positive Providence® Brace Patient Outcomes [Providence,](/resources/tag/providence) [Brace,](/resources/tag/brace) [Outcomes](/resources/tag/outcomes) See why these patients are smiling. For example, the results, as seen in the case of the Providence Brace, is significant correction of all curve types, averaging 98% in-brace and exceeding upwards of 115% in some cases. In general, the effectiveness of any orthosis relies on meeting just a few principles and requirements; in-brace correction (reduction of Cobb and rotation); alignment and balance in the sagittal and coronal planes; and, of course, patient compliance. The combination of those criteria for success can create some complicated scenarios when it comes to treating actual patients, especially those required to wear a brace for 18 to 22 hours per day. The challenges most often stem from the need for the patient to be upright and mobile. That alone contributes to the majority of the complications faced in traditional full- time brace design. With nighttime bracing, most of those challenges do not exist. There are significant advantages to bracing at night that not only simplify brace design and allow for more targeted corrective forces, but greatly impact compliance, providing for better outcomes. When the patient is at rest in a recumbent position, the spine naturally elongates, allowing for better access to the lumbar region, the ribs become more horizontal, allowing for corrective forces to be more efficiently applied to the thoracic vertebrae, and the muscles relax, no longer resisting the corrective forces. In this state, righting reflexes become inactive and body positioning, stance, and balance are of no concern. The patient experiences little to no irritation, as they are not sitting, standing, or walking. The recumbent position also eliminates the need for complex brace design to counteract gravity. Additionally, nocturnal bracing makes it possible to take more effective advantage of growth rates and modulation of the vertebra. As patient flexibility increases and muscle activity decreases, patients are able to tolerate much greater corrective forces. Effective manipulation of the spine, by the use of targeted hyper-corrective pads, is much more achievable at night. For example, the results, as seen in the case of the Providence Brace, is significant correction of all curve types, averaging 98% in-brace and exceeding upwards of 115% in some cases. #### Related Articles ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) ##### [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) ##### [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) --- # O&P Research Insights with Dr. Steve Gard [Bracing,](/resources/tag/bracing) [AIS,](/resources/tag/ais) [Studies](/resources/tag/studies) Click on the image to listen # Episode 6: Progression after Bracing in AIS Join Dr. Steve Gard, Editor-in-Chief of the Journal of Prosthetics and Orthotics (JPO) as he meets one-on-one with the author of a featured article to extract the take away points of the research conducted. These 30-minute podcasts will provide O&P clinicians and rehab specialists with actionable knowledge that may be implemented in practice. This podcast is intended for any and all involved with O&P patient care. Click the image to listen to the full podcast. #### Related Articles ##### [Scoliosis Bracing and The Challenge of Patient Compliance](https://spinaltech.com/resources/scoliosis-bracing-and-the-challenge-of-patient-compliance) ##### [Providence® Nocturnal Scoliosis Orthosis - Medical Studies](https://spinaltech.com/resources/providence-brace-studies) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) --- # Best Clothes to Wear with a Scoliosis Brace [Bracing,](/resources/tag/bracing) [Clothes,](/resources/tag/clothes) [Providence](/resources/tag/providence) After wearing a brace for nine years, our guest writer, [Kaisa Virolainen](https://www.amazon.com/s?i=stripbooks&rh=p_27%3AKaisa+Virolainen&s=relevancerank&text=Kaisa+Virolainen&ref=dp_byline_sr_book_1), knows a thing or two about the best types of clothes to feel comfortable throughout the year. I started to wear a day brace when I was eight years old. When I got dressed with the brace underneath, I realized that the brace widened my core a little bit on all sides. The difference between then and now wasn’t enormous: although I was able to see my wider core from miles away, other people (it turned out later) barely noticed the brace. With the brace, T-shirts and pants that I was used to wearing fit a little tighter. Luckily, most of my pre-bracing clothes were loose fit so I could continue wearing them even with the brace. Because I wished to keep my brace as unnoticeable as possible, I ruled out crop tops, skinny tops and open-back tops as outfit options. It was not only that I wanted to hide my brace – I also felt more comfortable with loose clothes. Wearing comfortable clothes allowed me to forget about my brace and how I looked, and focus on my life like before. After some time with my first day brace, my mom and I noticed small holes in my clothes. They were on the level of the clips and the lower and upper edges of the backside of the brace. We figured they had resulted from the brace rubbing my clothes to my wooden school chair. We told people at the hospital and my teacher at school about the issue and soon found solutions. My orthotist crafted padding to the edges and flaps over the clips to soften the contact of the brace and the chair. At school, I got to switch to a green desk chair that was cushioned, and thus didn’t cause the same problem as a hard wooden chair had. I always wore a tube-shaped cotton cloth under the brace. In Finnish, we used to call it “the sock,” maybe because I put it on by slipping into it. It was more comfortable on the skin and helped to keep the brace clean for longer because I would change the sock daily. Because it added a few additional layers on my skin, the day brace kept me warm. Sometimes unnecessarily warm, when the weather was sunny and hot. When the sun was out, I preferred light colors over dark ones, because they absorbed less heat. During the four years I wore the day brace, I never had to wear the brace for summer holidays\* (which lasted some two and a half months). We made this deal with my doctor, whose idea the arrangement initially was. Our unwritten rules were the following: if my back was in decent shape at the hospital check-in at the end of May, I could spend the summer wearing only the Providence® brace during the night. When school started in August, I would start the “normal” bracing schedule again. My scoliosis got systematically worse every summer I didn’t wear the day brace, but brace-free summers gave me so much energy I didn’t mind committing to a disciplined schedule in the fall again. The deal worked as a carrot and a prize at the same time. I think I never was as disciplined with bracing as I was the two weeks before those May appointments. I wanted to do my best to have a good result that would free me for the summer. It also saved me from dealing with uncomfortable hot days and dilemmas of whether to go do a beach day with friends or not. And I was able to wear crop tops, skinny tops and open-back tops as much as I wanted. *\*This is not normal treatment routine because of the setbacks, however in Kaisa's case her doctor suggested that a break was warranted given specific parameters and her individual situation. We do not advise this without consulting your physician.* *Read more about Kaisa's experience in her book "[Growing Up in a Brace](https://www.amazon.com/Growing-Up-Brace-Notes-Scoliosis/dp/952695422X/ref=sr_1_1?qid=1658935475&refinements=p_27%3AKaisa+Virolainen&s=books&sr=1-1&text=Kaisa+Virolainen)."* #### Related Articles ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis Surgery](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis-surgery) --- # PBS Viewpoint [Video](/resources/tag/video) Click to watch the full episode We recently had the pleasure of working with PBS Viewpoint with Dennis Quaid to produce an educational segment about our innovative spinal orthotics. The segment was distributed to 170+ Public Television stations throughout the U.S. as interstitial programming for one full year. Please [click here](https://www.viewpointproject.com/ptv-segments-orthotics-solutions-innovative-spine-products/) to watch the full episode. #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Growing Up in a Brace [Scoliosis,](/resources/tag/scoliosis) [Brace](/resources/tag/brace) Marja Heinonen and Kaisa Virolainen *Written by Kaisa Virolainen* When I was seven years old, my mother noticed something on my back. When I bent down, the right side of my back stayed higher, forming a small hump. We soon learned that bending forward is the most common way to screen for scoliosis. I would do the [Adams Forward Bend Test](https://spinaltech.com/resources/early-detection-of-scoliosis) many, many times in the next ten years. Growing up in a Brace My mom took me to a school nurse in my hometown in Finland. From there, we were directed to the local health care center, after which we got to go to the hospital to see a children’s physician. I was diagnosed with [*juvenile idiopathic* *scoliosis*,](https://www.srs.org/patients-and-families/common-questions-and-glossary/glossary?alpha=J) a growing curvature in the spine. Because I was so young, a brace was a more suitable option than a surgery. We started an almost ten-year-long bracing journey. The years counted ups and downs, which we wrote down together into a book after my treatment ended: *[Growing Up in a Brace](https://www.amazon.com/Growing-Up-Brace-Notes-Scoliosis/dp/952695422X/ref=sr_1_1?crid=3W3FLJH2VMS1B&keywords=growing+up+in+a+brace&qid=1652519896&sprefix=growing+up+in+a+bra%2Caps%2C203&sr=8-1)* was published in English this spring. My mom had always been there for and with me, and for her the treatment had sometimes been even more stressful because she was worried about me. Next to sharing our journey in the book, we wanted to discuss things like motivation, mental health and parents’ experience, and share practical information about scoliosis – all things that we would have wanted to read when we were living with a brace. Bracing treatment-the physical dimension The beginning of my treatment was bumpy, and my spine curvature kept on increasing despite the brace. It started straightening only when I adopted a brace mix of an overcorrecting Providence brace for the night, which actively pushed my curvature in the opposite direction, and a straight brace for the day. I wore this combination for 22 hours a day for four years, until I was 12 years old and could drop the day brace. I continued with the [Providence® brace](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) until I was 16. The most obvious part of a bracing treatment is the physical dimension, the brace. Luckily my body got used to it quite quickly, but life with the brace wasn’t always pleasant. It made me look and feel clumsy, it made me sweat, and sometimes its pressure hurt. It was not all bad: I learned to not notice the brace for most of the time, and there were even some funny sides to the brace. For example, I got permission from my teacher to come late to school when I was learning to wear the night brace and couldn’t always sleep well. And because the day brace made holes in my clothes, I got to sit on a soft desk chair instead of a wooden school chair. Suddenly everyone in my class wanted to be with me in group projects because they got to borrow my chair. Then there’s the less visible side, which is the mental challenge of the treatment. The primary responsibility in the brace treatment falls onto the shoulders of the child: no one could wear the brace in my place. I knew that I would have to wear the brace until my spine wasn't growing anymore, which for girls usually stopped at around 15 years old. I remember making the calculation in my head as a 7-year-old primary school student: the treatment was going to be longer than my life so far. Although I tried, it was impossible for me to comprehend the duration of the treatment. The prospect of time is what makes any long-term disease challenging, and for me, there were moments when it was hard to see value in one day when I still had years to go. Those days were fortunately never too frequent and never too overwhelming. I learned to deal with the treatment and with the brace and everything turned out fine. At my last visit at the hospital, at 17 years old, my scoliosis curvature was below moderate 12° and was going to stay there. I can only be happy about the outcome of my treatment. I feel gratitude towards my own younger self who found motivation to commit to the brace, and for people around me that helped me in that, and for the quality care I had access to. My mom had done her best to help me stay motivated: she had promised to buy me a horse (I loved horses) and after every visit to the hospital, we went to the cafeteria and I could eat anything I wanted (always ice cream). Those things clearly helped, but they couldn’t erase the occasional feeling of loneliness. I always felt like I was the only child with a brace, and this didn’t make talking about my scoliosis any easier. That is something I learned only after the treatment. Knowing about others in the same situation (let alone meeting them!) would have been encouraging and surely helpful, for practical tips and motivation alike. We hope that [our book](https://www.amazon.com/Growing-Up-Brace-Notes-Scoliosis/dp/952695422X/ref=sr_1_1?crid=3W3FLJH2VMS1B&keywords=growing+up+in+a+brace&qid=1652519896&sprefix=growing+up+in+a+bra%2Caps%2C203&sr=8-1) can offer one form of peer support for anyone affected by scoliosis, and that way make their treatment a little bit easier. #### Related Articles ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis Surgery](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis-surgery) --- # What is a Providence® Brace? [Brace,](/resources/tag/brace) [Providence](/resources/tag/providence) The Providence Nocturnal Scoliosis® Orthosis is an effective nighttime brace for treatment of Adolescent Idiopathic Scoliosis (AIS). The Providence Nocturnal Scoliosis® System has been successful in treating all curve types: lumbar, thoracic, double major, and thoracolumbar. The Providence® brace is designed to be worn at nighttime with the patient supine. The Providence® brace has demonstrated greater compliance rates in scoliosis bracing. *Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis.* ## Frequently Asked Questions - Yes. The Providence Nocturnal Scoliosis System is specifically designed as a sleep-only orthosis, enabling patients to achieve effective outcomes with significantly shorter daily wear time (typically 8–10 hours) than with traditional full-time braces. Research and clinical data indicate that this nocturnal protocol is effective in treating adolescent idiopathic scoliosis (AIS), particularly for patients who may struggle with the social or physical challenges of wearing a brace for 20+ hours a day. [Click here to learn more.](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) - Current best practices for nocturnal bracing center on maximizing corrective forces while the patient is supine (lying down). Because gravity is eliminated in this position, the **Providence Nocturnal Scoliosis System** can apply aggressive, hyper-corrective forces that would be difficult to tolerate while standing. Best practices include: - **Nighttime-Only Wear:** The brace is worn only while sleeping, usually for 8 to 10 hours. - **Precise Fitting:** Utilizing CAD/CAM technology to ensure the hyper-corrective pads are perfectly aligned with the patient's specific curve. - **Compliance Monitoring:** Using systems like stWear to ensure the patient is meeting the prescribed nocturnal wear time to achieve the best possible results. [Click here to learn more.](https://spinaltech.com/uploaded/uploads/Advantages-of-Nocturnal-Bracing_Practitioners-Guide.pdf) #### Related Articles ##### [Watch How Your Brace Gets Made?](https://spinaltech.com/resources/how-does-your-brace-get-made) ##### [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) ##### [A Parent's Guide to the Providence Nocturnal Scoliosis® Brace](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) --- # Ways to Fundraise [Scoliosis,](/resources/tag/scoliosis) [Fundraiser](/resources/tag/fundraiser) Click to register today! Higgy Walks are new in 2024 as a fun way to raise Scoliosis Awareness and give back at the same time. Click on the image to register yourself or your group for a walk any time, anywhere in the month of June. Donate Higgy Bears to other scoliosis patients **Give Back to Patients** Our friends at Higgy Bears have such creative ways to give back to the scoliosis community. This year they are hosting a series of [Higgy Walks](https://higgybears.com/higgy-walk) to not only raise awareness about Scoliosis but also to raise funds so that more families can get Higgy Bears for free! Imagine being able to have a special friend to make the scoliosis journey more bearable! Year-round, Higgy Bears also helps kids who want to do their own individual fundraisers. They have an amazing [Ambassador program](https://higgybears.com/higgy-ambassadors) where anyone can raise funds to help purchase bears at a discounted rate. These caring individuals run their own fundraising efforts to reach a goal and then purchase Higgy Bears to be donated to local children's hospitals. It is a great way to give back or support a friend in need. At Spinal Technology, we believe that research is the most important element into learning more about Scoliosis. Without the important research that groups like Setting Scoliosis Straight do, we wouldn't know as much as we already know today. Other ways to bring awareness of Scoliosis to your community include holding a fundraiser in support of groups who help patients through their scoliosis journey. Here are some important links to give you ideas, including our Scoliosis Awareness Month fundraiser. Support Research **Fundraise for Research** We are hosting a Scoliosis Awareness Month fundraiser for Setting Scoliosis Straight. You can donate to their research any time of year, our link will still get you to the right place. Help us call attention to the importance of doing more research so that we may be able to find out what causes Scoliosis. [Donate Here.](https://app.mobilecause.com/e/e-SxVA?vid=rwax5) #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Not All Braces are Created Equal [Brace](/resources/tag/brace) Not all of our custom spinal braces are created equal. At Spinal Technology, we make every single brace according to your patient's individual measurements. For over 30 years the experienced central fabrication team at Spinal Technology has been manufacturing custom spinal braces for medical providers around the world. Scroll down below to enjoy how a sample of our custom made spinal braces are made. The **Providence Nocturnal Scoliosis® System** has been successful in treating all curve types: lumbar, thoracic, double major, and thoracolumbar. The Providence Nocturnal Scoliosis® Orthosis is an effective nighttime brace for treatment of Adolescent Idiopathic Scoliosis (AIS). This orthosis is suited for neurologically involved patients, idiopathic adolescents and juvenile scoliosis patients as well as obese patients. Because of the nocturnal design, it is able to address an apex of T6, which is higher than can be treated by a full-time scoliosis orthosis. Apices above T6 can be treated with a neck extension attached to the orthosis. The Providence® brace is designed to be worn at nighttime with the patient supine. [Click Here to read more about the Providence® brace](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) ### Related Products - [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) - [SCT 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) - [SCT 3D Chêneau (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) - [TLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) - [Kyphologic Brace](https://spinaltech.com/scoliosis-braces/kyphologic-brace) - [Pectus Carinatum Orthosis](https://spinaltech.com/pectus-carinatum-orthosis) --- The **SCT 3D Boston (Style) Scoliosis Orthosis** is designed using CAD/CAM technology. This orthosis provides a brace design that corrects the spine based on three body planes, the Sagittal, Coronal and Transverse (SCT) and provides a precise combination of lateral and rotational forces that move the spine into a corrected position. This design allows for lateral shift of the curves to midline and provides relief/void areas on opposing sides of the scoliosis curve from both rotational and lateral forces. Using CAD/CAM technology allows for precise fabrication to maximize spinal correction that can be measured to the exact millimeter. [Click Here for more information on our 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) --- The **SCT 3D Chêneau (Style) Brace** is a corrective TLSO uniquely constructed to bring the body and spine into the best possible postural and morphological 3D corrected alignment by using a combination of forces applied to the body surface by specifically designed pads, facilitated by expansion or relief spaces. Based on the patient's X-rays, the observed spinal curve pattern determines the specific design of the pads and expansion spaces. The brace is fabricated custom to scan or cast and is custom fit for each individual patient. [Click Here for more information on the SCT 3D Chêneau (Style) brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) --- The **Kyphologic** style w/ Anterior opening & “Cow Horns” that attach laterally and allows for a corrective force at the apex of kyphosis. The brace is used to correct Kyphosis and stabilize adult patients. [Click Here to learn more about the Kyphologic Brace.](https://spinaltech.com/scoliosis-braces/kyphologic-brace) --- **Thoracic Lumbar Sacral Orthosis (TLSO)** The anterior and posterior sections of the high profile TLSO Flex Foam 1 - Bivalve opening are connected by a set of three heavy-duty hook and loop straps on each side, allowing compression, expansion and adjustability, with good lateral control. The patented frame is lined with soft foam, available in several thicknesses, to maximize comfort. Multiple opening and frame designs are available to accommodate medical needs. [Click Here for more information on the TLSO.](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) --- The **Pectus Carinatum Orthosis** features a low profile design with both anterior and posterior panels with a flexible surround that easily contours around the patient’s chest. These panels are designed to direct both an anterior and posterior force needed for compressive correction. The Pectus Carinatum panels are made of a hard plastic outside and lined with a softer foam that provides comfort and easily conforms against the chest. The surround has an adjustable plastic ratchet system on both sides for easy fit and adjustability. [Click Here for more information about the Pectus Brace](https://spinaltech.com/pectus-carinatum-orthosis) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # What is a Kyphologic Brace? [Kyphologic,](/resources/tag/kyphologic) [Kyphosis,](/resources/tag/kyphosis) [Brace](/resources/tag/brace) The Kyphologic brace is used to correct Kyphosis and stabilize adult patients. This style w/ Anterior opening & “Cow Horns” that attach laterally and allows for a corrective force at the apex of kyphosis. Kyphosis is the normal forward curvature of the thoracic spine. A posterior convex angulation of the spine as evaluated from the side (roundback). Contrast to lordosis.- [SRS.org](https://www.srs.org/patients-and-families/common-questions-and-glossary/glossary?alpha=K) To learn more about the Kyphologic brace [click here.](https://spinaltech.com/scoliosis-braces/kyphologic-brace) #### [Kyphologic Brace](https://spinaltech.com/scoliosis-braces/kyphologic-brace) [Product Details](https://spinaltech.com/scoliosis-braces/kyphologic-brace) #### Related Articles ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # Meet David McIntyre [Video,](/resources/tag/video) [About Us](/resources/tag/about-us) I'm David McIntyre I started at Spinal Tech in June of 1993. I'm currently the floor production manager here at the Kentucky facility. I started when I was 19 about a year after high school. I worked at the Cape Cod plant for about four years then transferred to the Kentucky plant to start that facility up with another co-worker and I worked as the manager there until about 2004 moved back to Cape Cod to the Cape Cod facility and then about 2005 I transferred back to the Kentucky facility so I've worked in both facilities twice. I was there the day the first brace went out the first day on the Cape Cod facility and then I was there on the first day the first brace went out at the Kentucky facility. There's probably 20 people currently at the Kentucky facility that I hired a long time ago that have grown with the company as well. Yes we have evolved with the CAD over the years but there's still a lot of hands-on work that needs to be done even in the mold room, not everything's a CAD. We still need guys to pull the liners, still need guys to cook and pull the plastic, still need guys to sand the padding and the Bostons and the Providences. We still have guys marking braces, still a lot of hands-on work with the grinding and buffing all those things still need to get done. I mainly work in the mold room modifying the molds, the casts. Scoliosis bracing Bostons, Providences, we do Rosenbergers, Wilmingtons by CAD, by cast, by measurement. Then on the night shift I'll flow out to the floor work with the, just kind of move the flow work around work with the fellas wherever I can help cut braces. Grind, buff, drill holes, QC, I'll do some quality control before it hits shipping. We have a little check mark to get the right straps, to get the right loops, does it have the correct abdominal size, rib build up things of that nature. While there is a lot of work that goes into working on and manufacturing a brace in only one day's time, over the years we've tightened up a few processes. We have plenty of guys and girls on the floor that can get it done in that amount of time. It's kind of amazing because we have customer service, CAD, mold, plastic, finish, strapping, quality control, so it's going through about seven to eight different departments and yet we can still get it out a quality brace on a plane for the next day. Yeah the reason why I've lasted as long as I have is because of Jim. He brought me up like I said from the bottom, worked with me a lot. I'm just trying to make them proud. He's a very gracious individual. He's done a lot for a lot of people, so a lot of people want to work hard for Jim. Probably the best part of my job is helping people and it especially hit me when my kids were growing up and I would be working on an order for an eight-year-old girl or an 11 year old boy, you know some of these kids have a pretty nasty curve but it's nice knowing that we're helping them out. #### Related Articles ##### [Meet the Team](https://spinaltech.com/resources/meet-the-team) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) --- # We are the Scoliosis Specialists™ [Scoliosis,](/resources/tag/scoliosis) [Brace](/resources/tag/brace) Parents and patients alike may be unaware that non-surgical treatment is available for children with scoliosis. Spinal Technology is an expert in all types of Scoliosis Bracing. Our technology incorporates over 30 years experience and success to support their patients' needs. We are constantly working with medical and orthotist teams to advance the standard off care for patients. Our goal is simple: sharing knowledge and improving the quality of life for every single patient. Talk to your doctor about bracing options, and support organizations that further research. #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # How to Raise Awareness [Scoliosis,](/resources/tag/scoliosis) [Awareness](/resources/tag/awareness) Click to download a copy. **Create posters, color flyers or post word games.** **Follow others and join social media groups for to read others or share your scoliosis journey.** Click to watch the Tiktok **Create a viral challenge.** Post a short video on Instagram or Tik Tok and challenge your friends or other people who have scoliosis to do a duet with you. What is amazing about your brace? Best outfits to wear with a brace? **School Presentation.** Ask your teacher or school counselor if you can give a talk about what it's like to have scoliosis. Or start an afterschool club for kids who also have scoliosis. The Bent Not Broken Club. #### Related Articles ##### [What is Scoliosis Awareness?](https://spinaltech.com/resources/what-is-scoliosis-awareness) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) --- # Viewpoint with Dennis Quaid [Video,](/resources/tag/video) [Orthotics,](/resources/tag/orthotics) [Bracing](/resources/tag/bracing) Watch our new Viewpoint segment We recently had the pleasure of working with Viewpoint Dennis Quaid to produce an educational segment about our innovative spinal orthotics. The segment was distributed to 170+ Public Television stations throughout the U.S. as interstitial programming for one full year. Please [click here](https://www.viewpointproject.com/ptv-segments-orthotics-solutions-innovative-spine-products/) to watch the full episode. #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # Summer Jobs You Can Do with Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Summer](/resources/tag/summer) As a teenager you want to be independent and finding a summer job is just one step in that direction. Many summer jobs can be strenuous or even require you to be more flexible than is possible while wearing a scoliosis brace. It is important to consult with your physician before starting any kind of extra activity. We have compiled a short list of jobs that might be more comfortable to do while wearing a scoliosis brace. There are certainly many others out there, and finding a job with someone you know might also ease the anxiety of working a new position. At the end of the day, do what feels the most comfortable with you. After all, there will be plenty of time to work again once you're out of your scoliosis brace as well. **1. Dog walking** Short walks outside with calm dogs will be good exercise for you and the walks are typically only 10-15 minutes per dog. Start off by walking dogs you already know, and before long you may get lots of interest from other friends and neighbors. **2. Grocery store cashier or bagger** Grocery stores are always looking for help and bagging groceries is a simple task that doesn't require any heavy lifting. Plus grocery stores are always very cool in the summer time. **3. Library Page** Sometimes the library is the best place to hang out. You don't have to talk to people asking you questions about your brace, and reading can often help you escape the everyday outside pressures. **4. Voiceover Actor** This job can be done at any time if you have the right voice. The best part is you can do it from the comfort of your own home. There is some minimal equipment and set up required, but then you just need to sign up with companies who freelance voiceovers and get your name out there. As a freelancer, it is not guaranteed income but it does offer flexible hours. Do some online research for how to get started. **5. Movie Theater Attendant** Another place that is always cool in the summer. While most people like being outside on sunny days, the movies offer a cool escape and can be a fun place to work. **6. Pet Store Associate** If you love animals, check out your local pet store. Not only do you get to see lots of different kinds of pets during the day, but most retail jobs are also air-conditioned. **7. Tutor** If you do well in a particular subject, many parents may welcome a fun new face to help their child in areas they are struggling with at school. In home tutoring can also be flexible so you can work with the parents to choose the best time of day for you. **8. Babysitter** Many teenagers already have a babysitting certification and if you already know the kids then being comfortable around them will make this job even easier in your scoliosis brace. Just be sure to inform the parents if there are tasks they want you to do, or activities that may be more restrictive while wearing your brace. Many parents work from home now, so they just need an extra set of hands during the work day to keep the kids occupied. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Early Diagnosis is Key [Scoliosis,](/resources/tag/scoliosis) [Early Diagnosis](/resources/tag/early-diagnosis) Experts recommend that children be examined before growth spurts for two reasons. First, this is the time that signs and symptoms typically appear. Second, from a physiological standpoint, it’s the most advantageous time to treat AIS. “Since adolescents are still growing, their spines are more flexible and their bones heal easily,” says Dr. Jason Eck. “We can achieve a much better correction now with bracing and surgery than if you wait.” The Scoliosis Research Society recommends that boys be examined once around the age of 13 or 14 (grades 8 to 9), and girls twice, at ages 10 and 12 (grades 5 and 7). If your children have a family history of the condition, you should take extra care to have them screened. Even if your child is diagnosed with AIS, many cases require no treatment at all and are simply monitored by your child’s doctor at regular intervals. Only 30% of all cases will require bracing, while an even smaller 10% percent will actually need back surgery to correct the curve. *Source: [Healthscope Magazine (2016, May). Six Facts About Scoliosis Every patient Should Know](https://healthscopemag.com/health-scope/6-facts-about-scoliosis-every-parent-needs-to-know/)* #### Related Articles ##### [Facts About Scoliosis](https://spinaltech.com/resources/facts-about-scoliosis) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # Signs and Symptoms are Subtle [Scoliosis](/resources/tag/scoliosis) The most common type of scoliosis is called adolescent idiopathic scoliosis – adolescent, because symptoms first appear during a child’s growth spurt (ages 10 to 15), and idiopathic, because it has no known cause. Adolescent idiopathic scoliosis (AIS) can be very easy to overlook because the condition is often painless. If a child wears normal clothing and a parent isn’t on the lookout, it will likely go unrecognized. Warning signs include a raised or prominent shoulder blade, uneven hips or waist, or a visible curve to the spine resembling a “C” or “S” shape. To examine your child, ask her to bend forward while you look at his or her back. “You want to look for anything asymmetrical,” says Dr. James Osborn, an orthopedic surgeon with Tennova Spine – Cleveland. If something looks off, make an appointment with a pediatrician or spine doctor right away. *Source: [Healthscope Magazine (2016, May). Six Facts About Scoliosis Every patient Should Know.](https://healthscopemag.com/health-scope/6-facts-about-scoliosis-every-parent-needs-to-know/)* #### Related Articles ##### [Facts About Scoliosis](https://spinaltech.com/resources/facts-about-scoliosis) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # There is No Known Cause [Scoliosis](/resources/tag/scoliosis) Adolescent idiopathic scoliosis (AIS) includes the word idiopathic because its cause is unknown. Despite common misconceptions, scoliosis can’t be caused by playing sports, bad posture, or carrying heavy backpacks. Children diagnosed with this condition experience little to no discomfort and can still engage in normal physical activity. Doctors recommend that exercise and active play be limited to the child’s level of ability and comfort, but assure parents that sports can neither cause nor increase the effects of scoliosis. *Source: [Healthscope Magazine (2016, May). Six Facts About Scoliosis Every patient Should Know.](https://healthscopemag.com/health-scope/6-facts-about-scoliosis-every-parent-needs-to-know/)* #### Related Articles ##### [Facts About Scoliosis](https://spinaltech.com/resources/facts-about-scoliosis) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # Scoliosis Tends to Run in Families [Scoliosis](/resources/tag/scoliosis) According to the Scoliosis Research Society, approximately 30% of all individuals diagnosed with scoliosis have a family history of the disease. This is why researchers and physicians believe it has a genetic component. “The severity can vary significantly from generation to generation,” says Dr. Jason Eck, an orthopedic surgeon with Center for Sports Medicine and Orthopedics. *Source: [Healthscope Magazine (2016, May). Six Facts About Scoliosis Every patient Should Know.](https://healthscopemag.com/health-scope/6-facts-about-scoliosis-every-parent-needs-to-know/)* #### Related Articles ##### [Facts About Scoliosis](https://spinaltech.com/resources/facts-about-scoliosis) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # Facts About Scoliosis [Scoliosis](/resources/tag/scoliosis) Knowing that you are not alone in this journey should be able to take some of the weight off your shoulders. When you first get your child's diagnosis of scoliosis, it can seem overwhelming. Here are some short video clips to help you determine the facts. Talk to your physician about what the right course of treatment for your individual case will be. **1. Early detection is key.** The Scoliosis Research Society recommends that boys be examined once around the age of 13 or 14 (grades 8 to 9), and girls twice, at ages 10 and 12 (grades 5 and 7). If your children have a family history of the condition, you should take extra care to have them screened. Even if your child is diagnosed with AIS, many cases require no treatment at all and are simply monitored by your child’s doctor at regular intervals. Only 30% of all cases will require bracing, while an even smaller 10% percent will actually need back surgery to correct the curve. **2. Signs and Symptoms are Subtle** Warning signs include a raised or prominent shoulder blade, uneven hips or waist, or a visible curve to the spine resembling a “C” or “S” shape. To examine your child, ask her to bend forward while you look at his or her back. “You want to look for anything asymmetrical,” [says Dr. James Osborn](https://healthscopemag.com/health-scope/6-facts-about-scoliosis-every-parent-needs-to-know/), an orthopaedic surgeon with Tennova Spine – Cleveland. If something looks off, make an appointment with a pediatrician or spine doctor right away. But don’t panic—most curves are mild (measuring less than 20 to 25 degrees) and won’t require treatment. **Fact #3 - There is No Known Cause** Adolescent Idiopathic Scoliosis (AIS) includes the word *idiopathic* because its cause is unknown. Despite common misconceptions, scoliosis can’t be caused by playing sports, bad posture, or carrying heavy backpacks. **Fact #4- It Tends to Run in Families** According to the Scoliosis Research Society, approximately 30% of all individuals diagnosed with scoliosis have a family history of the disease. This is why researchers and physicians believe it has a genetic component. It is important to continue to do your research and look at trusted sources like [Scoliosis Research Society](https://www.srs.org/patients-and-families) and [help fundraise](https://app.mobilecause.com/e/e-SxVA?vid=rwax5) for organizations like [Setting Scoliosis Straight](https://www.settingscoliosisstraight.org/) to further their research. You can read the full article here. #### Related Articles ##### [Types of Scoliosis: A Visual and Practical Guide for Families](https://spinaltech.com/resources/types-of-scoliosis) ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) --- # Spinal Technology and Vorum Research Corp. Announce North American Partnership Celebrating our Preferred Partnership Spinal Technology and Vorum Exclusive Partnership Delivers New Digital Solutions for the North American Orthotics & Prosthetics (O&P) Market *West Yarmouth, MA* - Spinal Technology Inc., a leading global provider of custom spinal orthoses, and Vorum Research Corp., a world leader in CAD/CAM processes for the global O&P market, announced an exclusive North American Preferred Partnership. Spinal Technology is currently a provider of O&P services in global markets, both direct to patient care facilities and to distributors. In 1995, Spinal Technology introduced CAD/CAM technology into the manufacturing of custom spinal orthoses. Over time, those tools have come to be a pivotal part throughout their operations in maximizing the accuracy, efficiency, and effectiveness of custom orthotic manufacturing. In the last 5 years, Vorum has launched a new initiative to completely redevelop its O&P CAD/CAM system. New portable 3D scanners, the Spectra™ and the Luma™, have recently been released to the market. “Our long-lasting collaboration with Vorum has helped make those developments a reality. As we continue to advance the O&P industry into the digital world, we are proud to announce that Spinal Technology is now the exclusive distributor of various Vorum products, including the new Luma™ 3D Portable Scanner throughout North America,” President and owner Jim Tierney said. “Our combined knowledge and expertise will help the industry excel and take patient care to the next level” he added. Spinal Technology is a strong central fabrication company which is consistently ahead of the competition in terms of product complexity, manufacturing efficiency, product quality and speed of delivery. The use of Vorum’s technology solutions by Spinal Technology’s customers will only progress the efficiency and quality of their products. **About Spinal Technology** Spinal Technology is the global leader in the design and fabrication of Spinal Orthoses, for the stabilization, immobilization, and the correction of various abnormalities of the spine. They proudly maintain expertise in a wide range of proven scoliosis bracing methodologies and employ the latest technology for treating each and every patient. For over 30 years, medical experts around the world have depended on Spinal Technology for the assessment of patient curvature, the blueprinting and design of each orthosis, and x-ray evaluations of patients throughout their scoliosis journey. **About Vorum** Vorum is the world’s most trusted provider of end-to-end digital solutions for the O&P market. Every 65 seconds, somewhere in the world, a patient is fitted with a device made using Vorum technology. 30 years on, Vorum continues to help practitioners make the best custom O&P devices through consistent innovation, breadth of design capability, and unparalleled support #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Golfing with Spinal Technology Who can say no to golf? Who can say no to a beautiful day on the golf course? At Spinal Technology, we not only enjoy playing 18 holes but we believe in supporting the younger up and coming golfers who are part of the United States Challenge Cup Junior Golf Tournament. We also sponsor local community organizations when they have a golf tournament. Here is a list of upcoming tournaments we have this year. Bridgewater, MA September 9, 2022 Olde Scotland Links Golf Course [Setting Scoliosis Straight](https://www.settingscoliosisstraight.org/) Canton, MA August 19, 2022 Brookmeadow Country Club [Boston MedFlight](https://www.bostonmedflight.org/) Boylston, MA June 20, 2022 The Haven Club [Brain Injury Association of MA](http://www.biama.org/golf) Sanford, ME [Spinal Technology Junior Classic](https://uschallengecup.org/content/tournament/2022-spinal-technology-junior-classic) May 21-22, 2022 Sanford Country Club Course Par 72 - 6703 yards ST Junior Classic Results Name Age Group Home Town First Round Second Round Total Score Josiah Hakala Boys 15-18 New Ipswich, NH 69 67 136 Peier Li Boys 14 & U Westford, MA 77 74 151 Kaitlyn Doe Girls Waban, MA 79 82 161 Eva Gonzales Girls Nashua, NH 79 82 161 Westerly, RI May 4, 2022 (Rain date May 5th) The Misquamicut Club Fathers Fore A Cure #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Don't Know What to Say to Someone With Scoliosis? Start Here [Scoliosis,](/resources/tag/scoliosis) [Awareness](/resources/tag/awareness) What to Say to Someone With Scoliosis: 10 Supportive Phrases That Help Finding the right words for someone with scoliosis is hard. These 10 phrases help you show up — for a child, friend, or sibling going through treatment. It has happened to many of us, struggling to find the right words. Sometimes it can be hard not knowing just what to say to someone we care about when they are in need. Having a bad day, emergency situations, or chronic illness can all be topics many of us might want to avoid. When our friends or loved ones need us the most, it is ok to be unsure of how to help or what to say. So we have put together a few ideas that might work for you when talking to a friend, sibling or child about their scoliosis. **1. I care for you and am here for you.** **2. I believe in you.** **3. You are so strong.** **4. What can I do to help?** **5. I know this isn't your fault.** **6. Tell me how you feel.** **7. Can I stop by?** **8. Can I help you carry your bag at school?** **9. Don't feel bad if you need to cancel plans. I understand.** **10. It's ok if you're having a bad day, I'm here to listen.** ### Download a Parent's Guide Download a printable guide to Adolescent Idiopathic Scoliosis for parents and caregivers. [Download Now](https://spinaltech.com/uploaded/uploads/Spinal-Tech_Parents_Guide_Prov_AIS_2025-05-07-1.pdf) ## Why the Right Words Matter Scoliosis is not just a physical condition. For children and adolescents in particular, a diagnosis arrives during some of the most socially sensitive years of their lives. Research has consistently shown that teenagers with scoliosis face elevated rates of anxiety, depression, and body image concerns compared to peers without the condition. The words people around them use — from parents, siblings, classmates, and close friends — can either reinforce that burden or meaningfully reduce it. The ten phrases above are a starting point. The sections below go further: what to avoid saying, how to talk specifically with a child who is wearing a brace, and when the conversation needs to involve a medical specialist. ## What Not to Say to Someone With Scoliosis Good intentions do not always produce helpful words. Several common responses — all usually offered with genuine care — tend to make the experience harder for the person receiving them. Being aware of these phrases helps you avoid them. ***"You don't look like anything is wrong."*** This is meant to reassure, but it often lands as dismissal. Scoliosis involves real physical discomfort, daily limitations, and emotional weight that are not visible from the outside. Telling someone they look fine can make them feel that their experience is not being taken seriously. ***"At least it's not serious" or "It could be worse."*** Minimizing comparisons shift the conversation away from the person in front of you. Every case of scoliosis has its own challenges. A child managing a moderate curve with full-time bracing is dealing with something significant, regardless of what a more severe case might involve. ***"I knew someone who had scoliosis and they turned out fine."*** Stories about other people's outcomes — positive or negative — are rarely helpful. They imply that the current person's experience should match someone else's, and they redirect attention from what this individual is going through right now. ***"Have you tried..."*** followed by unsolicited treatment suggestions. Parents and friends who have done their own research sometimes feel compelled to suggest alternative treatments or question the current treatment plan. Unless you are the treating physician or orthotist, this is almost never welcome. Children with scoliosis and their parents have typically already researched their [treatment options](https://spinaltech.com/resources/for-parents-patients/bracing-information) thoroughly. ***"Just stand up straight."*** Scoliosis is a structural condition of the spine. Posture cues do nothing to address the underlying curve and signal a fundamental misunderstanding of the diagnosis. This phrase is best left out of any conversation about scoliosis entirely. ***"Is the brace working? How long do you have to wear it?"*** Questions about treatment progress, brace duration, and outcomes are natural, but leading with them in casual conversation can make the child feel defined by their condition. Let them bring up treatment details when they are ready. Ask how they are feeling before asking how the brace is doing. The simpler rule across all of these: follow the other person's lead. If they want to talk about their scoliosis, listen. If they want to talk about anything else entirely, do that. ## Frequently Asked Questions - Focus on presence over advice. The most useful thing you can say immediately after a diagnosis is that you are there and that you are not going anywhere. Phrases like "***I'm here for whatever you need***" and "***This doesn't change anything between us***" are more valuable than reassurances about outcomes. Avoid jumping to treatment suggestions or sharing stories about other people you know who had scoliosis — every case is different, and comparisons tend to minimize rather than comfort. - Several well-intentioned phrases tend to backfire. Telling someone they "***don't look like anything is wrong***" dismisses the real physical and emotional burden of the condition. Saying "***at least it's not serious***" or "***I knew someone who was fine***" shifts focus away from the person in front of you. Offering unsolicited treatment opinions — unless you are their doctor — is rarely welcome. People with scoliosis, particularly adolescents, are often more informed about their condition than those around them. Emotional support is almost always more helpful than medical commentary. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Keeping Cool with Your Scoliosis Brace in the Summer [Scoliosis,](/resources/tag/scoliosis) [Brace,](/resources/tag/brace) [Summer](/resources/tag/summer) While wearing your scoliosis brace in the cooler winter months can help you stay warm, the summer is another story. If you live in warm climates all year round, you will get acclimated faster. It's no secret that the heat and humidity can be more uncomfortable when you have to wear your brace. Here are some ways to help you stay cool, while still wearing your brace. **1. Be sure to have extra stockinette/undershirts to change.** Order extra tank tops or camis [like these](https://embracedincomfort.com/home%2Fshop/ols/products/scoliosis-brace-tank-top) that can be found at Embraced in Comfort. By keeping skin dry, you will reduce chafing and minimize body odor from additional sweat. **2. Wear loose flowing clothes.** Most large clothing retailers carry loose fitting or [flowing tank tops](https://www.kohls.com/product/prd-5520059/womens-lc-lauren-conrad-crochet-tank.jsp?pfm=bdrecs-WebStore-PMP-Horizontal1-b1257-236&bdrecsId=a56dda63-430f-4eea-913d-8c810b81fcc8), tees and sundresses that will blow in a nice breeze and keep you comfortable. Boys can also find larger T-shirts and tank tops that aren't so snug. It's also a good time of year to stock up on these types of shirts large enough to go over your brace that can be layered in cooler months. Try stores like Kohls, Target or Macy's just to name a few. **3. Invest in a portable hand-held fan.** A small fan that you can take anywhere with you will definitely come in handy. One that is USB chargeable [like this one](https://www.amazon.com/Rechargeable-Handheld-Portable-Operated-Flashlight/dp/B07QK9C9KT/ref=sxin_15_ac_d_rm?ac_md=0-0-cG9ydGFibGUgZmFu-ac_d_rm_rm_rm&crid=1L5BR1V672UU4&cv_ct_cx=portable%2Bfan&keywords=portable%2Bfan&pd_rd_i=B07QK9C9KT&pd_rd_r=60cc94a2-83ef-4c17-b1fd-c91d94be22cb&pd_rd_w=zxMxR&pd_rd_wg=2EQhI&pf_rd_p=16c2e2c7-394a-43c0-a64c-993eb5e237ce&pf_rd_r=PK31DHV7QZM2DHPNED6A&qid=1650912208&sprefix=portable%2Bfan%2Caps%2C107&sr=1-1-7d9bfb42-6e38-4445-b604-42cab39e191b&th=1) from Amazon can be handheld or folded to sit next to you. You can also find the kind that hangs around your neck which will constantly keep a breeze on you. **4. Schedule your out of brace time when you can go swimming.** Remind family members and friends that you only have so many hours to spend out of your brace, and that time is precious. Work together to come up with a summer schedule to maximize your time for swimming and cool showers to help keep your body temperature cooler. **5. Find inside activities to use air conditioning.** Be kind to your child and turn down the AC this summer. Or find indoor activities like a science museum or the movies to take them too. On a hot day, these places may be less crowded when others head to the beach. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # What is Scoliosis Awareness? [Scoliosis,](/resources/tag/scoliosis) [Awareness,](/resources/tag/awareness) [Early Detection](/resources/tag/early-detection) At Spinal Technology, our goal is to spread awareness to parents, caregivers, schools and community leaders about how to detect scoliosis. Adolescent idiopathic scoliosis is recognized as the most common type of spinal deformity and estimated to affect anywhere from [2% to 5% of all children](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis). June is National Scoliosis Month. While we stay on the forefront of scoliosis research and treatment options all year long, this month is dedicated to growing awareness in the public. Educating parents and caregivers about [early detection](https://spinaltech.com/resources/early-detection-of-scoliosis) is only the first step. See below for a list of other things you can do to grow awareness. --- *“National Scoliosis Awareness Month takes place yearly in June with the goal of highlighting the growing need for education, early detection and awareness to the public about scoliosis and its prevalence within the community. The campaign also unites scoliosis patients, families, physicians, clinicians, institutions and related businesses in collaborative partnerships of local activities, events and grassroots networking throughout the month.”* - Scoliosis Research Society --- Early detection is critical for successful outcomes. On our blog we have articles related to [early detection](https://spinaltech.com/resources/early-detection-of-scoliosis) and ways you can spot scoliosis in children. If you or someone you know has already been diagnosed with scoliosis, here are some ways that you can help your peers and family members learn about scoliosis. Wear it proud! 1\. **Wear Green.** A quick google search will produce an array of #scolistrong products from T-shirts to wristbands; backpacks to stickers. Showing anyone around you that you are proud to be a scoliosis warrior. (image: [Higgy Bears](https://higgybears.com/shop/ols/products/scoliosisawarenessshirt)) Find a support group. 2\. **Join a Mentor or Support program**. Having a group of kids and adults who have already begun their scoliosis journey helps to become aware that you are not alone. There are many people who have come before you who can be a great resource to answer questions or share some of your concerns. Groups like [Bracing for Scolios-us](https://www.bracingforscoliosus.org/bracing-mentor-program/), [Curvy Girls](https://www.curvygirlsscoliosis.com/), [Embraced](https://www.facebook.com/groups/2286975924868555/) (FB group for parents), [Scoliosis Support Group](https://www.facebook.com/groups/2399031003658314/) (FB group for girls 8-12 and their parents) and [Early Onset Juvenile Scoliosis Support Group](https://www.facebook.com/groups/571756496309389/) are just a few to check out. Speak Up. 3\. **Join National Awareness Campaigns**. Organizations such as Scoliosis Research Society have letters that you can download and send to your local and state representatives to bring awareness to a larger audience. Visit [srs.org](https://www.srs.org/patients-and-families/additional-scoliosis-resources/scoliosis-awareness-month) for more information. Hold a fundraiser. 4\. **Raise Funds for Research.** Contact a group such as [Setting Scoliosis Straight](https://www.settingscoliosisstraight.org/) and set up your own, or share an [existing fundraiser](https://app.mobilecause.com/e/e-SxVA?vid=r0vrh) to help scoliosis research. This research helps us stay at the forefront of new treatment options for scoliosis. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # What is Scoliosis? [Scoliosis](/resources/tag/scoliosis) This video was created by the Setting Scoliosis Straight Foundation. The purpose of this video is to educate and support scoliosis patients, their families, their friends and the whole scoliosis community. The information we provide in all our videos are backed by 22+ years of research by the Harms Study Group. #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # Types of Scoliosis: A Visual and Practical Guide for Families A scoliosis diagnosis can feel overwhelming, especially when you're a parent hearing the word for the first time. The good news: most children diagnosed today have a highly treatable, non-life-threatening curve, and understanding which **type** of scoliosis your child has is the first step to knowing what comes next. Scoliosis is defined as a sideways (lateral) curvature of the spine measuring **10 degrees or more** on an X-ray, often accompanied by spinal rotation that can make the shoulders, hips, or rib cage appear uneven. ([Scoliosis Research Society](https://www.srs.org/Patients/Conditions/Scoliosis)) This article walks you through the main classifications of scoliosis, how doctors screen for it, and the questions you should be ready to ask at your next appointment. ## The Four Main Types of Scoliosis Pediatric scoliosis is generally grouped by its underlying cause. Knowing the category helps your child's care team predict how the curve may behave and which treatments — observation, bracing, or surgery — are most likely to help. ### Related Links - [Early Detection of Scoliosis](https://spinaltech.com/resources/early-detection-of-scoliosis) **1. Idiopathic Scoliosis (most common — about 80% of cases)** "Idiopathic" means no single cause has been identified, though research points to a strong genetic component. Idiopathic scoliosis is further divided by the age at which it appears: - **Infantile** — birth to age 3. Some curves resolve on their own; others can progress quickly and need close monitoring ([UCLA Health](https://www.uclahealth.org/medical-services/spine/conditions/idiopathic-scoliosis)). - **Juvenile** — ages 4 to 9. These curves carry a higher risk of significant progression because the child has many growing years ahead ([UCLA Health](https://www.uclahealth.org/medical-services/spine/conditions/idiopathic-scoliosis)). - **Adolescent Idiopathic Scoliosis (AIS)** — ages 10 to skeletal maturity. This is the most common form overall, affecting roughly **2–3% of adolescents**, with girls far more likely than boys to develop curves that require treatment ([Hospital for Special Surgery](https://www.hss.edu/health-library/conditions-and-treatments/scoliosis-in-children-teenagers)). **2. Congenital Scoliosis** Caused by vertebrae that didn't form correctly in the womb, congenital scoliosis is usually detected very early in life. Because the malformation is structural, bracing is less often effective, and some children eventually need surgical correction ([Scottish Rite for Children](https://scottishriteforchildren.org/5-common-types-of-scoliosis-which-form-does-your-child-have/)). **3. Neuromuscular Scoliosis** This type develops as a secondary condition in children with underlying neurological or muscular disorders such as cerebral palsy, muscular dystrophy, or spina bifida. Curves can progress rapidly and often require a combination of seating support, custom bracing, and surgery ([Hospital for Special Surgery](https://www.hss.edu/health-library/conditions-and-treatments/neuromuscular-scoliosis)). **4. Syndromic & Other Causes** Less commonly, scoliosis develops alongside a broader syndrome (e.g., Marfan syndrome, neurofibromatosis), or as a result of trauma, tumors, or spinal degeneration. These cases benefit from specialized, multidisciplinary care. ## What is a Cobb Angle? The **Cobb angle** is the measurement, taken from an X-ray, that tells your doctor how severe your child's curve is. According to Dr. Mostafa El-Feky et. al., (2020) the Cobb angle is defined as, “*the most widely used measurement to quantify the magnitude of spinal deformities, especially in the case of scoliosis, on plain radiographs.*” (El-Reky et. al., 2020). [Read More](https://spinaltech.com/resources/what-are-the-different-scoliosis-curves-called) ## What Do Scoliosis Curve Types Look Like? This is a healthy spine Below is a visual overview of the different scoliosis curve types. Lumbar Scoliosis Thoracic Scoliosis Thoracolumbar Scoliosis Double Curve Scoliosis - Lumbar Scoliosis - Thoracic Scoliosis - Thoracolumbar Scoliosis - Double Curve Scoliosis ## Scoliosis Rib Rotation With scoliosis, the spine curves from side-to-side in varying degrees. As the scoliosis progresses, some of the spinal vertebrae may also rotate, making the hips or shoulders appear uneven. In severe scoliosis, the twisting in the spine can pull the rib cage into the rotation, creating the rib "hump" that is often visible during a forward bend. Normal Spine Scoliosis Rib Rotation Scoliosis X-Ray with Rib Rotation - Normal Spine - Scoliosis Rib Rotation - Scoliosis X-Ray with Rib Rotation ## Adams Forward Bend Test The Adams Forward Bend Test is commonly used at doctors offices and schools to check for early signs of scoliosis. The patient bends forward and the the doctor, nurse or coach examines their back and spine. If the patient has scoliosis, their back often has a prominent line where the spine is, and one side is higher than the other. If the patient’s back is completely straight they do not have scoliosis. Please consult with your doctor for more information on scoliosis. The child bends forward at the waist with arms hanging and feet together, while the examiner looks at the spine from the posterior view. Telltale signs of scoliosis include: - A visible **rib prominence** on one side - **Asymmetry** in the shoulders, shoulder blades, or waistline - A spine that does not appear straight along its full length If the back appears completely straight and symmetrical, scoliosis is unlikely. A positive forward bend test is **not** a diagnosis on its own — your doctor will order a standing X-ray to measure the Cobb angle and confirm the type and severity of the curve. ## FAQ - For the vast majority of children, scoliosis is a manageable condition — not a life-threatening one. About 2–3% of adolescents have idiopathic scoliosis, but **fewer than 10% of those cases ever require surgery** ([Hospital for Special Surgery](https://www.hss.edu/health-library/conditions-and-treatments/scoliosis-in-children-teenagers)). The seriousness depends on three things: the **type** of scoliosis (idiopathic, congenital, or neuromuscular), the **Cobb angle** (curve size), and **how much growth your child has left**. Mild curves under 25 degrees are usually just monitored. Curves between 25 and 40 degrees in a growing child are typically treated with a brace, which is highly effective at preventing progression. Surgery is generally only considered for curves above 45–50 degrees that continue to worsen. - These three categories describe the underlying cause of the curve. **Idiopathic scoliosis** has no known cause and accounts for about 80% of cases — it most often appears in otherwise healthy adolescents between ages 10 and 15. **Congenital scoliosis** is present at birth and caused by vertebrae that didn't form correctly in the womb; it is usually diagnosed in infancy or early childhood and often progresses structurally, meaning bracing alone may not stop it. **Neuromuscular scoliosis** develops as a secondary condition in children with neurological or muscular disorders like cerebral palsy, muscular dystrophy, or spina bifida, where weakened muscles cannot support a straight spine. Each type follows a different progression pattern, which is why classification is the first step in building a treatment plan ([Scottish Rite for Children](https://scottishriteforchildren.org/5-common-types-of-scoliosis-which-form-does-your-child-have/)). - Bracing is typically recommended when a still-growing child has a Cobb angle between **25° and 40°**, or a curve of 20°–24° that has progressed by 5 or more degrees in 6 months ([Kaiser Permanente Clinical Review](https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/clinical-review-scoliosis-back-brace-pediatric-ga.pdf)). The landmark BrAIST trial showed that bracing was successful in preventing curves from progressing to the surgical threshold in **72% of adolescents** who wore the brace as prescribed — a major improvement over observation alone ([BrAIST, Sage Journals](https://journals.sagepub.com/doi/10.1177/0309364618792727)). Modern custom braces, including nighttime-only options like the [Providence Nocturnal Scoliosis® System](https://spinaltech.com/products/providence-nocturnal-scoliosis-system), allow children to participate fully in school, sports, and social activities while treatment happens during sleep. The key to success is **consistent wear** for the number of hours your orthotist prescribes. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # Why is Brace Compliance so Important? > *“As with other medical treatments, success depends upon treatment actually being performed. In the case of bracing for adolescent idiopathic scoliosis, it is often incorrectly assumed that brace patients are compliant with their treatment.” -* ADVANCES IN SCOLIOSIS BRACE TREATMENT, William J. Shaughnessy, MD, Orthop Clin N Am 38 (2007) 469–475 The first question many parents have is "Will bracing work?" If your child's physician has prescribed a [scoliosis brace](https://spinaltech.com/scoliosis-braces), then the symptoms of scoliosis are in the [moderate](https://spinaltech.com/resources/what-are-the-different-scoliosis-curves-called) range. There are different types of brace, and each one is designed for specific needs of each patient. Each one of our scoliosis braces are custom designed to fit the patient's individual size, shape and curve. Your practitioner will prescribe the number of hours that you are required to wear the brace to be the most effective. We recognize that there is an adjustment period, and that for many adolescents wearing a brace is a major disruption to their daily lives. These children are already navigating through new physical, emotional and social challenges particularly in school. So it is widely understood by orthotists who specialize in Adolescent Idiopathic Scoliosis that this is a big ask of teenagers. However, both parents and practitioners have the child's best interest at heart and we all want the treatment to be successful. For any care plan to be effective, a patient must adhere to the dosing and scheduling of the prescribed treatment. This is by far the biggest challenge to bracing for Adolescent Idiopathic Scoliosis. While it is not always possible to create or control an ideal environment, it is greatly important to maintain a strong emphasis on good compliance with every encounter. **The Successful Path To Compliance** The most successful compliance is achieved by the presence of a strong support system that includes family, physician, orthotist, and physical therapist working together. Regardless of which type of brace you are wearing, it is important to talk to your orthotist and be honest about what your actual wear time is so that they can continue to help with your treatment. If the brace doesn't fit comfortably or if you have been cleared to continue playing sports, these will be factors in the overall success of stopping your curve's progression. The goal for any patient who is prescribed a scoliosis brace is to stop the progression of the spine's curvature. There is a short window of time between detecting scoliosis and when the patient stops growing. For scoliosis bracing to "work" the brace has to be worn while the child continues to grow. The brace will train the spine to grow straight. If you are not compliant with your protocol and you don't wear your brace, then your spine will continue to grow with a curve, that can sometimes worsen over time. Once the curve degree grows greater than 40 degrees, bracing is no longer a treatment option. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # What Are the Different Degrees of Scoliosis? [Scoliosis,](/resources/tag/scoliosis) [Awareness,](/resources/tag/awareness) [Curves](/resources/tag/curves) **What is Scoliosis?** *Scoliosis is a condition of side-to-side spinal curves that measure greater than 10º. On an x-ray, the spine of a person with scoliosis looks more like an "S" or a "C" than a straight line. These curves may cause your shoulders or hips to be uneven, depending on where your curves are located in your spine.-* [*Scoliosis Research Society*](https://www.srs.org/patients-and-families/conditions-and-treatments/adolescents) Image of Moderate Scoliosis X-ray According to Dr. Mostafa El-Feky et. al., (2020) the Cobb angle is defined as, “the most widely used measurement to quantify the magnitude of spinal deformities, especially in the case of scoliosis, on plain radiographs.” (El-Reky et. al., 2020). Understanding the Cobb Angle Cobb Angle Severity Typical Recommendation (Growing Child) <10° < />d> Spinal asymmetry, not scoliosis No treatment; reassurance. Follow-up checks periodically. 10°–24° Mild Observation every 4–6 months 25°–39° Moderate Bracing typically recommended 40°–49° Moderate–Severe Bracing; surgery considered 50°+ Severe Surgical consultation **Mild Scoliosis** Mild scoliosis is defined as having an abnormal spinal curvature with a Cobb angle **between 10 degrees and 24 degrees** *(South Florida Scoliosis Center, 2017)*. Mild scoliosis does not usually present with any physical symptoms, and is normally first observed during a routine physical examination screening for scoliosis which is performed during physical education class, or upon evaluation by a primary care physician. **Moderate Scoliosis** Moderate scoliosis is when the abnormal lateral spinal curvature exceeds 25 degrees. Moderate scoliosis is defined as scoliotic curve **between 25 degrees and 39 degrees**. This can be measured on plain radiographs via the Cobb angle. Symptoms associated with moderate scoliosis may include physical discomfort, fatigue with physical activity, and visible asymmetry in the spine, ribs, shoulders, or hips. **Severe Scoliosis** Severe scoliosis is defined when the lateral abnormal curvature of the spine measured on plain radiographs via the Cobb angle **exceeds 40 degrees**. When the scoliotic curve is greater than 40 degrees it can result in many physiologic symptoms that include many of the body’s systems. Symptoms may include all of the following which were included in both the mild and moderate forms of scoliosis. However, severe scoliosis may present with more severe symptoms including: more prominent rib hump, increased fatigue with sedentary positions as well as with physical activity, clumsy or prone to falls; increased respiratory effort which includes shortness of breath associated with physical activity; pain especially in the spine and lower back and headaches *(South Florida Scoliosis Center, 2017)*. This is the most severe form of scoliosis and can be detrimental to the health of those who suffer from this disease, if the appropriate intervention is not initiated. ## FAQ - Yes — scoliosis can progress, and the risk is highest during periods of rapid growth, particularly the adolescent growth spurt between ages 10 and 14. Children with **more growth remaining** and **larger initial curves** are at the greatest risk of progression ([Scoliosis Research Society](https://www.srs.org/Files/Patient-Brochures/Patient.Adolescent_Idiopathic_Scoliosis_Handbook_for_Patients.pdf)). For mild curves under 25°, most specialists recommend a follow-up X-ray and exam every **4 to 6 months** during growth. Once your child reaches skeletal maturity (typically a Risser sign of 4 in girls and 5 in boys), the risk of significant progression drops dramatically, and monitoring intervals usually expand to once a year or less. After skeletal maturity, curves under 30° rarely worsen, while curves above 50° may continue to progress about 1° per year into adulthood ([Agency for Healthcare Research and Quality](https://www.ncbi.nlm.nih.gov/books/NBK493369/)). #### Related Articles ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis Surgery](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis-surgery) --- # Early Detection of Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Early Detection](/resources/tag/early-detection) When scoliosis is detected early, there is a greater chance of being able to stop the spinal curve's progression in children who are still growing. The child's age and the degree of the spinal curve will determine the best steps for treatment. When scoliosis goes undetected, most children whose curve is so severe (50 degrees or greater) often have surgery. The [Scoliosis Research Society](https://www.srs.org/patients-and-families/common-questions-and-glossary/frequently-asked-questions/diagnosis--screening-of-scoliosis), American Academy of Pediatrics, and American Academy of Orthopaedic Surgeons recommend that girls get screened twice at ages 10, and 12 and boys get screened once at age 13 or 14. 1\. **Stand up Straight.** Observe your child from the back. - Are the shoulder blades at the same height? - Is their back curved at all? - Is one shoulder higher than the other? - Does one arm look slightly farther away from the body than the other? Picture of an Adams Forward Bend Test 2\. **Have your child bend forward.** You are looking for signs that: - one hip is lower than the other - one side of the ribcage is higher than the other - uneven lower back Wearing clothes. 3\. **How does their clothing hang?** - Is the hem of a skirt or dress even? - Does their shirt appear crooked? - Is one pant leg longer than the other? ## Check out our Video Library We've put together an entire Scoliosis Awareness YouTube playlist to help you learn more about scoliosis from any device. [Watch Now](https://www.youtube.com/playlist?list=PLaJ6dUZaY8acYi5LY5lL3Fq3fKZNi5TNY) Take a walk. 4\. **Watch as your child walks.** - Do they have a slight limp? - Does one leg look shorter than the other? - Does their body lean to one side? It can be genetic. 5\. **Does Scoliosis run in your family?** - Do you have scoliosis? - Did anyone in your family have scoliosis? It is not 100% certain that if there is scoliosis in your family it will automatically be passed down to your children. However, it is important to know your family health history. The [Scoliosis Research Society](https://www.srs.org/patients-and-families/common-questions-and-glossary/frequently-asked-questions/diagnosis--screening-of-scoliosis) says about 1 in 3 children whose parents have scoliosis will develop scoliosis. It’s considered a partially genetic condition. Doctors do not yet know exactly what gene can cause it. It is often more comfortable to perform any of these home diagnostics with your child in the privacy of somewhere they are comfortable. You know your child better than anyone. If you observe any of the above signs, it is important to have a medical professional take a look as soon as possible to diagnose scoliosis early. Early detection allows for a variety of treatment options. ## FAQ - Adolescent Idiopathic Scoliosis commonly surfaces during the key years of adolescence, especially from age 10 to 15, a vital time due to the swift bone growth that can intensify spinal deviations. However scoliosis can be detected in younger children also. - The condition also shows a distinct gender angle, with girls more frequently developing Adolescent Idiopathic Scoliosis than boys, around a 4:1 ratio when it comes to curves that need medical follow-up. This gender difference becomes even more striking with increasing curve severity. - For parents, understanding the age and gender factors is critical—it can direct closer observation of their children when it's most required. Spotting the signs early is essential for managing this condition effectively, making parental alertness to these risk factors a key part of ensuring timely and appropriate care. Read more in the article above. #### Related Articles ##### [Types of Scoliosis: A Visual and Practical Guide for Families](https://spinaltech.com/resources/types-of-scoliosis) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) --- # Watch How Your Brace Gets Made? [Scoliosis,](/resources/tag/scoliosis) [Brace](/resources/tag/brace) #### Related Articles ##### [How Does My Brace Get Made?](https://spinaltech.com/resources/how-does-my-brace-get-made) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) --- # Meet the Team ### Related Links - [About Us](https://spinaltech.com/company) #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # Where to find L Codes for billing [L Codes](/resources/tag/l-codes) Spinal Technology is not responsible for all billing codes. Due to the ever changing landscape of medical billing, we cannot provide an exact list of which codes should be used when billing for custom bracing. We can only guide you to the resources we have to look for the right L Codes, HCPCS Codes or DMECS Codes # Product Classification List Search Results This list reflects products which have been submitted by the manufacturer for a HCPCS coding verification review. The assignment of a HCPCS code to the product(s) should in no way be construed as an approval or endorsement of the product(s) by the PDAC, DME MACs, or Medicare, nor does it imply or guarantee claim reimbursement. This list reflects the latest product information on file, therefore, the information displayed in the results table may differ from the search criteria you entered for manufacturer name, product name, and model number. To see the full list [click here.](https://www4.palmettogba.com/pdac_dmecs/searchProductClassificationResults.do?manufacturer=Spinal+Technology&codeDecision=&productName=&modelNumber=&classification=) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [Learn from Spinal Technology](https://spinaltech.com/resources/learn-from-spinal-technology) ##### [Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) ##### [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) --- # Scoliosis Bracing and The Challenge of Patient Compliance [Scoliosis,](/resources/tag/scoliosis) [Bracing,](/resources/tag/bracing) [Compliance](/resources/tag/compliance) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 1 Initial correction in-brace has long been the benchmark for determining the effectiveness of any particular brace design, as well as the accuracy and fit of an orthosis. Other factors are highly important, such as balance, stability, comfort, and compliance, but they are often considered as secondary criteria for design considerations. The one variable that stands out above all others is that of least control, patient compliance. For any care plan to be effective, a patient must adhere to the dosing and scheduling of the prescribed treatment. This is by far the biggest challenge to bracing for Adolescent Idiopathic Scoliosis. For many adolescents, brace wear can present a significant disruption in daily life. Considering that the majority of Adolescent Idiopathic Scoliosis (AIS) patients are in their early teenage years, it is important to recognize the entirety of their development. These children are navigating through new physical, emotional, and social challenges, all of which can be further complicated by the introduction of an orthosis into their daily lives, particularly in school. Not surprisingly, as was found in the BrAIST Clinical Trial, where “On average, subjects wore the brace 12 hours per day (range 0 to 23)”, obtaining sound compliance is a difficult task. It is well understood that most successful compliance is achieved by the presence of a strong support system that includes family, physician, orthotist, and physical therapist working together. While it is not always possible to create or control an ideal environment, it is greatly important to maintain a strong emphasis on good compliance with every encounter. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. **The Successful Path To Compliance** The most successful compliance is achieved by the presence of a strong support system that includes family, physician, orthotist, and physical therapist working together. Additionally, brace design options should be carefully assessed for patient acceptance. There are a multitude of bracing options throughout the world, some of which have competent research to support their effectiveness; yet most lack a substantive component of actual wear time, leaving the reliance only to subjective feedback, which is most often overstated. As research continues to progress, the SRS (Scoliosis Research Society) has instituted guidelines that incorporate compliance measures as a standard, which logic suggests should also reduce the dilution of positive outcomes by the inclusion of non-compliant patient data. This will also provide empirical data on the efficacy of various bracing systems, as it relates to patient acceptance and successful outcomes. **Average Full-Time Brace Wear,** BrAIST Clinical Trial **On average, subjects wore the brace 12 hours per day (range 0 to 23)** **As the average hours per day increased, so did the success rate (p<0.0001)** Regardless of brace type being used, it is important to have insight into each patients “actual” wear time, and consider their adherence to the protocol as a factor in the treatment outcomes. Bracing monitors are easily accessible and are a cost effective way to measure compliance. It has also been shown that just the presence of a monitor can improve compliance. The stTracker® monitor allows practitioners to customize patient brace wearing data into comprehensive reports and three types of linear graphs to chart wearing compliance. Users have the ability to set up multiple patients, establish individual schedules by date and time, and view and print reports. Most monitors are very low profile in design and easily fabricated into the orthosis. **The stWear® Compliance Monitoring System** The stWear® Compliance Monitoring System includes our online stWear® portal for physicians, practitioners and office administrators; a smartphone app for parents, and a compliance monitor with extended battery life and bluetooth capability. The portal and stWear® app are designed to work with the stWear® Compliance Monitor that can be added to any one of the many custom scoliosis braces we fabricate. Practitioners can also purchase a stWear® Compliance Monitor separately. > **“As with other medical treatments, success depends upon treatment actually being performed. In the case of bracing for adolescent idiopathic scoliosis, it is often incorrectly assumed that brace patients are compliant with their treatment.”** **Advances In Scoliosis Brace Treatment,** > **William J. Shaughnessy, MD** Strong consideration should be made to adopting nighttime bracing as a primary method of treatment. Research has shown that the hyper-corrective **Providence® Brace**, worn only at night, provides outcomes equal to or greater than those of its full-time counterparts. The option of limiting brace wear to nighttime use at home, significantly increases compliance rates and improves “Quality of Life” measures in brace-wearing scoliosis patients. **The Providence Nocturnal Scoliosis® Brace** [To Next Section](https://spinaltech.com/resources/scoliosis-bracing-growth-plate-physiology) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Scoliosis Bracing – Growth Plate Physiology [Scoliosis,](/resources/tag/scoliosis) [Bracing](/resources/tag/bracing) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 2 Understanding the mechanics of scoliosis and the impact of asymmetrical loading on the spine, Hueter-Volkmann law illustrates a few things about the nature of curve progression and the requirements for halting or reversing that course. The longitudinal deformation of vertebral bone growth can most likely be attributed to the imbalance of loading across the growth plates prior to reaching skeletal maturity. Compressive forces on the concave side of the curve will effectively decrease the rate of growth, while distractive unloading on the convex side will accelerate growth. The magnitude of this discrepancy has been estimated to reach as high as 40% or greater (Stokes et al.). ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. **Heuter – Vollmann Law** showing longitudinal deformation of vertebral bone growth with imbalance of loading across the growth plate. By understanding these dynamics in asymmetrical growth, one can relate to principles of inhibiting curve progression. Leveling out the forces across the growth plates can alter the course of development, allowing for a more normal growth pattern. It has long been established that effective bracing requires a minimum of 50% in-brace correction in a full-time orthosis. This has been the determination based on the goal of limiting progression to no greater than 5 degrees post bracing, as well as the prevention of surgery. These goals, however, were established primarily as a result of the many scientific studies of full-time brace wear, in which the magnitude of correction in-brace can be somewhat limited. Alternatively, other bracing methodologies (specifically nighttime bracing) allow for considerably more correction in-brace. The tolerance for brace wear in the recumbent position provides the ability to apply hyper-corrective forces, effectively leveling out the forces across the growth plates entirely, or even providing for over-correction as high as 115%. Under these conditions, the vertebra are free to develop unrestricted and may progress towards a more corrective state. By creating such a scenario while the patient is sleeping and growth rates are at their highest, it is possible to achieve greater outcomes to that of more traditional daytime bracing, in a shorter amount of time and with greater tolerance for the patient. In addition to nighttime bracing, recent developments in surgical approaches are taking advantage of growth plate development. Anterior vertebral body tethering (AVBT) has shown great promise in modulating vertebral growth. By altering the forces across the growth plates with targeted asymmetrical elastic compression, while at the same time maintaining flexibility and allowing for movement throughout the spine, the resulting growth pattern can be redirected towards more normal development. [To Next Section](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Principles of 3D Bracing – Design and Methodologies [3D Bracing](/resources/tag/3d-bracing) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 4 Three dimensional bracing is not a new concept by any means. Dating as far back as the late 5th century, when Hippocrates identified Scoliosis (root “skol”: meaning twists and turns), it has been well understood that the nature of the deformity presents in multiple planes. Orthotic approaches to managing these characteristics have long taken into account the dynamics of de-rotation, medial translation, and balance. Much of what you will find in 3D bracing is achievable in a well-adjusted, modified, and custom fit orthosis that began as a symmetrical module, albeit quite a bit of time and effort to get there. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. **3D Bracing incorporates the de-rotational and translation forces applied through the ribs** However, the methods, tools, and accuracy have changed with the incorporation of scanning and CAD design. This is where we begin to see the value of what has been termed “3D Bracing”. The advantages arise from direct manipulation of the patient model in a digital format. Rather than adding localized pads to generate our forces, and heating or cutting out spaces for reliefs, the same can be done effectively by de-rotating and shifting segments of the patient’s model as a whole. Any segmental changes made will inherently create forces and reliefs, as the section is moved as a complete unit. This becomes most beneficial when addressing the Thoracic region. Rather than having a singular pad contributing to the de-rotation and translation forces transferred through the ribs on one side, capturing the entirety of that segment and manipulating it as a whole greatly improves accuracy, increases leverage, and adds more comfort for the patient by maintaining a greater surface area for contact. By working directly with the patient model, form-fitting contact can be maintained in most areas, while providing for ample relief where necessary for corrective movement. In addition, modification of the model prior to brace fabrication offers the ability to incorporate some features not easily created after the fact, when the brace is being fit. The best examples of that can be seen in the anterior de-rotational void in front of the posterior-lateral thoracic force, as well as the anterior thoracic de-rotation force on the contralateral side and the accompanied posterior relief. [To Next Section](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) #### Related Articles ##### [Exacting fit & fabrication through advanced technology](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) --- # Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design [3D Bracing](/resources/tag/3d-bracing) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 5 In 3D bracing, it is important to evaluate all aspects of each patient’s radiograph and determine the best design and modifications accordingly. Taking into consideration the patient’s complete profile and the nature of the curve(s) allows the creation of a comprehensive blueprint of the most effective design. Some of the criteria for evaluation include the magnitude of each curve, apex, vertebral tilt at each level, vertebral rotation, patient balance and alignment, symmetry and balance of the pelvis, skeletal maturity (Risser), as well as identification of any vertebral anomalies or deformations, among others. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. **Torso CAD scans modified for patient curve(s), segmental de-rotation & brace design** The magnitude of the rotational component can accurately be assessed based on the alignment of the pedicles (as seen in the radiograph), along with any asymmetry apparent in the patient’s CAD model. The approach then is to segment and de-rotate at the appropriate levels within the patient’s model. After de-rotating, the corrective forces are accentuated accordingly, and the reliefs expanded to accommodate for additional de-rotation and medial translation. All 3-D braces include some degree of de-rotation within the model, as that modification efficiently creates relief for all associated components of correction. Applying de-rotational voids and reliefs via CAD provides significant advantages in the Thoracic region, where it can be challenging to adjust post-fabrication in a typical symmetrical orthosis. Additionally, experience has shown that each patient responds differently to bracing, therefore prompting the clinician to make adjustments as they see fit. For that purpose, the best approach is to apply moderate corrective forces directly into the mold and provide additional padding separately, allowing the clinician the ability to increase those forces should they find it advantageous and tolerable for the patient. In consideration of obtaining additional correction, it is always important to enhance the relief areas to accommodate for further migration. [To Next Section](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) #### Related Articles ##### [Exacting fit & fabrication through advanced technology](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology) ##### [Principles of 3D Bracing – Design and Methodologies](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) --- # Advantages of Nocturnal Bracing [Providence,](/resources/tag/providence) [Nighttime Bracing](/resources/tag/nighttime-bracing) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 6 Historically, full-time bracing has been the most prominent and widely accepted method for the conservative management of Adolescent Idiopathic Scoliosis. Over the years, many variations of design have been introduced, with each one claiming to offer exceeding benefits over its predecessors. There’s no shortage of research comparing various iterations of full-time orthoses, yet very little evidence exists to really demonstrate any significant and repeatable advantages of one over all others. Ultimately, the effectiveness of any orthosis relies on meeting just a few principles and requirements; in-brace correction (reduction of Cobb and rotation); alignment and balance; and, of course, patient compliance. The combination of those criteria for success can create some complicated scenarios when it comes to treating actual patients, especially those required to wear a brace for 18 to 22 hours per day. The challenges most often stem from the need for the patient to be upright and mobile. That alone contributes to the majority of the complications faced in traditional full-time brace design. With nighttime bracing, most of those challenges do not exist. There are significant advantages to bracing at night that not only simplify brace design and allow for more targeted corrective forces, but greatly impact compliance, providing for better outcomes. When the patient is at rest in a recumbent position, the muscles are relaxed and no longer resisting the corrective forces. In this state, righting reflexes become inactive and body positioning, stance, and balance are of no concern. The patient experiences little to no irritation, as they are not sitting, standing, or walking. The recumbent position also eliminates the need for complex brace design to counteract gravity. Additionally, this makes it possible to take true advantage of growth rates and modulation of the vertebra. As patient flexibility increases and muscle activity decreases, patients are able to tolerate much greater corrective forces. Effective manipulation of the spine, by the use of targeted hyper-corrective pads, is much more achievable at night. The results, in the case of the Providence Brace, is significant correction of all curve types, averaging 98% in-brace and exceeding upwards of 115% in some cases. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. **Initial Correction Results\*** \* Spine Journal, September 15, 2001, Volume 26, Issue 18 Brace Type Study Clinician Percentage of Correction Milwaukee Carr et al. 55-60% Boston Emans et al. 50% Wilmington Basset et al. 50% Miami McCollough et al. 50% Charleston Price et al. 73% Providence d'Amato et al. 98% This magnitude of correction creates a major advantage to obtaining highly successful results for bracing at night. The impact these rates have on the ultimate outcomes is due to the fact that the majority of growth occurs at night, during sleep. Studies have shown that the largest output of HGH (Human Growth Hormone) occurs shortly after entering deep sleep Stage 3 sleep), typically peaking between 12am and 2am. Considering the rates of growth throughout the night, this is the most advantageous time to be leveling off the forces across the growth plates. According to Heuter Volkman Law, balancing these forces will allow for even growth. Additionally, when considering the starting asymmetry of the vertebra, hyper-correction of the curve may accelerate growth on the concave side beyond the rate of the convex side, reversing the course towards a more corrected state as opposed to just halting progression. Taking corrective action with nocturnal bracing may provide the best chance of having the greatest impact on patients with Adolescent Idiopathic Scoliosis. **Heuter Volkman Law suggests that leveling the forces across the growth plates, will allow for symetrical growth.** [To Next Section](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Hyper–Correction Forces and The Providence Nocturnal Scoliosis® Orthosis [Providence](/resources/tag/providence) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 7 The Providence Nocturnal Scoliosis® system’s objective is to move the apices of scoliotic curves to midline or beyond, through the application of controlled, direct, lateral and de-rotational forces to the spine. In contrast to daytime brace wear, bracing in the recumbent position eliminates the conflicting forces of gravity, allowing for natural elongation of the spine and horizontal rib alignment. This creates a wider space between the floating ribs and the iliac crest, providing greater access to the lumbar vertebrae, enabling effective lateral and de-rotational forces. When thoracic ribs are aligned horizontally, thoracic pads may be applied more precisely. Locating the correct apices to apply the appropriate push towards midline and appropriate de-rotational forces is vital to successful correction. The natural elongation of the spine helps provide access, control, and correction of higher thoracic curves. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. Natural elongation of the spine in the recumbent position The Providence® orthosis utilizes overlapping 3-point pressure systems with opposing voids and segmental de-rotation at selected points. - The objective of the Providence is to move the curve apices to mid-line, identified as a straight line between C7 and S1. - Without the need to support under the forces of gravity, the most efficient application of force involves directly targeting the apex of the curve with a vector that is perpendicular to midline, while incorporating elements of de-rotation. - Forces applied at the apex are countered by stabilizing pads, located at the upper and lower ends of the curve on the opposing side, allowing for effective and unobstructed migration. - Single curves use a single 3 point system, while thoracic and double curves utilize an overlapping 3 point pressure system. ### Double **Double Structural Scoliosis** A spine with two structural curves. ### Lumbar **Lumbar Scoliosis** A curve that has its apex at a point between the L1-L2 disc space through the L4-L5 disc space. ### Thoracic **Thoracic Scoliosis** A curve that has its apex at a point between the T2 vertebral body through the T11-T12 disc. ### Thoracolumbar **Thoracolumbar Scoliosis** A curve with its apex at T12, L1, or the intervening T12-L1 disc. [To Next Section](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-elements-of-the-system) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Providence Nocturnal Scoliosis® Orthosis – Elements of the system [Providence](/resources/tag/providence) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 8 The Providence Nocturnal Scoliosis® system utilizes a specialized measurement system designed to simulate the effects of the brace. The system incorporates a patented acrylic measurement board and positioning blocks, which are used to establish precise coordinates for pad locations. Based on measurements, cast, or 3D scan, a digital CAD model is created for the individual patient. Coupled with the patient’s radiograph images, highly skilled technicians will assess, modify, and rectify the model to incorporate all the necessary forces and de-rotational components for successful correction. *Current x-rays are necessary to confirm and provide accurate and positive outcomes. If a measurement board is unavailable, a cast or scan is required.* ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. Lying supine on the board, the patient is positioned so that C7 and S1 rest over the center line and the waist is set at the neutral level (level zero). Based on the curve type, as defined by patient x-ray evaluation, stabilizing and corrective pads are positioned against the patient. The corrective pads are adjusted to produce controlled, direct, lateral and de-rotational forces to move the apices of the curves to midline or beyond. All measurements and coordinates are documented on the patient order form. This example illustrates the correlation between correction applied to a patient while on the Providence board, and the actual results in-brace. Some centers have incorporated on-board x-rays as a standard practice. The Providence is suited for neurologically involved patients, idiopathic adolescents and juvenile scoliosis patients as well as obese patients. Because of the design for nocturnal use, the brace is able to address apices as high as T6, which is higher than can be treated by a full-time scoliosis orthosis. Apices above T6 can be treated with a neck extension attached to the orthosis. ## Patient Outcomes **CLINICAL STUDY** *Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°* ### ***124 patients*** ***“Providence nighttime braces are an effective treatment for adolescent idiopathic scoliosis patients. This study reports a success rate of 89%, and the results are comparable to full-time treatment with the Boston brace.”*** *Ane Simony, et al., European Spine Journal, September 2019, Volume 28, Issue 9* **CLINICAL STUDY** *Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis* ## *102 patients* ***“Excellent initial in-brace correction of adolescent idiopathic scoliosis was observed with this computer-designed and manufactured recumbent brace..”*** ***“success rate of 79% (n 5 71) if the apex was at or below T9.”*** ***“The average initial correction with a supine in-brace radiograph of the all major and all compensatory was 96% and 98%, respectively.”*** ***“The average percentage of Cobb angle initial in-brace correction for each curve type while the patient was wearing the brace was 94% for thoracic curves, 111% for thoracolumbar curves, 103% for lumbar curves, and 90% and 91%, respectively, for both curves of a double curve pattern”*** *d’Amato et al., SPINE Volume 26, Number 18, pp 2006–2012 ©2001* [To Next Section](https://spinaltech.com/resources/high-bmi-body-types-and-considerations-for-brace-selection) #### Related Articles ##### [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) ##### [Hyper–Correction Forces and The Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) --- # High BMI Body Types and Considerations for Brace Selection **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 9 One important consideration in determining which type of bracing is most suitable to maximizing positive outcomes is the patient’s body type. The ability to achieve successful results becomes more challenging in children who may be overweight or maintain excess soft tissue. The difficulty is largely due to the reduced ability to transfer sufficient force to the spine to effectively shift and de-rotate the vertebrae appropriately \[*See The Journal of Bone & Joint Surgery (May, 2005) - “Decreased Orthotic Effectiveness in Overweight Patients with Adolescent Idiopathic Scoliosis,” O’Neill, Patrick J., MD1; Karol, Lori A., MD2, et al.*\]. While patients with high BMI may experience some correction in a well-fitted symmetrical orthosis, it is important to consider various bracing methodologies when excess soft tissue is present. Patients with high BMI present a challenge for obtaining acceptable correction in a full-time orthosis. The displacement of tissue drastically reduces the ability to achieve effective correction. The correction obtained is largely the result of hydraulic forces caused by the circumferential pressure of the orthosis. Circumferential forces will compress around the soft tissue and the abdominal cavity, creating a lifting effect, partially offloading the weight of the upper body. This helps to elongate the spine, aiding in correction. However, absent of sufficient applied forces, the results are often minimal. Additionally, excess tissue will have a tendency to fill into the voids and reliefs, limiting the amount of clearance for corrective shifts and de-rotations. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. Excessive soft tissue inhibits our ability to locate and capture essential skeletal features. Any orthosis designed to be worn throughout the day must take into consideration active motion and positioning. An effective full-time brace will maintain a strong foundation around the pelvis, capturing the iliac crest, and locking the brace in the proper fitting location. This establishes control of the pelvis and limits brace migration. Patients presenting with high BMI are strong candidates for nocturnal bracing. There are several advantages to treating these patients in the recumbent position with a hyper-corrective orthosis. See information on the Providence Nocturnal Scoliosis Orthosis for more information. ## Providence Nocturnal Scoliosis® Orthosis and Patients With High BMI The Providence® orthosis is ideally suited for patients who present with bracing challenges due to excess soft tissue. In the recumbent position, the spine elongates and ribs align horizontally. This creates a wider space between the floating ribs and the iliac crest, facilitating greater access to the lumbar spine to apply effective forces. Moreover, these patients benefit significantly by avoiding the physical discomfort they typically endure with full-time brace wear, thus encouraging higher compliance rates. #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Orthotic Management of Adolescent Idiopathic Scoliosis [AIS,](/resources/tag/ais) [Scoliosis,](/resources/tag/scoliosis) [Providence](/resources/tag/providence) At Spinal Technology, we believe that sharing our knowledge, absorbing that of others, and working together as a team, is the most effective way to advance the treatment and care for all patients. Adolescent idiopathic scoliosis is recognized as the most common type of spinal deformity and estimated to affect anywhere from 2% to 5% of all children. The course of treatment can vary depending on the severity and can include observation, physical therapy, orthotic bracing, surgery, or various combinations thereof. For most patients with scoliosis, this means that they will likely have interactions with multiple practitioners of varying expertise throughout their youth. Communication, continuity, and collaboration among all disciplines involved, including support of the patient’s family, are paramount to successful outcomes and quality of life for each patient. As part of the clinical team, we are driven to go beyond the physical products that we provide, and offer our expertise and support with all the resources we have. With a passion for treating scoliosis, we make it our priority to share our knowledge, teach what we know best, and create the tools and materials for improving patient care. The introduction of varying brace designs can often present conflicting perspectives on the appropriateness of any particular method of treatment. As extensive research is presented on a broad scope of new concepts, the basic principles and understandings of effective bracing tend to become less clear. We believe a concise foundation of knowledge is critical to successful scoliosis management. At Spinal Technology we recognize the importance of continuous education and are pleased to provide informational material and support to those who share our commitment to advancing the care of patients challenged with scoliosis. *The Clinical Development & Education Team at Spinal Technology* #### [Scoliosis Bracing and The Challenge of Patient Compliance](https://spinaltech.com/resources/scoliosis-bracing-and-the-challenge-of-patient-compliance) #### [Scoliosis Bracing – Growth Plate Physiology](https://spinaltech.com/resources/scoliosis-bracing-growth-plate-physiology) #### [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) #### [Principles of 3D Bracing – Design and Methodologies](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) #### [Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) #### [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) #### [Hyper–Correction Forces and The Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) #### [Providence Nocturnal Scoliosis® Orthosis – Elements of the system](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-elements-of-the-system) #### [High BMI Body Types and Considerations for Brace Selection](https://spinaltech.com/resources/high-bmi-body-types-and-considerations-for-brace-selection) #### Related Articles ##### [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) ##### [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) ##### [Providence Nocturnal Scoliosis® Orthosis – Elements of the system](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-elements-of-the-system) --- # A Parent's Guide to the Providence Nocturnal Scoliosis® Brace [AIS,](/resources/tag/ais) [Providence,](/resources/tag/providence) [Nighttime Bracing](/resources/tag/nighttime-bracing) #### Providence Nocturnal Scoliosis® Orthosis The Providence Nocturnal Scoliosis® Orthosis was developed at Rhode Island Hospital by Barry McCoy an American Board Certified Orthotist Prosthetist and Dr. Charles D’Amato M.D. an Orthopedic Surgeon. The clinical development team also included a team of nurses and therapists. The Providence Nocturnal Scoliosis® Orthosis is a night time hyper-corrective bracing system. It is designed for the patient to wear overnight while in the supine position. The Providence Nocturnal Scoliosis® Orthosis utilizes a specialized measuring board and advanced CAD/CAM technology. Because of these advanced technologies, consistent and precise orthotics are able to be produced for each individual patient. The primary objective of Providence Nocturnal Scoliosis® Orthosis is to push the spine to the midline via lateral and de-rotational forces. Not to be confused with “bending type” braces, the Providence® is a hyper corrective orthosis, **maximizing the correction upwards of 98% to 115% during the optimal hours of brace wear, at night, without the need for daytime bracing.** Spinal Technology defines the objective of the Providence® Orthosis as moving the apices of scoliotic curves to the midline or beyond the midline via the application of controlled direct, lateral and de-rotational forces on the spine *(Spinal Technology Inc, 2020)*. ### Related Links - [Download A Parent's Guide](https://spinaltech.com/uploaded/uploads/Spinal-Tech_Parents_Guide_Prov_AIS_2025-05-07-1.pdf) - [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) The Providence Nocturnal Scoliosis® System is, “the first hyper corrective brace that is worn at nighttime to treat adolescent idiopathic scoliosis (AIS)” (Spinal Technology Inc, 2020). The Providence Nocturnal Scoliosis® System **has an increased compliance rate among adolescents compared to other bracing systems**, because it is worn only overnight. This creates an opportunity for the adolescent to wear the brace in the privacy of their own home, and avoid the social challenges of wearing a brace during the day, when it can create emotional stress at a time when they want to make sure they fit in with their friends. Because of this, these adolescents are more compliant to wear the brace, thereby increasing the efficacy of this Providence® Nocturnal bracing system. Wearing the brace at night also alleviates the patient from the uncomfortable experience that is associated with wearing a full time, full coverage brace. Wearing the nighttime Providence® brace provides the benefit of taking advantage of a time in which the Human Growth Hormone (HGH) levels are elevated, which correlates with critical growth hours. Treating a scoliotic curve is most effective when the spine is in a corrected state during periods of growth. The peak levels of Human Growth Hormone are between midnight to two in the morning. By utilizing a brace that provides for hyper correction of the curves during these optimal hours, the Providence Nocturnal Scoliosis® Orthosis takes advantage of spinal growth plate physiology, allowing for symmetrical growth of the vertebra, and reducing the need for continuous bracing throughout the day. > ***“The Providence is a hyper corrective orthosis, maximizing the correction upwards of 98% to 115% during the optimal hours of brace wear, at night, without the need for daytime bracing.”*** #### What patient population is the Providence® Orthosis Suited for? The Providence Nocturnal Scoliosis® Brace is used in patients who have been diagnosed with Adolescent Idiopathic Scoliosis. It has also been deemed an effective orthosis for patients who are neurologically involved, idiopathic adolescents, obese patients and those with juvenile scoliosis. Patients who have scoliosis with an upper limit of T6 can be treated with this nocturnal Providence® Orthosis because it is able to target an apex at the T6 level. Those who have apices above the T6 spinal level can be effectively treated with a cervical extension which can be attached to the nocturnal Providence® orthosis *(Spinal Technology Inc, 2020)*. #### Overview Adolescent Idiopathic Scoliosis (AIS) Scoliosis is defined by the American Association of Neurological Surgeons *(AANS)* as an, “abnormal lateral curvature of the spine” *(AANS, 2020)*, and is accompanied by rotation of the vertebra. Scoliosis is diagnosed by evaluating the spinal curvature in the coronal (frontal) plane. It is within the coronal (frontal) plane that the actual degree of the abnormal curvature of the spine can be measured *(AANS, 2020)*. If this coronal (frontal) plane measurement of the abnormal spinal curvature is greater than 10 degrees, the diagnosis of scoliosis can be made *(Choudhry, 2016)*. The most common form of scoliosis is known as Adolescent Idiopathic Scoliosis. AIS is responsible for 80% of all cases, and is a diagnosis made only after other causes of scoliosis have been excluded *(AANS, 2020)*. Children between the ages of 10 years old to 18 years of age are the most commonly affected by AIS. The AIS curve progresses rapidly during the period of skeletal growth. Progressions of scoliotic curve can continue to occur into adulthood, especially in those patients who have scoliotic curves greater than 60 degrees. There are many theories as to the underlying etiology that results in the development of AIS; however, there has not been any definitive research to suggest what the specific cause is for those who develop Adolescent Idiopathic Scoliosis *(Scoliosis Research Society, 2020)*. #### Symptoms of Adolescent Idiopathic Scoliosis Classic symptoms of AIS can vary depending on the severity of the abnormal curvature. Scoliosis can be categorized as mild, moderate or severe based on the degree of abnormal spine curvature. Each of these different categorizations of scoliosis are separated by the degree of abnormal curvature, which is measured using the Cobb angle. According to Dr. Mostafa El-Feky et. al., (2020) the Cobb angle is defined as, *“the most widely used measurement to quantify the magnitude of spinal deformities, especially in the case of scoliosis, on plain radiographs. Scoliosis is defined as a lateral spinal curvature with a Cobb angle of > 10 degrees” (El-Reky et. al., 2020).* Mild scoliosis is defined as having an abnormal spinal curvature with a Cobb angle between 10 degrees and 25 degrees *(South Florida Scoliosis Center, 2017)*. Mild scoliosis does not usually present with any physical symptoms, and is normally first observed during a routine physical examination screening for scoliosis which is performed during physical education class, or upon evaluation by a primary care physician. Moderate scoliosis is when the abnormal lateral spinal curvature exceeds 25 degrees. Moderate scoliosis is defined as scoliotic curve between 26 degrees and 40 degrees. This can be measured on plain radiographs via the Cobb angle. Symptoms associated with moderate scoliosis may include physical discomfort, fatigue with physical activity, and visible asymmetry in the spine, ribs, shoulders, or hips. Severe scoliosis is defined when the lateral abnormal curvature of the spine measured on plain radiographs via the Cobb angle exceeds 40 degrees. When the scoliotic curve is greater than 40 degrees it can result in many physiologic symptoms that include many of the body’s systems. Symptoms may include all of the following which were included in both the mild and moderate forms of scoliosis. However, severe scoliosis may present with more severe symptoms including: more prominent rib hump, increased fatigue with sedentary positions as well as with physical activity, clumsy or prone to falls; increased respiratory effort which includes shortness of breath associated with physical activity; pain especially in the spine and lower back and headaches *(South Florida Scoliosis Center, 2017)*. This is the most severe form of scoliosis and can be detrimental to the health of those who suffer from this disease, if the appropriate intervention is not initiated. #### Diagnosis of Adolescent Idiopathic Scoliosis Diagnosis for Adolescent Idiopathic Scoliosis normally occurs during a routine scoliosis screening. These routine scoliosis screenings occur during a physical examination that occurs during physical education class, or upon evaluation by a primary care physician. These screening tests can lead to the diagnosis of scoliosis, and the recommendation for more specialized evaluation. During this screening test, the Adams Forward Bend Test will be performed. The Adams Forward Bend Test allows for the practitioner to evaluate the anatomy of the patient to determine if there is an abnormal spinal curvature. The practitioner is able to assess the patient and determine if there is an abnormal curvature to the spine and evaluates the symmetry of the hips, ribs and/or shoulders. According to the *Boston Children’s Hospital (2020)*, the Adams Forward Bend Test is performed by, *“the patient puts their hands together and bends forward with straight knees, making their spine visible”* *(Boston Children’s Hospital, 2020)*. If there is a notable asymmetry, primarily through the presence of raised “rib hump” on one side of the back, then a scoliometer can be utilized to measure the degree of the curve. When the scoliometer measures a spinal curve of greater than 5-7 degrees then the patient may have scoliosis and should have further evaluation and follow up to determine a definitive diagnosis *(Boston Children’s Hospital)*. > ***“The Adams Forward Bend Test allows for the practitioner to evaluate the anatomy of the patient to determine if there is an abnormal spinal curvature. The practitioner is able to assess the patient and determine if there is an abnormal curvature to the spine and evaluates the symmetry of the hips, ribs and/or shoulders.*** If scoliosis is observed via a routine screening test performed during physical education class, then the recommendation will be for the student to follow up with his/her primary physician. Once the student follows up with the primary physician, then he/she will be assessed for scoliosis again utilizing the Adams Forward Bend Test to verify results obtained at outside institution. Once confirmed that the scoliometer does indicate a greater than 5-7 degree abnormal spinal curvature then further studies may be indicated. During this primary physician follow up, a complete medical history will be obtained which includes the patient’s past medical history, medications, allergies to any medications, past surgical history and family history of any medical conditions such as scoliosis. The physician will then perform a physical exam and obtain a set of radiographs that evaluate the patient’s spine to determine the degree of any abnormal curvature. It is the Cobb angle that is measured on these spine radiographs to determine the degree of abnormal curvature *(Boston Children’s Hospital, 2020)*. The spine radiographs will help to determine the specific physical characteristics associated with scoliosis. These characteristics include the location, shape, direction, and degree, or magnitude, of the curve and its rotation. The shape of the scoliotic curve may often be “S” shaped or “C” shaped, while more complex variations can often occur as well. The direction of the curve may be left, right or have clinical indications of both left and right curves within the spine. Scoliosis can present in the thoracic, lumbar, and cervical levels of the spine. The degree of the curve as measured via the Cobb angle will help to differentiate the types of scoliosis and determine the appropriate management protocol *(Boston Children’s Hospital, 2020)*. #### Treatment Options for Adolescent Idiopathic Scoliosis There are many different treatment options available for patients with Adolescent Idiopathic Scoliosis. The specific intervention will vary based on individual assessment and each intervention should be tailored to the specific patient’s needs and medical evaluation. However, there are some generalized practice guidelines that will help guide in the management of the three categorizations of scoliosis: mild, moderate and severe. As described above, mild scoliosis is defined as a Cobb angle less than 25 degrees. The indicated management for these patients may include observation, or often orthotic management, to prevent progression. For moderate scoliosis, which is defined as having a Cobb angle of greater than 25 degrees to around 40-45 degrees, the primary treatment modality is through the use of a scoliosis orthosis, or brace, to prevent further progression and avoid the potential need for surgical intervention. Finally, patients who have severe scoliosis, which means that the Cobb angle is greater than 40-45 degrees, and depending on the patients skeletal maturity or remaining growth, then surgery may be the indicated plan for treatment. However, bracing is often prescribed to minimize, or potentially prevent the need for such surgery. While these are generalized guidelines to help guide the management of patients with these degrees of scoliosis, it is not a rigid protocol. Each treatment plan must be tailored to the individual patient so that he/she receives the most appropriate standard of care. Scoliosis patients should be regularly monitored by their primary care physician, with routine physical examinations that will indicate if the scoliosis is stable or progressing. Monitoring is especially essential during periods of skeletal growth. For girls, periods of skeletal growth normally occurs between the ages of 10 years old to 14 years old. For boys, periods of skeletal growth usually occur between the ages of 12 years and 16 years *(Boston Children’s Hospital, 2020)*. However, every person grows at their own rate and timeline, so identifying scoliosis and intervening with treatment, is best and most successful in the earlier stages of growth. > ***“These braces are utilized with the intent of correcting the asymmetry, stopping the progression of the curves, and preventing the need for surgery.*** Orthotic management is indicated for patients within a wide range of scoliosis severity. These braces are utilized with the intent of correcting the asymmetry, stopping the progression of the curves, and preventing the need for surgery. Scoliosis braces are uniquely designed to meet the needs of the patient who has been diagnosed with scoliosis. These specialized braces are designed so that they address the specific individualized curve that is completely unique to the individual. The brace works to straighten the patient’s spine during the skeletal growth phase; therefore, preventing the further progression of the curve *(Boston Children’s Hospital, 2020)*. As a last resort, surgery may be indicated for patients with severe scoliosis. In patients with severe scoliosis they have a Cobb angle greater than 40-45 degrees which may result in significant cardiopulmonary compromise. As the abnormal curve continues to progress, there can be respiratory compromise. Therefore, it is when these negative outcomes begin to present that surgery may be indicated. The goal is to delay the surgery until after the patient has completed his/her growth spurt *(Boston Children’s Hospital, 2020)*. #### Review of Medical Literature There have been many studies that have evaluated the efficacy of nighttime braces for the treatment of Adolescent Idiopathic Scoliosis. The Providence® Orthosis is a nighttime brace that has proven its efficacy according to the research studies in the literature. According to the ***Spine Magazine***, *Volume 26 published in November 2001*, there was success in treating even those with large degree abnormal scoliotic curvatures. This study specifically evaluated the efficacy of the Providence Nocturnal Scoliosis Orthosis system in terms of curve magnitude. The study evaluated how well the Providence Orthosis was able to effectively treat high magnitude curves. There were equal number of patients in each group. Patient success and failure was described in terms of severity of abnormal curvature. The first group evaluated the effectiveness of the Providence® Nighttime Orthosis in patients who had curves between 20-24 degrees. The percent success rate in treatment of the patients in this group with the Providence® Orthosis was 81%; while the percent failure was much less at 19%. In treating patients with the Providence Orthosis who had spinal curves between 25-34 degrees, the success rates were 71%, with the failure rate being much less at 29%. Finally, in those patients who have severe scoliotic curves between 35-42 degrees, the treatment success rates with the use of the Providence® Orthosis was 63% and the failure rates were 37%. As you can see, the Providence® Orthosis via this study has been shown to improve outcomes in patients with Adolescent Idiopathic Scoliosis, even in those patients with severe forms of the disease. This is extremely important because the younger the patient, the larger the abnormal curve in the spine, the greater the chance of progression of this curve. Therefore, treating these curves before they progress can really make an impact on the quality of life of the patient. The ***European Spine Journal***, *Volume 28* published in 2019 evaluated the effectiveness of the Providence nighttime brace for patients with Adolescent Idiopathic Scoliosis in patients with curves between 20 degrees and 45 degrees. This study evaluated 124 patients with AIS all with Cobb angles greater than 20 degrees, remaining growth potential and no previous treatment for scoliosis. Of the 124 patients, 80 of those patients terminated brace treatment and followed up with their physician. Patients were monitored and evaluated via radiographs for progress. The results found that the mean in-brace correction was 82% and curve progression was observed in 9 patients. Brace treatment was successful in an overall 89% of patients. Of these 89% of patients who were treated successfully with the Providence® Brace, 88% had Cobb angles between 20-29 degrees, while 93% of the patients had Cobb angles between 30-39 degrees. Finally, of those patients 77% had Cobb angles between 40-45 degrees. Of those 80 AIS patients, 5 of them surgery was clinically indicated. The conclusions of this study indicated that Providence® nighttime braces as a means of treatment for Adolescent Idiopathic Scoliosis was effective even in large Cobb angle deformities. These results were comparable to the major full-time Boston brace *(Simony, 2019)*. An article published titled, “***Nighttime Bracing with the Providence Brace in Adolescent Girls with Idiopathic Scoliosis”*** *(2001)* was a prospective study that evaluated 102 female patients with Adolescent Idiopathic Scoliosis. These patients met the inclusion criteria and were treated with the Providence® Nighttime Orthosis. The results found that, *“in-brace correction with a supine radiograph was 96% for major curves and 98% for minor curves. Seventy-five patients (74%) did not progress >5° and 27 patients (26%) progressed ≥6° or went on to surgery. Twenty-nine percent of Risser 0 or 1 patients progressed and 17% of patients Risser 2 progressed”* *(D’Amato, 2001)*. Those patients with apexes between T8 and L1 had a 76% success when treated with the Providence® Orthosis. According to the article, *“With the Providence brace, 63% of thoracic curves and 65% of double curves were successful. Ninety-four percent of lumbar curves and 93% of thoracolumbar curves were successful”* *(D’Amato, 2001)*. These results suggest that the Providence® Orthosis is beneficial in the treatment of Adolescent Girls with Idiopathic Scoliosis under certain circumstances. #### Results/Conclusions The Providence® Nighttime Brace has been utilized as a modality to treat patients with Adolescent Idiopathic Scoliosis. This brace is worn at nighttime only and provides the adolescent with an opportunity to still fit into his/her social group, because he/she does not have to wear the brace outside of his/her home. This removes moves the stigma of embarrassment associated with full-time full contact scoliosis braces. The Providence® Nighttime Brace is utilized in many different patient populations, but has found a great benefit to those who suffer from obesity. The Providence® Orthosis, after literature review has shown how effective it is in the treatment of scoliotic curves, even those Cobb angles that are within the moderate to severe categories of scoliosis. The Providence® Nighttime Brace offers many benefits. ### Works Cited *Scoliosis Research Society. Adolescent Idiopathic Scoliosis. (2020).* *American Association of Neurological Surgeons. Scoliosis. (2020).* *Choudhry, M. N., Ahmad, Z., & Verma, R. (2016).* *Adolescent Idiopathic Scoliosis. The open orthopaedics journal, 10, 143–154.* *U.S. National Library of Medicine. MedlinePlus. (2013).* *El-Feky, M., Thuaimer, A., et. al., (2020). Cobb Angle. Radiopaedia.* *South Florida Scoliosis Center (2017).* *Boston Children’s Hospital. Scoliosis Diagnosis & Treatment. (2020).* *Spine Magazine, Volume 26 published in November 2001.* *Simony, A. Et. al, (2019). Providence® nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°. Volume 28; Issue 9.* *Roland d’Amato, Charles, MD, FRCS(C); Griggs, Sean, MD; McCoy, Barry, MEd, CPO* *Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis, Spine: September 15, 2001 - Volume 26 - Issue 18 - p 2006-2012.* #### Related Articles ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) ##### [Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-protocol) --- # Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices **Initial fitting** At the initial fitting, we recommend the practitioner draw lines on the straps to make it easier for the patient to gradually tighten their brace. The goal should be for the patient to have adjusted the straps to the tightest point within the first 2-3 weeks of wearing the brace, or before their follow up appointment and initial in-brace x-ray. Over time, the patient can progressively tighten the brace to its appropriate fit. After initial fitting of the brace, there is a “break-in period.” A loose fit is recommended until the patient can tolerate wearing the brace throughout the night. Then, progressive tightening should begin. **Initial “In-Brace X-ray” Protocol** Research shows there is a strong correlation between “best” or “initial” in-brace correction and follow up correction. The Providence® brace is a recumbent position orthosis. It is vital that the orthotist instruct the patient and care takers the proper donning of the brace to insure the best outcome for the “initial in-brace x-ray.” **In-Brace X-rays** All In-Brace X-rays must be taken **with the patient in the supine position**. The Providence Nocturnal Scoliosis® Orthosis is a recumbent brace. **Follow up appointments** At the 1st follow up appointment, the practitioner should check for any fitting issues the patient may be experiencing. Return visits should be every 3 months. The brace may need new straps after 6 months if the orthosis is being worn for the recommended time. Please keep in mind, it is recommended you follow the patients orthopedic surgeon’s “protocol.” If applicable, it is best to schedule your patients visit around the surgeons scheduled visits to limit the amount of inconvenience for the patient and family. **Benefits of the Providence® Orthosis:** The Providence® brace was designed to correct both single and multiple scoliotic curvatures while in the recumbent position. When considering lumbar correction in the Providence® brace, the pelvic area on the convex side of the curve is not enclosed in the brace which allows increased pad pressure and progressive lumbar correction as the patient’s pelvis widens with growth. Another design benefit is the large void areas opposing the convex side of curve/curves. These void areas allow for derotation of the spine, expansion of the lungs for proper breathing, and overall comfort for the patient. **Brace Spacer:** The Providence® brace is shipped with one (1) spacer (attached to the opening). This is to maintain the shape of the brace during shipping and handling as well as to limit unwanted effects of the brace opening and curling. We recommend providing the spacer for the patient to use when the brace is not being worn. **Wear Time Success** Studies have shown there is a direct correlation between the hours of brace wear and the rate of correction in Scoliosis patients. ### Related Links - [Download Providence Nocturnal Scoliosis® Orthosis Protocol](https://spinaltech.com/uploaded/uploads/Providence-Protocol_2025.pdf) - [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) - [The Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/the-providence-nocturnal-scoliosis-system) - [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) ## stWear® Compliance Monitoring System We developed the stWear® Compliance Monitoring System to help doctors, orthotists, parents and patients share the common goal of compliance. The system includes our online stWear® portal for physicians, practitioners and office administrators; a smartphone app for parents, and a compliance monitor with extended battery life and bluetooth capability. The portal and stWear® app are designed to work with the stWear® Compliance Monitor that can be added to any one of the many custom scoliosis braces we fabricate. stWear® Compliance App for Parents **Define and review reports** Through the stWear® dashboard the orthotist has the ability to create weekly or monthly reports that will tell how often, and for how long, the patient is actually wearing the brace. We also offer the smartphone app for iOS or Android as an additional way to monitor your patient's compliance at a glance. stWear® is a great tool for practices with multiple locations. **[Read More](https://spinaltech.com/resources/stwear-compliance-monitor)** **Patient Recommendations** As the Providence® brace is a nighttime orthosis, we recommend patients and parents take advantage of additional opportunities to extend wear time when possible. Encouraging the child to lie down in a recumbent position for extended periods of time will aid in achieving more compliance. Suggested ways to accomplish this include the use of a bean bag chair while lying supine and watching TV, reading a book, or hanging out with friends. **Bean Bag Chair** • Conveniently aids in compliance. • A comfortable and fun way to achieve more positive outcomes! #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Exercise for Adolescents with Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Exercise](/resources/tag/exercise) **The National Scoliosis Foundation** has published an informative article on *Exercise For Adolescents with Scoliosis*. This article describes advantages and limitations of exercise for adolescents with scoliosis. > In this article, we will present some of the advantages and limitations of exercise for adolescents with scoliosis. > > Several programs aimed at correcting or arresting scoliosis have been proposed over the decades. Through these programs one attempts to exert corrective forces on the spine by active contraction of trunk muscles in directions thought to reverse the scoliosis curves. Some approaches seek positions and postures which are noted to reduce the scoliosis deformity. > > Exercise programs have often been prescribed for those wearing corrective scoliosis braces. These are intended to help the wearer adapt to the brace, to encourage the active correction of the spinal deformity, and to maintain the trunk musculature during the bracing program. > > Fortunately, most people with scoliosis are completely normal in their ability to participate in sports and recreational exercises. For some with severe deformities leading to respiratory function changes, and for those post-scoliosis surgery patients, some sports restrictions may be advised. Your scoliosis specialist can make recommendations concerning these. Read the full article [here](https://www.scoliosis.org/exercise-for-adolescents/). © 2015 National Scoliosis Foundation #### Related Articles ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis Surgery](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis-surgery) --- # The Providence® Nocturnal Orthosis - Overview for Parents & Patients [Scoliosis,](/resources/tag/scoliosis) [Providence](/resources/tag/providence) At Spinal Technology, we manufacture custom scoliosis orthoses for each unique patient. We help orthotists and practitioners provide you with the best possible outcome. We offer our patented brace: The Providence Nocturnal Scoliosis® Orthosis among other brace designs for treatment of Adolescent Idiopathic Scoliosis (AIS). We encourage you to consult with your doctor and orthotist with any questions about scoliosis bracing. We strive to provide your orthotist with a custom brace that will most effectively stop or slow down your curve progression. We start every brace design evaluation knowing each patient and spinal curve is unique. Each orthosis requires different techniques and methods to achieve the best brace for you. Our clinicians and technicians have decades of experience, securing them with the optimal knowledge to get the job done right. Our team works with orthotists and clinicians around the world, to identify and develop the best approach for each patient. **We Care – We Care About Scoliosis** We care about your diagnosis. We are here to help you: to help you understand, learn, and prepare. Whether you are seeking scoliosis information for your child, yourself, or a loved one – there are multiple organizations and specialists willing to stand by you on this journey. **Spinal Technology, is one of them.** We are a proud National Sponsor of [Higgy Bears](https://higgybears.com/): an incredible non-profit dedicated to bringing together and supporting children with scoliosis and their families. Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis. **If your doctor or orthotist is not using the Providence® orthosis, ask them why?** ### Related Links - [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) - [Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-protocol) - [2019 – Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°](https://eprintservices.trustrack.com/weblink/d7f5762d6e6a86e4016edbff93601f0b) - [2001- Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis](https://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2001&issue=09150&article=00014&type=abstract) ## ## The Providence Nocturnal Scoliosis® Orthosis The Providence® orthosis is the first hyper corrective orthosis that is worn at night to treat adolescent idiopathic scoliosis. This revolutionary orthosis has gained in popularity because of its effectiveness in treating scoliosis and its enhanced ease of compliance among adolescent patients. The Providence Nocturnal Scoliosis® System combines the precise grid coordinates of the patented measuring board and utilization of a CAD/CAM system to effectively establish consistent spinal modification strategies. The Providence Nocturnal Scoliosis® Orthosis effectively corrects the scoliotic curves while the patient sleeps. **Human Growth Hormone** The Providence Nocturnal Scoliosis® Orthosis is a nighttime orthosis designed to be worn when optimal correction occurs during critical growth hours. There is elevated output of **Human Growth Hormone** (HGH) at night. The **initial in brace x-ray for the Providence® orthosis** is **98%** correction. Collectively the in brace x-ray of full-time bracing is 56%. There is a 42% differential in initial in brace x-ray results of the Providence® versus full-time braces. Research shows there is a strong correlation between best or initial in brace correction and follow up correction. Initial Correction Results - Spine Journal, September 15, 2001, Volume 26, Issue 18 Product Researchers Correction Milwaukee Carr et al. 55-60% Boston Emans et al. 50% Wilmington Basset et al. 50% Miami McCollough et al. 50% Charleston Price et al. 73% Providence Brace d'Amato et al. 98% **The Advantage of the Providence Nocturnal Scoliosis® Orthosis** Let us show you the advantages of this revolutionary nocturnal orthosis. **[Read More](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system)** ## ## Published Studies For more information on the success of the Providence® orthosis, see the published studies: **– Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°** Ane Simony, Inge Beuschau, Lena Quisth, Stig Mindadahl Jespersen, Leah Yaccat Carreon, Mikkel Osterheden Andersen *European Spine Journal, September 2019, Volume 28, Issue 9* **[Read more](https://eprintservices.trustrack.com/weblink/d7f5762d6e6a86e4016edbff93601f0b)** **– Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis** Charles Roland d’Amato, MD, FRCS(C), Sean Griggs, MD, and Barry McCoy, MEd, CPO Spine Journal, September 15, 2001, Volume 26, Issue 18* **[Read More](https://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2001&issue=09150&article=00014&type=abstract)******** ## ## Compliance **Compliance is critical to success in scoliosis bracing.** Wearing the Providence® orthosis eliminates the social stigma of having to wear a full-time, full coverage brace to school. In addition to the physical discomfort of wearing a full-time brace, many adolescents describe it as an isolating and uncomfortable experience which may negatively impact compliance rates. The patient wears the Providence® orthosis while sleeping, and for best results, should wear the Providence® brace while doing homework or watching TV in the supine position. For most patients this means 10 to 12 hours of wearing time; for juveniles it can be up to 16 hours as opposed to the 23 hours per day required for full-time bracing. **The Providence® Orthosis** The Providence is available for a variety of scoliosis curve types. There are multiple transfer and decal designs available to make each brace their own. **[See Transfer Patterns](https://spinaltech.com/transfer-patterns)** Below are examples of the Providence® custom orthoses we fabricate to address Lumbar, Thoracic and Double Major Scoliosis spinal curves. Each brace is custom designed and fabricated to the individual patient based on x-ray evaluation of their curve type. Talk with your orthotist for more information. Providence® Double Major Curve Orthosis Providence® Lumbar Curve Orthosis Providence® Thoracolumbar Curve Orthosis - Providence® Double Major Curve Orthosis - Providence® Lumbar Curve Orthosis - Providence® Thoracolumbar Curve Orthosis ## ## Providence® Brace Correction **The proof is in the correction.** Below are x-ray results of the Providence® orthosis correction on different scoliosis curves. - ##### 27° Right Thoracic, 21° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 45° Right Thoracic, 50° High Left Thoracic Curve Original Patient In-Brace (Supine) - ##### 27° Right Lumbar Curve / Risser 2 Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 25° Right Thoracic, 21° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 34° Right Thoracic, 30° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 26° Right Thoracic, 26° Left Thoracolumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 24° Right Thoracic, 17° Left Lumbar Curve / Risser 2 Original Patient In-Brace (Supine) **We’re a proud national sponsor of Curvy Girls.** Curvy Girls is a worldwide nonprofit organization dedicated to bringing together and supporting young girls with scoliosis.**[Read More](https://www.curvygirlsscoliosis.com)** ## Scoliosis Resources **Scoliosis Research Society** The Scoliosis Research Society is the premier international society aimed at fostering optimal care for all patients with spinal deformities. [www.srs.org](http://www.srs.org) **National Scoliosis Foundation** The National Scoliosis Foundation provides Patient Support and Resources through written materials, verbal communications, referrals, physical meetings and online services that help to educate, engage and empower patients and families. [www.scoliosis.org](http://www.scoliosis.org) **Scolios-us** Scolios-us, LLC, is a web-based platform intended to empower scoliosis patients with the tools and resources they need to be successful brace-wearers. [www.bracingforscoliosus.org](https://www.bracingforscoliosus.org) **Curvy Girls Scoliosis** A community of teenage patients with Adolescent Idiopathic Scoliosis (AIS) aimed at empowering their members and discussing living with scoliosis among peers. [www.curvygirlsscoliosis.com](http://www.curvygirlsscoliosis.com) **Straight Talk Scoliosis** A publication, Straight Talk with the Curvy Girls, Robin and Terry help to minimize the physical, emotional and financial burdens for scoliosis patients and families, which are often intensified by feelings of being isolated and alone. By sharing their own personal stories, young female patients and their moms give meaningful support to anyone with scoliosis and a powerful message that ‘You are not alone.’ [www.straighttalkscoliosis.com](http://www.straighttalkscoliosis.com) #### Related Articles ##### [A Parent's Guide to the Providence Nocturnal Scoliosis® Brace](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) ##### [Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-protocol) ##### [Providence® Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/providence-scoliosis-orthosis-wear-and-care) --- # How to Keep Your Brace Clean [Scoliosis,](/resources/tag/scoliosis) [Brace,](/resources/tag/brace) [Summer](/resources/tag/summer) With warmer weather comes the need to clean your brace more frequently. Many patients are in their brace 21+ hours a day. You want to keep your brace looking (and smelling) good. Use clean hands when touching your brace. While straps and pads are replaced periodically, it's important to keep them clean in between replacements. Use a small amount of rubbing alcohol or an antibacterial wipe to gently wipe down your brace. You can also use a little soap and water, but don't immerse your brace in water. #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Full Time Scoliosis Orthosis - Wear and Care [Wear and Care,](/resources/tag/wear-and-care) [Full-Time Bracing](/resources/tag/full-time-bracing) Your custom Full Time scoliosis brace is designed to provide you with secure, comfortable spinal support. The information below – along with the specific guidance from your orthotist – will tell you what to expect when using your spinal orthosis. Follow your health care providers’ instructions carefully to use this device safely and effectively; this document is designed to give you general wear and care instructions. Please take the time to read this information carefully. Always contact your orthotist if you have any questions. ## Donning The Brace ### Step 1 Have the child open the brace and place around their waist. The waist pads located inside should help them position the brace properly. The waist pads should rest between the top of their hipbone and their lowest rib (waist). Make sure the waist pads on each side of the brace are properly located and the orthosis is centered at the midline of their spine. ### Step 2 With the brace properly positioned in the waist, tighten the middle strap to secure the brace, then proceed to progressively tighten all straps. Straps should be tightened to reach the goals or targets as instructed by your orthotist. Patients who are new to bracing, may need some assistance in applying the orthosis. Parents or Caregivers, should assist in making sure all wearing instructions and strap tensions are accurately being applied. Consult your orthotist for additional guidance as needed. ### Step 3 Most spinal braces have a tendency to migrate upward. A slight change in the location of the spinal brace is expected after having been seated or lying down. Be sure the straps on the orthosis are secured firmly enough to avoid migration. . ### Proper Strap Tension Straps should be tightened so the brace is snug and secured in the desired position. If the orthosis is worn too loose, allowing for excessive shifting and movement, you may experience rubbing and discomfort. Cornstarch or alcohol may be helpful for irritated skin. **Do not use lotions or moisturizers under the orthosis, as that can lead to skin irritation and breakdown.** Follow your Orthotists instructions on achieving the optimal strap tension. New brace wearers may need time to adjust, and your orthotist may set goals for progressive tightening. ### Cleaning The orthosis can be cleaned with soap and warm water or rubbing alcohol. Be sure to thoroughly rinse any soap/detergents off and dry the orthosis before donning. ### Comfort Tips Always wear your spinal brace over a cotton T-shirt that provides coverage in all of the contact areas of the brace. Try to keep the fabric smooth against skin and avoid fabric wrinkles or bunching. Feel free to change your T-shirt halfway through the day to increase your comfort. ### Areas of Redness Some minor surface redness is common and should dissipate quickly. Check for localized redness after each wearing period and before continuing with the break-in schedule. If redness, irritation persists call your orthotist for adjustments. ### Break-in Procedure Begin use of the brace with an initial wearing period of one half-hour. If you find no problems or have no questions, you may safely double each wearing period. For example, ½ hour to 1 hour, 1 hour to 2 hours, 2 hours to 4 hours etc. Your orthotist will give you instructions on how many hours per day you should be wearing the orthosis for best results. ### Follow-up care Follow-up visits with your Physician and Orthotist are vital for your healing – don’t skip any scheduled appointments. Adjustments for fit and function can be made by appointment with your orthotist. ### Related Links - [Full Time Scoliosis Wear Care - English](https://spinaltech.com/uploaded/uploads/Full-Time-Scoli_WearCare-01.2026.pdf) - [Full Time Scoli Wear Care ES 01 2026](https://spinaltech.com/uploaded/uploads/Full-Time-Scoli_WearCare_ES-01.2026.pdf) - [Full Time Scoli Wear Care- DUTCH](https://spinaltech.com/uploaded/uploads/Full-Time-Scoli_WearCare_NL-01.2026.pdf) ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### [Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) #### Related Articles ##### [What is a 3D Boston (Style) Brace?](https://spinaltech.com/resources/what-is-a-3d-full-time-brace) ##### [Watch How Your Brace Gets Made?](https://spinaltech.com/resources/how-does-your-brace-get-made) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) --- # Providence® Scoliosis Orthosis - Wear and Care [Wear and Care](/resources/tag/wear-and-care) Your custom Providence® spinal brace is designed to provide you with secure, comfortable spinal support. The information below – along with the specific guidance from your orthotist – will tell you what to expect when using your spinal orthosis. Follow your health care providers’ instructions carefully to use this device safely and effectively; this document is designed to give you general “getting started” instructions. Please take the time to read this information carefully. Always contact your orthotist if you have any questions. ## Donning Your Spinal Brace **1.** Sitting on edge of bed, open the brace and slide it around your torso. Be sure to center the brace in the middle of your spine. Lie down and position the lumbar pad at your waist level. **2.** While lying down, evenly fasten the straps making sure the brace opening is parallel. Tighten the middle strap first, then working upwards from bottom to top. **3**. Brace should be tightened to fit snug, gradually working up to the markings the orthotist has made on the straps. **4.** Make sure no straps are twisted. ### Proper Strap Tension Straps should be tightened so they are comfortably snug. The object is to eliminate excess motion between your body and the orthosis, but NOT to overtighten the straps. Look for pre-marked lines your orthotist may have made on the straps for quick reference. ### Cleaning The orthosis can be cleaned with soap and warm water or rubbing alcohol. Be sure to thoroughly rinse any soap/detergents off and dry the orthosis before donning. ### Comfort Tips Always wear your spinal brace over a cotton T-shirt that provides coverage in all of the contact areas of the brace. Try to keep the fabric smooth against skin and avoid fabric wrinkles or bunching. Feel free to change your T-shirt halfway through the day to increase your comfort. ### Areas of Redness Some minor surface redness is common and should dissipate quickly. Check for localized redness after each wearing period and before continuing with the break-in schedule. If redness, irritation persists call your orthotist for adjustments. ### Break-in Procedure Remember this brace is designed for nocturnal use and should be worn only when lying down at night. Begin use of the brace with an initial wearing period of one half-hour. If you find no problems or have no questions, you may safely double each wearing period. For example, ½ hour to 1 hour, 1 hour to 2 hours, 2 hours to 4 hours etc. Eventually wearing orthosis through the night. Your orthotist will give you instructions on how many hours per night you should be wearing the orthosis for best results. ### Follow-up care Follow-up visits with your Physician and Orthotist are vital for your healing – don’t skip any scheduled appointments. Adjustments for fit and function can be made by appointment with your orthotist. - [ST Providence Wear Care - ENGLISH](https://spinaltech.com/uploaded/uploads/Providence_WearCare-01.2026.pdf) - [Providence Wear & Care- SPANISH](https://spinaltech.com/uploaded/uploads/Providence_WearCare_ES-01.2026.pdf) - [Providence Wear & Care- DUTCH](https://spinaltech.com/uploaded/uploads/Providence_WearCare_NL-01.2026.pdf) - [A Parent's Guide to the Providence Nocturnal Scoliosis® Brace](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) ## A Patient Recommendation As the Providence® brace is a nighttime orthosis, we recommend patients and parents take advantage of additional opportunities to extend wear time when possible. Encouraging the child to lie down in a recumbent position for extended periods of time will aid in achieving more compliance. Suggested ways to accomplish this include the use of a bean bag chair while lying supine and watching TV, reading a book, or hanging out with friends. **Bean Bag Chair** • Conveniently aids in compliance. • A comfortable and fun way to achieve more positive outcomes! #### Related Articles ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) ##### [Positive Providence® Brace Patient Outcomes](https://spinaltech.com/resources/positive-providence-brace-patient-outcomes) ##### [Keeping Cool with Your Scoliosis Brace in the Summer](https://spinaltech.com/resources/keeping-cool-with-your-scoliosis-brace-in-the-summer) --- # Urgent Spinal Trauma Bracing # Emergency Rooms don’t just work from 9 to 5, and neither do we. # Accidents causing spinal trauma can happen anytime – overnight, weekends and holidays. We understand your urgency. Spinal Technology offers a variety of custom spinal braces that address your patient’s most critical need for immobilization and spinal stabilization. Our custom TLSO and LSO orthoses are expertly crafted to your patients’ measurements for both comfort and fit, and are designed to provide the best outcome. After 30 years and over a million custom braces fabricated, **our customers depend on our quality, and our reliability in delivering what they need, when they need it**. In most cases, we can turn around a custom fabricated orthosis and deliver it the next business day, depending on time of order placed, and carrier flight availability. We do everything within our control to make sure you have the brace when you need it. # Custom Spinal Braces For Trauma **TLSO Bivalve** • Post-Operative Spinal Stabilization • Post-Operative Spinal Fusion • Compression Fraction • Burst Fracture For more information [click here](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap). **LSO Anterior Overlap** • Post-Operative Lumbar Stabilization • Post-Operative Lumbar Fusion • Compression Fraction • Degenerative Disc Disease • Sport Injury For more information [click here](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap). **LSO Bivalve** • Post-Operative Lumbar Surgery • Degenerative Disc Disease • Herniated Disc • Compression Fracture For more information [click here](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap). ## Turn-Around Time Our goal is to **get you the brace you need ... when you need it**. Placing orders in a timely manner maximizes our ability to meet your fabrication and delivery requirements. Our Customer Service Team is always available to help you. Call to place an order at **800 253 7868** or send orders via email to ****. **LSO Flex Foam® 1 - Bivalve** • Post-Operative Trunk Stabilization • Cerebral Palsy • Muscular Dystrophy • Cancer Patients For more information [click here](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam). **CTLSO Bivalve** • Post-Operative Cervical Fusions • High Compression Fractures • Anterior and Posterior Control of Cervical Spine • Herniated Cervical Disc For more information [click here](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-with-cervical-extension). ## Our Torso Mold Library West Yarmouth, MA | Louisville, KY Our collective custom mold library of over 6,500 molds provides a huge advantage for reducing turn-around time. From our library, we select the mold that is closest to your patient’s measurements on the orthometry form submitted with each order and, with slight modifications, we create a duplicate of your patient’s torso. This enables us to expedite the fit and finish and produce a custom orthosis that ensures the highest quality product. See our family of Custom Spinal Braces for Spinal Trauma [here](https://spinaltech.com/custom-spinal-braces). All of these products can be ordered for delivery the next business day. At Spinal Technology, we're here to support you, the practitioner, and meet your patients' most urgent spinal bracing need for comfort and recovery. Custom spinal orthoses fabrication in two locations, West Yarmouth, MA and Louisville, KY Quality control from order to delivery Delivery to your office for the next business day - Custom spinal orthoses fabrication in two locations, West Yarmouth, MA and Louisville, KY - Quality control from order to delivery - Delivery to your office for the next business day ## ## Delivery Partner **United Parcel Service** UPS is our partner for Next Day delivery. Any UPS service alerts that effect delivery can be found [here](https://www.ups.com/us/en/service-alerts.page). **Track your** [**UPS shipment**](https://www.ups.com/track?loc=en_US&requester=ST/)**. ## We’re here to take your order... call us at 800 253 7868 **Weekdays 8:30 AM – 9:00 PM** (EST) • Order by 9 PM (EST) for UPS\* Next Day orders **Saturday** Extended Service Hours **10:00 AM – 7:00 PM** (EST) • Sunday delivery available, subject to flight schedule • UPS Next Day orders for delivery on Monday **Sunday** Extended Service Hours **10:00 AM – 7:00 PM** (EST) • Same day or Monday delivery based on time order placed, flight availability & courier **Holidays** Extended Service Hours • Same day or Next Day delivery based on time order placed, flight availability & courier \* Check UPS Saturday delivery availability in your area #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Pectus Carinatum Orthosis (Article) **O&P Edge** August 2020 Issue **O&P Edge magazine** has published an informative article on ***Pectus Carinatum: The Other Deformational Molding Orthosis*** written by **Phil Stevens, MEd, CPO, FAAOP** in the August 2020 issue. This article summarizes available insight from recent publications as this modality continues to gain popularity in the field of orthotic rehabilitation. > *“ The broad acceptance of conservative management of pectus carinatum was reflected in the 2012 guidelines of the American Pediatric Surgical Association, which include the following:* > *As reconstructive therapy for the compliant pectus deformity, non­operative compressive orthotic bracing is usually an appropriate first-line therapy as it does not preclude the operative option. For appropriate candidates, orthotic bracing of chest wall deformities can reasonably be expected to prevent worsening of the deformity and often result in a lasting correction of the deformity. Orthotic bracing is often successful in prepubertal children whose chest wall is compliant. Expert opinion suggests that the noncompliant chest wall deformity or significant asymmetry of the pectus carinatum deformity caused by a concomitant excavatum-type deformity may not respond to orthotic bracing.* > *Thus, in the span of a few decades, conservative management has developed into a widely accepted first-line approach for this congenital deformity."* > *“As described, pectus carinatum represents a defect in the growth of the costal cartilage between the ribs and the sternum characterized by an outward protrusion. While this presentation can appear in childhood, it often fails to become apparent until puberty, at which time it can progress in its severity. The efficacy of orthotic management is largely dependent upon its timing, as there is generally a window of opportunity between when the deformity becomes more noticeable and the ossification of the chest wall that comes with continued maturation. If the compressive treatment is initiated during this window, while the chest wall is still pliable, the costal cartilage can be manipulated to a more anatomic position, avoiding the risks of surgery.”* **Read the full article [here](https://opedge.com/Articles/ViewArticle/2020-08-01/pectus-carinatum-the-other-deformational-molding-orthosis).** © 2020 Western Media LLC, Publisher of The O&P Edge ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### [Pectus Carinatum Orthosis](https://spinaltech.com/pectus-carinatum-orthosis) [Product Details](https://spinaltech.com/pectus-carinatum-orthosis) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # LSO- Anterior Opening Wearing Instructions [Wear and Care,](/resources/tag/wear-and-care) [Bracing,](/resources/tag/bracing) [Spinal Orthoses](/resources/tag/spinal-orthoses) Your custom-made LSO spinal orthosis with an anterior overlap opening, is designed to provide you with secure, comfortable upper body support. The information below, along with the specific guidance from your orthotist, and/or physician, will tell you what to expect when using your spinal orthosis. Follow your health care providers’ instructions carefully to use this device safely and effectively; this document is designed to give you general “getting started” instructions. Please take the time to read this information carefully. Always contact your orthotist if you have any questions. ### **Putting on your orthosis** 1\. Before donning the orthosis make sure to wear a tight-fitting cotton T-Shirt or stockinette. The material should be smooth; wrinkles under the orthosis can cause irritation or skin breakdown. 2\. First identify top and bottom of the brace. Bottom of orthosis should be slightly contoured where brace fits over hips. While standing, wrap orthosis around waist, and align waist indentation. Feed straps through loops and attach loosely. 3\. Lie down on bed, flex hips slightly by bending at the knees. 4\. While lying down, loosen straps, and align orthosis with waist indentation between hip and ribs. 5\. Once the orthosis is positioned properly, tighten straps starting with middle and then alternate between top and bottom straps. Tighten straps as needed. **Positioning Your Spinal Brace** Use the waist indentations on the spinal orthosis to position your brace. The waist should rest between the top of your hipbone and your lowest rib (waist). Be sure the waist on each side of the brace is properly located and the orthosis is centered at your midline. **Proper Strap Tension** Straps should be tightened so they are comfortably snug. The object is to eliminate excess motion between your body and the orthosis, but NOT to overtighten the straps. Look for pre-marked lines your orthotist may have made on the straps for quick reference. **Jacket Migration** Most spinal braces have a tendency to migrate upward. A slight change in the location of the spinal brace is expected when you sit up after having been lying down. Be sure the straps on the orthosis are secured firmly enough to avoid migration. **Comfort Tips** Always wear your spinal brace over a cotton T-shirt that provides coverage in all of the contact areas of the brace. Try to keep the fabric smooth against skin and avoid fabric wrinkles or bunching. If necessary, change your T-shirt halfway through the day to increase your comfort. **Areas of Redness** Some minor surface redness is common and should dissipate quickly. Check for localized redness after each wearing period and before continuing with the break-in schedule. If redness, irritation persists call your orthotist for adjustments. **Adjustments** Adjustments for fit and function can be made by appointment. **Follow-up care and Emergencies** Follow-up visits with your Physician and Orthotist are vital for your healing – don’t skip any scheduled appointments. Adjustments for fit and function can be made by appointment with your orthotist. ### Related Links - [LSO Anterior Overlap Wearing Instructions](https://spinaltech.com/uploaded/uploads/LSO-Anterior-Overlap_WearCare-02.2026.pdf) #### [LSO Anterior Overlap](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap) #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Providence® Nocturnal Scoliosis Orthosis - Medical Studies See the published medical studies on the success of the Providence® Nocturnal Scoliosis Orthosis. European Spine Journal **– Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°** Ane Simony, Inge Beuschau, Lena Quisth, Stig Mindadahl Jespersen, Leah Yaccat Carreon, Mikkel Osterheden Andersen *European Spine Journal, September 2019, Volume 28, Issue 9* [**Read more**](https://link.springer.com/article/10.1007/s00586-019-06077-z) #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) Spine Journal **– Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis** Charles Roland d’Amato, MD, FRCS(C), Sean Griggs, MD, and Barry McCoy, MEd, CPO *Spine Journal, September 15, 2001, Volume 26, Issue 18* [**Read More**](https://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2001&issue=09150&article=00014&type=abstract) ### Related Links - [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) - [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) ### Questions concerning The Providence Nocturnal Scoliosis® System? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### Related Articles ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) ##### [Education with Jonathan Taylor](https://spinaltech.com/resources/education-with-jonathan-taylor) ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) --- # S.T.O.P. Orthosis - Wear and Care Information [Wear and Care](/resources/tag/wear-and-care) Your S.T.O.P. (Spinal Trauma Orthotic Positioning) Orthosis is a prefabricated bivalve brace designed to provide you with secure, comfortable spinal support. The information below – along with the specific guidance from your physician & orthotist – will tell you what to expect when using your spinal orthosis. Before donning orthosis, patient should be sure to wear a tight-fitting, cotton t-shirt or stockinette. Wrinkles under the orthosis can cause irritation and skin breakdown. Follow physician and orthotist instructions for length of orthosis wear. ## Orthosis Donning Instructions **Step 1** Patient should be on back with hips flexed slightly. Palpate waist (area above hips and below ribs) to demonstrate proper position of orthosis location. **Step 2** Raise patient’s arm above their head. Log roll patient toward raised arm onto their side. Be sure hips and upper body move together without twisting. **Step 3** Identify top & bottom of orthosis. Place back section of orthosis behind patient. Waist rolls in orthosis should align with patient’s waist. **Step 4** Roll patient onto back with orthosis under them. Recheck alignment of waist rolls with patient in this position. Move orthosis accordingly. **Step 5** Place front section of orthosis on patient noting top and bottom. Straps and loops should be across from each other. **Step 6** Fasten middle straps first pulling both sides evenly. Tighten top or bottom straps next in same manner. Tighten all straps as needed. For S.T.O.P. III & IV braces, lace the axilla or shoulder straps through the loops and fasten so that the thoracic extension and/or sternal shield are flush against patient’s chest ### Proper Strap Tension Straps should be tightened so they are comfortably snug. The object is to eliminate excess motion between your body and the orthosis, but NOT to overtighten the straps ### Cleaning The orthosis can be cleaned with soap and warm water. Be sure to thoroughly rinse any soap/detergents off and completely air dry the orthosis before donning. ### Comfort Tips Always wear your spinal brace over a cotton tee shirt that provides coverage in all of the contact areas of the brace. Try to keep the fabric smooth against skin and avoid fabric wrinkles or bunching. Feel free to change your tee shirt halfway through the day to increase your comfort. ### Areas of Redness Some minor surface redness is common and should dissipate quickly. Check for localized redness after each wearing period and before continuing with the break-in schedule. If redness, irritation persists call your orthotist for adjustments. ### Break-In Procedure Some patients may find it beneficial to follow a “break-in” procedure to adjust to wearing a brace. Begin with an initial wearing period of one half-hour. If you find no problems or have no questions, you may safely double each wearing period. For example, ½ hour to 1 hour, 1 hour to 2 hours, 2 hours to 4 hours etc. Your orthotist will give you instructions on how many hours per day you should be wearing the orthosis for best results ### Follow-up care Follow-up visits with your Physician and Orthotist are vital for your healing – don’t skip any scheduled appointments. Adjustments for fit and function can be made by appointment with your orthotist. Follow physician and orthotist instructions for acceptable activities while wearing orthosis. **Physician’s orders should supersede all protocol.** ### Related Links - [S T O P Orthosis Wear Care 03 2024](https://spinaltech.com/uploaded/uploads/S.T.O.P.-Orthosis_WearCare-03.2024.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### [S.T.O.P. Orthoses](https://spinaltech.com/s-t-o-p-orthosis) [Product Details](https://spinaltech.com/s-t-o-p-orthosis) #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Bivalve Spinal Brace - Wear and Care Information [Wear and Care](/resources/tag/wear-and-care) Your new spinal brace is designed to provide you with secure, comfortable upper body support. The information below – along with the specific guidance from your orthotist and or physician – will tell you what to expect when using your spinal orthosis. Follow your health care providers’ instructions carefully to use this device safely and effectively; this document is designed to give you general “getting started” instructions. Please take the time to read this information carefully. Always contact your orthotist if you have any questions. **Things to know** • Before donning orthosis patient should be sure to wear a tight-fitting, cotton t-shirt or stockinette. Wrinkles under the jacket can cause irritation and skin breakdown. • The orthosis can be cleaned with soap and warm water or rubbing alcohol. • Follow physician and orthotist instructions for length of orthosis wear. • Follow physician and orthotist instructions for activities acceptable while wearing orthosis. • Physician’s orders should supersede all protocol. ## Bivalve Brace Donning Instructions ### Related Links - [Custom Bivalve Orthosis Wear & Care](https://spinaltech.com/uploaded/uploads/Custom-Bivalve-Orthosis_WearCare-01.2026.pdf) - [TLSO FlexFoam Wear & Care](https://spinaltech.com/uploaded/uploads/Flex-Foam_WearCare-04.2026.pdf) - [TLSO Bivalve Wear & Care- SPANISH](https://spinaltech.com/uploaded/uploads/Flex-Foam_WearCare_ES-01.2026.pdf) ### Related Products - [TLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) - [TLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam) - [TLSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-flex-foam-2-bivalve) - [LSO - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap) - [LSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-i) - [LSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-ii) - [CTLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-with-cervical-extension) - [CTLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-flex-foam-i-with-cervical-extension) - [Bivalve with Hip Joint and Thigh Cuff](https://spinaltech.com/custom-hip-braces/bivalve-with-hip-joint-and-thigh-cuff) **Step 1** Patient should be on back with hips flexed slightly. Palpate waist (area above hips and below ribs) to demonstrate proper position of orthosis location. **Step 2** Raise patient’s arm above their head. Log roll patient toward raised arm onto their side. Be sure hips and upper body move together without twisting. **Step 3** Identify top & bottom of orthosis. Place back section of orthosis behind patient. Waist rolls in orthosis should align with patient’s waist. **Step 4** Roll patient onto back with orthosis under them. Recheck alignment of waist rolls with patient in this position. Move orthosis accordingly. **Step 5** Place front section of orthosis on patient noting top and bottom. Straps and loops should be across from each other. **Step 6** Fasten middle straps first pulling both sides evenly. Tighten top or bottom straps next in same manner. Tighten all straps as needed. ### Proper Strap Tension Straps should be tightened so they are comfortably snug. The object is to eliminate excess motion between your body and the orthosis, but NOT to overtighten the straps ### Areas of Redness Some minor surface redness is common and should dissipate quickly. Check for localized redness after each wearing period and before continuing with the break-in schedule. If redness, irritation persists call your orthotist for adjustments. ### Follow-up care Follow-up visits with your Physician and Orthotist are vital for your healing – don’t skip any scheduled appointments. Adjustments for fit and function can be made by appointment with your orthotist. ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### Related Articles ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) ##### [A Parent's Guide to stWear® Compliance Monitor System](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) ##### [Brace Patterns Photo Gallery](https://spinaltech.com/resources/brace-patterns-photo-gallery) --- # Providence® Orthosis Casting Procedure Below are the casting instructions for the Providence® Nocturnal Scoliosis brace for orthotists. ## Two Piece Plaster Only Casting **Step 1.** • Apply tight tube stockinette • Mark ASIS, Costal Margin, Illiac Crest, Trochanters, Sternal notch with indelible marker • Take measurements according to ST Scoliosis Form **Step 2.** • Use 4 ply plaster splints vertically • Cover all boney landmarks • Extend past midline laterally **Step 3.** • Lock splints together with plaster roll applied horizontally **Step 4.** • Massage plaster until smooth • Mold in slightly above iliac crest and below 12th rib - (waist) **Step 5.** • After anterior hardens roll patient to prone position with anterior cast in place • Use parting agent (soap) laterally so posterior half doesn’t adhere to anterior • Mark landmarks coccyx, inferior angle of scapula **Step 6.** • Use 3 ply plaster splints starting laterally, overlapping anterior section • Cover landmarks **Step 7.** • Lock splints together with plaster roll applied horizontally **Step 8.** • Let plaster harden • Separate posterior section from anterior • Roll patient, take off anterior section ### One Piece Plaster/Fiberglass/Synthetic Casting **Step 1.** • Apply tight tube stockinette with cut strip anteriorly • Mark ASIS, Coastal Margin, Illiac Crest, Trochanters, Sternal Notch with indelible marker **Step 2.** • Apply synthetic wrapping • Cover all boney landmarks **Step 3.** • While wrap is drying, lay patient down on back with hips flexed slightly to reduce lordosis • Let wrap harden **Step 4.** • Mark key lines horizontally across cut strip • Cut wrap on cut strip **Step 5.** • Remove cast carefully, minimizing distortion #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Pectus Carinatum Wearing Protocol [Bracing,](/resources/tag/bracing) [pectus,](/resources/tag/pectus) [Wear and Care](/resources/tag/wear-and-care) ### Success To Treatment Of Pectus Carinatum Is Wearing The Orthosis The custom-made orthosis should be positioned and worn as instructed by the Orthotist. To maximize compression and correction the patient should be encouraged to wear the orthosis as much as possible and as tight as tolerable. The patient is suggested to wear the orthosis a maximum of 23 hours or as directed by the referring physician. Brace should be removed while participating in sports and during bathing or showering. The physician will determine when correction has been accomplished and a weaning protocol will be worked out. **Comfort Tips** Always wear your Pectus brace over a cotton tee shirt that provides coverage in all of the contact areas of the brace. Try to keep the fabric smooth against skin and avoid fabric wrinkles or bunching. ### Related Links - [Pectus Carinatum Orthosis Wear Care](https://spinaltech.com/uploaded/uploads/Pectus-Carinatum-Orthosis_WearCare-04.2026.pdf) #### Related Articles ##### [Pectus Carinatum Orthosis (Article)](https://spinaltech.com/resources/o-p-edge-article-on-pectus-carinatum-orthosis) ##### [What is a Pectus Carinatum brace?](https://spinaltech.com/resources/what-is-a-pectus-carinatum-brace) ##### [Types of Scoliosis Braces: The Complete Guide for Teens and Families](https://spinaltech.com/resources/types-of-scoliosis-braces-the-complete-guide-for-teens-and-families) --- # Exacting fit & fabrication through advanced technology At Spinal Technology, we make a major commitment to invest in advanced technology and systems that continually enhance our fabrication capabilities. - Spinal Technology, was the first central fabrication facility in the industry to use CAD/CAM for fabricating spinal orthoses. - We maintain a growing library of over 6,000 patient molds to speed the fabrication of precise and specific custom contours. - Advanced casting, measurement, and body scan systems help us meet your most rigorous standards for exact and precise fit. - Spinal Technology was the first company in our industry to develop and provide an easy to use app for practitioners. Our SpinalTech3D™ Scan app simplifies ordering our custom spinal braces by integrating scans, images and practitioner instructions into one secure file. ### Related Links - [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Not a customer yet? Download our [**credit application**](https://spinaltech.com/uploaded/forms/Credit-Application-2023-FINAL.pdf) to get started or call us at **800-253-7868** to open your account. **From Scan to Finish** We have over two decades of CAD/CAM and brace design experience for both spinal trauma and Scoliosis patients. Combined with our two facilities and six CNC carving machines, we can provide quicker turn-around time for practitioners and better custom fit for their patient. Over 6000 molds in our two facilities ## ## Using our SpinalTech3D™ Scan app **Key Advantages:** **•Cuts out the time and mess of casting** **•Improves and streamlines the patients experience** **•Creates precise models and measurements** **•Eliminates the costs and time required for shipping casts** **•Easy to Use!!!** **The SpinalTech3D™ Scan app** The next advancement in technology for practitioners. Our app simplifies ordering our custom spinal braces by integrating scans, images and practitioner instructions into one secure file. There is **no cost for the SpinalTech3D™ Scan app**, it will improve accuracy and save time. [Read More](https://spinaltech.com/resources/spinaltech3d-scan-app) Our SpinalTech3D™ Scan app scans patients in 3D We continue to advance our expertise combining technology with traditional modification techniques. At Spinal Technology, we are dedicated to providing our practitioner customers with a quality product that fits correctly—no matter what the pathology. Clinical X-Ray evaluation defines patient brace design CAD display of body planes - Saggital, Coronal and Transverse Traditional mold modification for customization - Clinical X-Ray evaluation defines patient brace design - CAD display of body planes - Saggital, Coronal and Transverse - Traditional mold modification for customization #### Related Articles ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) --- # Kyphologic Orthosis - Product Options [Kyphosis,](/resources/tag/kyphosis) [Brace](/resources/tag/brace) Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner 3/16” Aliplast unlined Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Kyphologic Brace](https://spinaltech.com/scoliosis-braces/kyphologic-brace) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a Kyphologic Brace?](https://spinaltech.com/resources/what-is-a-kyphologic-brace) ##### [Kyphosis Orthosis - Product Options](https://spinaltech.com/resources/kyphosis-orthosis-product-options) ##### [Types of Scoliosis: A Visual and Practical Guide for Families](https://spinaltech.com/resources/types-of-scoliosis) --- # LSO Anterior Overlap - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Available Plastics Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Recommended Aliplast Liner 1/8” Aliplast Other Liner Thickness Available 3/16”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Spring steel strap kit Paraspinal reinforcements Posterior steel stays ### Related Links - [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Anterior Overlap](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Corset Front Orthosis - Product Options](https://spinaltech.com/resources/lso-corset-front-product-options-1) --- # LSO Corset Front Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Corset Front](https://spinaltech.com/custom-spinal-braces/lso-posterior-section-with-corset-front) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Corset Front Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Axilla straps Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Corset Front](https://spinaltech.com/custom-spinal-braces/tlso-posterior-section-with-corset-front) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Bivalve with Hip Joint and Thigh Cuff Orthosis - Product Options Recommended Plastic Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical Relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Available Hip Joints Becker Drop Lock Becker Multi Axis Sternal Extensions Sternal Shield (axilla or shoulder straps) C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Other available options Shoulder straps Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Bivalve with Hip Joint and Thigh Cuff](https://spinaltech.com/custom-hip-braces/bivalve-with-hip-joint-and-thigh-cuff) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Single Opening with Hip Joint and Thigh Cuff Orthosis - Product Options Recommended Plastic Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical Relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Available Hip Joints Becker Drop Lock Becker Multi Axis -Other Hip Joints Available | Call us for more information Other available options Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Single Opening with Hip Joint and Thigh Cuff](https://spinaltech.com/custom-hip-braces/single-opening-with-hip-joint-and-thigh-cuff) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Flex Foam® 2 Bivalve Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets **Flex Foam® 1 - Overlap Options** Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Open with tongues Anterior over posterior foam overlapping foam - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Open with tongues - Anterior over posterior foam overlapping foam ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-ii) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Flex Foam® 2 Bivalve Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps **Flex Foam® 1 - Frame Design Options** Standard Posterior Frame Cut-Out Flex Foam® Frame Design - Standard Anterior Frame Cut-Out Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports Figure Eight Design Allows Posterior Conversion to LSO Small Abdominal Cut-Out Allows Anterior Conversion to LSO - Standard Posterior Frame Cut-Out - Flex Foam® Frame Design - Standard Anterior Frame Cut-Out - Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports - Figure Eight Design Allows Posterior Conversion to LSO - Small Abdominal Cut-Out Allows Anterior Conversion to LSO **Flex Foam® 1 - Overlap Options** Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Open with tongues Anterior over posterior foam overlapping foam - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Open with tongues - Anterior over posterior foam overlapping foam ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-flex-foam-2-bivalve) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # CTLSO Flex Foam® 1 Bivalve Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (Soft) x 1/8” (firm) Cervical Extensions Lerman Minerva (pictured) SOMI Cervical Aspen Cervical Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps **Flex Foam® 1 - Overlap Options** Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Open with tongues Anterior over posterior foam overlapping foam - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Open with tongues - Anterior over posterior foam overlapping foam ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [CTLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-flex-foam-i-with-cervical-extension) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # CTLSO Bivalve Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Cervical Extensions Lerman Minerva (pictured) SOMI Cervical Aspen Cervical Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [CTLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-with-cervical-extension) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Flex Foam® 2 Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets **Flex Foam® 1 - Frame Design Options** Low Profile Frame Trim Lines with More Rigid Lateral Support Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View - Low Profile Frame Trim Lines with More Rigid Lateral Support - Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Flex Foam® 2](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-ii) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Flex Foam® 2 Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (Soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps **Flex Foam® 1 - Frame Design Options** Standard Posterior Frame Cut-Out Figure Eight Design Allows Posterior Conversion to LSO Lateral Frame Cut-Out Available on both Anterior and Posterior Openings - Standard Posterior Frame Cut-Out - Figure Eight Design Allows Posterior Conversion to LSO - Lateral Frame Cut-Out Available on both Anterior and Posterior Openings ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Flex Foam® 2 & 3](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-ii) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Flex Foam® 1 Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets **Flex Foam® 1 - Frame Design Options** Low Profile Frame Trim Lines with More Rigid Lateral Support Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View - Low Profile Frame Trim Lines with More Rigid Lateral Support - Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Flex Foam® 1](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-i) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Flex Foam® 1 Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (Soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps **Flex Foam® 1 - Frame Design Options** Standard Posterior Frame Cut-Out Figure Eight Design Allows Posterior Conversion to LSO Lateral Frame Cut-Out Available on both Anterior and Posterior Openings - Standard Posterior Frame Cut-Out - Figure Eight Design Allows Posterior Conversion to LSO - Lateral Frame Cut-Out Available on both Anterior and Posterior Openings ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Flex Foam® 1](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-i) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Anterior Opening with Tongue Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Anterior Opening with Tongue](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Bivalve Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns Cash Pad (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Flex Foam® 1 Bivalve Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets **Flex Foam® 1 - Overlap Options** Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Open with tongues Anterior over posterior foam overlapping foam - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Open with tongues - Anterior over posterior foam overlapping foam ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-i) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # LSO Anterior Opening with Tongue Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Paraspinal reinforcements ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [LSO Anterior Opening with Tongue](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Flex Foam® 1 Bivalve Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Standard Flex Foam® Liner 1/4” (soft) x 1/8” (firm) Other Liner Thickness Available 3/16” (soft) x 1/8” (firm) 1/8” (Soft) x 1/8” (firm) Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps **Flex Foam® 1 - Frame Design Options** Standard Posterior Frame Cut-Out Flex Foam® Frame Design - Standard Anterior Frame Cut-Out Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports Figure Eight Design Allows Posterior Conversion to LSO Small Abdominal Cut-Out Allows Anterior Conversion to LSO - Standard Posterior Frame Cut-Out - Flex Foam® Frame Design - Standard Anterior Frame Cut-Out - Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports - Figure Eight Design Allows Posterior Conversion to LSO - Small Abdominal Cut-Out Allows Anterior Conversion to LSO **Flex Foam® 1 - Overlap Options** Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Open with tongues Anterior over posterior foam overlapping foam - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Open with tongues - Anterior over posterior foam overlapping foam ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # TLSO Bivalve Orthosis - Product Options Recommended Plastic Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) (if Transfer pattern is requested) Available Plastics Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Spinal Reliefs Surgical relief (wide and gradual) Spinous Process (narrow) Sternal Extensions Sternal Shield (axilla or shoulder straps) Cow Horns C.A.S.H. Pad - Cruciform Anterior Spinal Hyperextension (articulating pectoral pads) Loops & Chafes Plastic Loop and Chafe Extended Plastic Chafe Extended Dacron Chafe Fasteners Screws and Barrel Nuts Speedy Rivets Other available options Shoulder straps Paraspinal reinforcements ### Related Links - [TLSO Bivalve Wear Care-English](https://spinaltech.com/uploaded/forms/TLSO-Flexfoam-Wear-Care-English.pdf) - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [TLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) - [TLSO - Bivalve with Sternal Shield](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-with-sternal-shield) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Low Profile Milwaukee Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Low Profile Milwaukee Brace](https://spinaltech.com/scoliosis-braces/milwaukee-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Kyphosis Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Sternal attachments Cow Horns Cash Pad Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Kyphosis Brace](https://spinaltech.com/scoliosis-braces/kyphosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Boston (Style) Scoliosis Orthosis - Product Options Opening options Posterior (Recommended) Anterior with PE tongue Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. **Window Options** 1. Full plastic with void area 2. Medium size window with void area 3. Full size window - 1. Full plastic with void area - 2. Medium size window with void area - 3. Full size window **1.** Full plastic Thoracic void area for full rigidity. **2.** Medium size window with upper void area to release ribs for high Thoracic curves. This design keeps Axilla extension rigid. **3.** Traditional full size window. Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [Full Time Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/full-time-scoliosis-orthosis-wear-and-care) ##### [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) --- # SCT 3D Wilmington (Style) Orthosis - Product Options Opening options Anterior with PE Tongue Anterior step overlap Recommended Plastic Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Depending on patient size) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Copolymer (CP) 1/8”, 5/32”, 3/16” (Rigid) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [SCT 3D Wilmington (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-wilmington-style-scoliosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # SCT 3D Chêneau (Style) Orthosis - Product Options Recommended Plastic Copolymer (CP) 1/8” Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner Unlined Other Liner Thickness Available 1/8”, 1/4” Aliplast Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [SCT 3D Chêneau (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # SCT 3D Boston (Style) Orthosis - Product Options Opening options Posterior (Recommended) Anterior with PE tongue Recommended Plastic Copolymer (CP) 1/8” or 5/32” depending on patient size (Call for available color options) Available Plastics Polyethylene (PE) 3/32”, 1/8”, 5/32”, 3/16” (Least Rigid) Modified Polyethylene (MPE) 1/8”, 5/32”, 3/16” (Semi Rigid) Recommended Aliplast Liner 3/16” Aliplast Other Liner Thickness Available 1/8”, 1/4” Aliplast Note: This orthosis can also be unlined. **Window Options** 1. Full plastic with void area 2. Medium size window with void area 3. Full size window - 1. Full plastic with void area - 2. Medium size window with void area - 3. Full size window **1.** Full plastic Thoracic void area for full rigidity. **2.** Medium size window with upper void area to release ribs for high Thoracic curves. This design keeps Axilla extension rigid. **3.** Traditional full size window. CAD/CAM modifications and corrective pads Option 1- Corrective forces modified into 3D model with no additional pads glued in. Option 2- 50% correction in 3D model with additional pads glued in. Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [SCT 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a 3D Boston (Style) Brace?](https://spinaltech.com/resources/what-is-a-3d-full-time-brace) ##### [Full Time Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/full-time-scoliosis-orthosis-wear-and-care) ##### [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) --- # Providence® Orthosis - Product Options Plastic Copolymer 1/8” (Call for available color options) Foam Liner ¼” Aliplast Fasteners Screws and Barrel Nuts Speedy Rivets ### Related Links - [The SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) ### Questions concerning a product? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Scoliosis Bracing Education for Practitioners Spinal Technology holds several courses throughout the U.S. each year that address spinal bracing for patients with Scoliosis. Our objective is to educate practitioners on the most recent advancements in scoliosis brace fabrication and methodologies, measuring and 3D scanning to help them achieve the best spinal correction for their patients. Our expertise is unique, we are one of the largest central fabricators of custom spinal orthoses for scoliosis, we fabricate thousands of braces for a variety of different scoliotic spinal curve types per year- these courses are designed to help practitioners that might not see the variety or volume of curve types in their practice address the best solution for the specific curve type of each patient. Spinal Technology is a leader in central fabrication for custom Spinal Orthoses for patients requiring stabilization, immobilization and correction of the spine. Our staff consists of American Board Certified Orthotists and highly skilled & experienced technicians. Together we’re focused on providing orthotists and their patients with highly effective spinal orthoses that contribute to positive outcomes and quality of life. ### Educational Courses - [Providence® Orthosis Refresher Course](https://spinaltech.com/providence-orthosis-refresher-course) - [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) ### Interested in hosting a course for your practitioners? Is your organization is interested in hosting a course as an in-service for your team, fill out this brief education request form. [Send Request](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) Our **Advanced Methodologies for Full-Time Scoliosis Bracing** course covers the latest in brace blueprinting and design, 3D scanning, fabrication and spinal curve x-ray evaluation to ensure the best patient outcome. These courses are presented online as webinars and on-location classroom presentations. ### Our Courses We offer two popular classes one for Full-Time Scoliosis bracing and one for our Providence Nocturnal Scoliosis® System for night-time bracing. **Advanced Methodologies of Full-Time Scoliosis Bracing** This course provides an in-depth review of the clinical treatment of Adolescent Idiopathic Scoliosis (AIS), and presents recent advancements in the design and methodology of full-time orthoses. Attendees will be educated on the effective approaches to 3D scanning, brace design, blueprinting, fabrication, evaluation and fitting and adjustments. Proper measuring techniques to ensure better bracing and patient outcomes will also be discussed. **Providence Nocturnal Scoliosis® System** This course instructs orthotists on the use of a nocturnal orthotic system for the non-surgical treatment of adolescent idiopathic, juvenile and neuromuscular scoliosis. The program will educate on how to satisfactorily address the needs of patients via thorough review of scoliosis principles and the use of innovative technology to optimize fit, comfort and compliance while stopping curve progression in a nocturnal only setting. Our classes are held at national and regional O&P conferences, medical colleges and children’s hospitals that educate orthotists and/or treat scoliosis patients. Both classes are certified for CEU credits from the American Board for Certification in Orthotics and Prosthetics for eligible practitioners. **Providence Nocturnal Scoliosis®** **System Course** The Providence® orthosis course brings practitioners through a clear explanation of this revolutionary nocturnal scoliosis brace, its development, application and efficacy. Barry McCoy, C.P.O. (Presenter) ### Course Credits Continuing Education Units are available from the American Board of Certification (ABC) in Orthotics and Prosthetics towards each Full-time and Providence® Course. 2(S) CEUs - **Advanced Methodologies of Full-Time Scoliosis Bracing** 4(S) CEUs - **Providence Nocturnal Scoliosis® System** (\*as appropriate to practitioners' discipline) ### Interested in attending? If you're interested in attending an upcoming course please fill out this quick form with your contact info and we'll follow up you. [Submit Request](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) Small group presentations for both Full-time and Providence® nocturnal bracing. In depth review of bracing protocols. Practitioner CEU credits available for each class. - Small group presentations for both Full-time and Providence® nocturnal bracing. - In depth review of bracing protocols. - Practitioner CEU credits available for each class. #### Related Articles ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) ##### [Education with Jonathan Taylor](https://spinaltech.com/resources/education-with-jonathan-taylor) ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) --- # Unfinished - Prefabricated Scoliosis Stock Modules Size Chart We offer prefabricated Scoliosis stock modules. These orthoses in (rigid) plastic are available as unfinished, and they are based on standard torso shapes, sizes and trim lines. Prefabricated stock orthoses allows the practitioner to keep an inventory “in-house” and modify to a patients need. ## Scoliosis Stock Modules These modules come with 15° Lumbar Lordosis — The configuration is 5/32” copolymer and 3/16” foam liner. ### Questions on our prefabricated orthoses? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. Model Xyphoid Waist Hips ASIS (Point to Point) 1 19” 16” 21” 5” 2 20” 16” 23” 6” 3 21” 17” 24” 6” 4 22” 18” 26” 7” 5 22” 18” 28” 8” 6 23” 18” 28” 8” 7 24” 18” 30” 8” 8 25” 20” 31” 9” 9 26” 22” 31” 9” 10 26” 20” 32” 9” 11 26” 23” 32” 9” 12 28” 22” 33” 9” 13 27” 21” 34” 10” 14 27” 23” 34” 9” 15 29” 23” 35” 10” 16 29” 25” 35” 9” 17 28” 24” 36” 10” 18 30” 27” 36” 10” 19 30” 24” 37” 11” 20 33” 28” 37” 10” 21 31” 27” 38” 11” 22 34” 30” 38” 11” #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Prefabricated SpinaLoc® X Series Specifications & Size Chart Our SpinaLoc® X Series Spinal Orthoses feature comfort, stability and a variety of options. Below are each model specifications and size chart. These (OTS) Off-The-Shelf (Soft) braces are sized to fit based on standard body proportions for both male and female patients. ### Questions on our prefabricated orthoses? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. **Model X1** LSO 9” Front and 14” Back with lateral panels PDAC Approved L0637 or L0650 ## Size Chart **SpinaLoc X1 Model** Size Hips Small 32”- 38” Medium 36”- 42” Large 40”- 46” X-Large 44”- 50” 2X-Large 48”- 54” 3X-Large 52”- 58” 4X-Large 56”- 62” #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Prefabricated S.T.O.P. Orthoses - Size Chart Our prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are sized to fit based on standard body proportions for both male and female patients. ### Questions on our prefabricated orthoses? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. **S.T.O.P. 1** Bivalve Female, breast cut out (Pictured) in female only. **S.T.O.P. 1** Bivalve Male (MRI Compatible STOP 2 not pictured) **S.T.O.P. 3** Bivalve with Tongue **S.T.O.P. 3** Bivalve with Tongue (Posterior) **S.T.O.P. 4** (Anterior is same as S.T.O.P. 3 front) Bivalve with Tongue (Posterior) ## Female Sizes Neutral Abdominal Hip Waist Chest Small 33"-36" 29”- 32” 31”- 34” Medium 37”- 40” 33”- 36” 35”- 38” Large 41”- 44” 37”- 40” 39”- 42” X-Large 45”- 48” 41”- 44” 43”- 46” Abdominal Relief Hip Waist Chest Small 33”- 36” 31”- 34” 31”- 34” Medium 37”- 40” 35”- 38” 35”- 38” Large 41”- 44” 39”- 42” 39”- 42” X-Large 45”- 48” 43”- 46” 43”- 46” ## Male Sizes Neutral Abdominal Hip Waist Chest Small 35”- 38” 32”- 35” 35”- 38” Medium 39”- 42” 36”- 39” 39”- 42” Large 43”- 46” 40”- 43” 43”- 46” X-Large 47”- 50” 44”- 47” 47”- 50” Abdominal Relief Hip Waist Chest Small 35”- 38” 34”- 37” 35”- 38” Medium 39”- 42” 38”- 41” 39”- 42” Large 43”- 46” 42”- 45” 43”- 46” X-Large 47”- 50” 46”- 49” 47”- 50” #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Prefabricated TLSO/LSO Stock modules (Size Chart) We offer a variety of prefabricated stock LSO and TLSO orthoses. These orthoses in (rigid) plastic are available as finished or unfinished, based on standard torso shapes, sizes and trim lines. ## Bivalve Bivalve configuration 5/32” polyethylene plastic with 3/16” foam liner. **Options:** 5˚ or 15˚ lumbar lordosis. **Sternal Shield Kit:** Necessary for high profile female stock orthoses. **Abdominal shapes available for:** neutral, full. **Finished options available:** with pre-determined lengths. ### Questions on our prefabricated orthoses? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your order. **Prefabricated "Finished" LSO Bivalve** with straps and extended chafes ### Anterior Overlap Anterior overlap configuration 1/8”polyethylene plastic unlined or 1/8”polyethylene plastic with 1/8” foam liner. **Options:** 5˚ or 15˚ lumbar lordosis. **Abdominal shapes available for:** neutral, full. **Finished options available:** with pre-determined lengths. **Prefabricated "Unfinished" TLSO** with Anterior Overlap ### Prefabricated TLSO/LSO Stock Size Chart Female Sizes F33 F35 F37 F39 F41 F43 F45 F47 Chest 30” 32” 34” 36” 38” 40” 42” 44” Xyphoid 29” 31” 33” 35” 37” 39” 41” 43” Waist 26” 28” 30” 32” 34” 36” 38” 40” Hips 33” 35” 37” 39” 41” 43” 45” 47” Full Abdominal Relief F33R F35R F37R F39R F41R F43R F45R F47R Chest 30” 32” 34” 36” 38” 40” 42” 44” Xyphoid 29” 31” 33” 35” 37” 39” 41” 43” Waist 28” 30” 32” 34” 36” 38” 40” 42” Hips 33” 35” 37” 39” 41” 43” 45” 47” Male Sizes M33 M35 M37 M39 M41 M43 M45 M47 Chest 34” 36” 38” 40” 42” 44” 46” 48” Xyphoid 32” 34” 36” 38” 40” 42” 44” 46” Waist 28” 30” 32” 34” 36” 38” 40” 42” Hips 33” 35” 37” 39” 41” 43” 45” 47” Full Abdominal Relief M33R M35R M37R M39R M41R M43R M45R M47R Chest 34” 36” 38” 40” 42” 44” 46” 48” Xyphoid 33” 35” 37” 39” 41” 43” 45” 47” Waist 31” 33” 35” 37” 39” 41” 43” 45” Hips 33” 35” 37” 39” 41” 43” 45” 47” #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # SpinalTech3D™ Scan App Our **SpinalTech3D™ Scan app** refines the process of ordering custom spinal orthoses from Spinal Technology by electronically integrating scans, images, and practitioner instructions into our custom spinal and scoliosis orthometry forms. With this app, practitioners can take 3D scans, include images, denote anatomical landmarks, write comments and instructions on the images. Powered by TechMed 3D software, our app combines all images and documentation into one secure electronic file, which is emailed directly to Spinal Technology. When the file is received in-house, we use our proprietary software to modify the scan based on the patient’s information and the brace design selected. The modified 3D model is fine-tuned and uploaded into one of our six carvers to produce a positive mold of the patient’s torso, used to fabricate a precise custom orthosis. The SpinalTech3D™ Scan app is designed to work seamlessly with an iPad® and both the Structure Sensor (Mark II) and the Structure Sensor Pro. There is **no cost for the SpinalTech3D™ Scan app**, it will improve accuracy and save time. **[Download this free app](https://apps.apple.com/us/app/spinaltech3d-scan/id1441661271)** and experience the advantage of using it in your O&P practice. ### Related Links - [5 Scanning Tips](https://spinaltech.com/uploaded/forms/5-Scanning-Tips.pdf) - [See the SpinalTech3D™ Scan App "How To" Videos on YouTube](https://www.youtube.com/playlist?list=PLaJ6dUZaY8acxNqbLzdJSGKUAO5Zp6O98) - [Structure Sensor Pro - Find out more](https://store.structure.io/buy/structure-sensor-mark-ii) ### Download Now Download the FREE SpinalTech3D™ Scan App from the Apple store. [Click Here to Download](https://apps.apple.com/us/app/spinaltech3d-scan/id1441661271) The **SpinalTech3D™ Scan app** is designed to work seamlessly with an **iPad®** and both the **Structure Sensor** **(Mark II)** and the **Structure Sensor Pro** . **Key Advantages:** • Cuts out the time and mess of casting • Improves and streamlines the patients experience • Creates precise models and measurements • Eliminates the costs and time required for shipping casts • Easy to Use! ## ## How it works… easy as 1-2-3. You do this directly within the SpinalTech3D™ Scan App **1. Scan patient** **2. Fill out order form** **3. Send File** Our app combines all images and documentation into one secure electronic (HIPAA Compliant) file, which is emailed directly to Spinal Technology. ## ## What you’ll need… **An Apple iPad** Version 2 or newer. iPad Pro®, iPad®, iPad mini®, or an iPad Air® **Structure Sensor Pro** The Structure Sensor is the first 3D sensor for iPad®. Structure Sensor Pro is compatible with many recent iPad Pro®, iPad®, iPad Air®, and iPad® mini models. [**Find out more**](https://store.structure.io/buy/structure-sensor-mark-ii) **Download the SpinalTech3D™ Scan App** You can download the SpinalTech3D™ Scan app from Apple’s iPad App Store®. [**Download It Here**](https://apps.apple.com/us/app/spinaltech3d-scan/id1441661271) ### How-To Videos **1.** How To **Download** SpinalTech3D™ Scan App **2.** How To **Register** SpinalTech3D™ Scan App **3.** How to **Setup New Practitioner** SpinalTech3D™ Scan App **4.** How To **Setup New Patient** SpinalTech3D™ Scan App **5.** How To **Full Body Scan** SpinalTech3D™ Scan App They’re on **YouTube**… [click here](https://www.youtube.com/playlist?list=PLaJ6dUZaY8acxNqbLzdJSGKUAO5Zp6O98) ### Frequently Asked Questions **How should my patient stand to create the most accurate scan?** Have your patient’s arms lifted above the torso, one at a time, as you complete a 360°scan. Ensure your patient limits irregular body movement when being scanned. **What is the best attire for the patient during scanning?** A tight fitting stockinette pulled down past the gluteal fold and well past the trochanter is ideal. The most common material is white or gray but any color uniformity works best. The stockinette should fit high and tight under the neck and underarms, ensuring full coverage for a proper scan. **Which landmarks should I include when taking a measurement?** We recommend including the trochanter, ASIS, waist, xyphoid and scapulae for low profile orthoses; and additionally, chest and sternal notch for high profile devices. **How should I send in my measurements?** Complete the proper brace design order form in the app with patient measurements. **Can I still scan the patient if they’re unable to stand?** Yes. The app allows you to do a two-sided scan: posterior and anterior. **Does the new app update work with my earlier Structure Sensor?** Yes. It is backwards compatible. **How will I know if I have the latest SpinalTech 3D Scan™ App update?** Easy, check the Apple iPad Store® to see the latest version. Click the update button to download the latest version. #### Related Articles ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) ##### [Design Your Own Brace](https://spinaltech.com/resources/design-your-own-brace) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) --- # Body Contours of Patient Body Shapes **Careful clinical evaluation begins with an observation of patient shape.** Identifying your patient's basic body shape helps Spinal Technology's experienced technicians create the best fitting custom spinal orthosis available. Use the body contours below as a guide to describe your patient's shape when placing your order by form or by phone with our customer service. Neutral Full Pendulous Flexion Lordosis Boney Reliefs - Landmark References Kyphosis - 1 Kyphosis - 2 Kyphosis - 3 - Neutral - Full - Pendulous - Flexion - Lordosis - Boney Reliefs - Landmark References - Kyphosis - 1 - Kyphosis - 2 - Kyphosis - 3 #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Flex Foam® 1 - Bivalve - Opening Overlap Options Anterior into posterior trim foam Anterior over posterior trim foam Anterior into posterior foam overlapping foam Anterior over posterior foam overlapping foam Open with tongues - Anterior into posterior trim foam - Anterior over posterior trim foam - Anterior into posterior foam overlapping foam - Anterior over posterior foam overlapping foam - Open with tongues #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # Flex Foam® - Frame Design Options ## Flex Foam® - Frame Design Options Standard Posterior Frame Cut-Out Flex Foam® Frame Design - Standard Anterior Frame Cut-Out Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports Small Abdominal Cut-Out Allows Anterior Conversion to LSO Figure Eight Design Allows Posterior Conversion to LSO Lateral Frame Cut-Out Available on both Anterior and Posterior Openings Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View Low Profile Frame Trim Lines with More Rigid Lateral Support Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View - Standard Posterior Frame Cut-Out - Flex Foam® Frame Design - Standard Anterior Frame Cut-Out - Custom Trim Available Allowing for Boney Reliefs and Access to Necessary Ports - Small Abdominal Cut-Out Allows Anterior Conversion to LSO - Figure Eight Design Allows Posterior Conversion to LSO - Lateral Frame Cut-Out Available on both Anterior and Posterior Openings - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Low Profile Frame Trim Lines Allowing Some Flexibility Along with Support - Side View - Low Profile Frame Trim Lines with More Rigid Lateral Support - Low Profile Frame Trim Lines with More Rigid Lateral Support - Side View #### Related Articles ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) --- # October is Cybersecurity Month [cybersecurity,](/resources/tag/cybersecurity) [Technology](/resources/tag/technology) Stop. Look. Think. Unfortunately we don't all have a DeLorean to go back in time and fix our mistakes. When it comes to cybersecurity, being vigilant and aware of the signs is critical for preventing an attack. 1\. **STOP** Take a breath and resist taking an immediate action as soon as you receive an email or text. 2\. **LOOK** Check for anything unusual (different spelling, grammar mistakes, an offer too good to be true). 3\. **THINK** If something looks "phishy" then report it immediately to your IT department. 6 Ways to Protect Your Office and Patient Data **1. Train your staff.** Establish a "Safe To Open" email policy. Teach your office personnel and all staff that if an email is marked "STO" it is safe for anyone at your office to open it. **2. Test your internal email system.** Set up false emails with the intent of testing your staff to see if they will react to fake emails claiming to need patient information. Teach your staff about the Phishing alerts or Reporting spam through your email provider. **3. Lock computer screens.** Remind everyone at your practice to log off or lock their computer, tablet or device when stepping away from them to ensure no one can access information. Set up a global sleep timer of 5 minutes inactivity (or less if necessary) on all office computers. **4. Don't reuse passwords.** Setup different passwords for different systems, especially those storing patient data. Safeguard each platform or software from multiple entry points if a hacker were to crack your passwords. **5. Protect USB and external drives.** If you use USB flash drives or other external storing devices, beware of where you plug them in. Be sure to encrypt patient data or require two factor authentication before accessing files where possible. Keep flash drives locked up when not in use. **6. Understand social engineering.** Hackers have learned how to use social tactics for convincing people through phone calls, texts and emails that something is safe or valid. Train your staff on all the options that hackers have to gain your trust and access sensitive information. #### Related Articles ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) --- # Social Media # Connect with us We're looking forward to engaging with you! ## [LinkedIn](https://www.linkedin.com/company/spinal-technology/) Find us Spinal Technology ## [Instagram](https://www.instagram.com/spinaltechnologyinc/) Find us @spinal.technology ## [Facebook](https://www.facebook.com/spinaltechnologyinc) Find us @spinaltechnologyllc ## [YouTube](https://www.youtube.com/channel/UC8xeFFgPw2Hh_SrK3mRqdMw) Spinal Technology's YouTube Channel You can unsubscribe at any time. **Subscribe to our email list below** to get the the latest product information, announcements, shipping alerts, offers and promotions. We respect your email privacy and never sell, rent, or exchange your email address to another company. #### Related Articles ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ##### [Exacting fit & fabrication through advanced technology](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology) --- # American Academy of Orthotics and Prosthetics (AAOP) [Events,](/resources/tag/events) [AAOP](/resources/tag/aaop) Orthotists, prosthetists, pedorthists, technicians, fitters, assistants, educators, researchers, physicians, rehabilitation specialists, business owners, administrators, technologists, inventors, and manufacturers — all sectors of the O&P profession attend the Academy Annual Meeting, the most comprehensive trade show for the O&P profession. Spinal Technology is a proud supporter of AAOP For more than three decades, Spinal Technology has supported the [American Academy of Orthotists and Prosthetists.](https://www.oandp.org/) The annual meeting is held in various locations across the USA to showcase the industry leaders, provide educational workshops and research. #### **AAOP 2026** The 52nd Academy Annual Meeting & Scientific Symposium is being held February 18-21, 2026 in Nashville, TN. Visit Spinal Technology at Booth 407. David Collins, ABC CO will be presenting ***Advantages of Nocturnal Bracing for Scoliosis and Hypercorrection with the Providence Nocturnal Scoliosis® Orthosis*** on Wednesday February 18 from 12:45-2:45pm in Ryman Studio 3/4. ## Frequently Asked Questions - Every year, the leaders in the O&P industry come together to network, learn and showcase research for a 4-day O&P conference. It's the premier annual gathering for the entire profession — orthotists, prosthetists, pedorthists, technicians, researchers, physicians, and more. - Over 160 sessions and 100+ CEUs are available with formats designed for different learning styles: - **20 Deep-Dive Clinical Sessions** (90 min each) — great for in-depth orthotics content - **60 Clustered Sessions** curated by topic - **11 Clinical Techniques** sessions blending lecture and hands-on demos - **Thranhardt Lectures** — award-winning, committee-selected presentations - **3-Hour Hands-On Workshops** (additional fee) — practical, patient-clinician focused - **9 Innovation Stages** — showcasing cutting-edge tech and products - **O&P Exam Prep Seminars** (additional fee, if relevant) This is well worth considering if you need CEUs, want exposure to new orthotic products and technology, or are looking to connect with peers and researchers. The deep-dive clinical sessions and hands-on workshops are the clearest value-adds for practicing orthotists. - For the most current event schedule visit [oandpacademyannualmeeting.org](https://www.oandpacademyannualmeeting.org/) 2026- Nashville, TN 2027- New Orleans, LA - All sectors of the O&P profession attend — clinicians, researchers, educators, business owners, and manufacturers worldwide, including Spinal Technology. Good opportunity for cross-disciplinary connection. AAOP 2022 AAOP Workshop AAOP 2024 AAOP in Nashville, TN 49th Annual AAOP AAOP Booth setup AAOP Networking AAOP Presentation AAOP Prize Wheel AAOP 2025 50th Annual Meeting Spinal Technology & Higgy Bears AAOP 2024 AAOP Presentation AAOP 2019 - AAOP 2022 - AAOP Workshop - AAOP 2024 - AAOP in Nashville, TN - 49th Annual AAOP - AAOP Booth setup - AAOP Networking - AAOP Presentation - AAOP Prize Wheel - AAOP 2025 - 50th Annual Meeting - Spinal Technology & Higgy Bears - AAOP 2024 - AAOP Presentation - AAOP 2019 --- # What is the ST Infant™ Scoliosis Brace? [Scoliosis,](/resources/tag/scoliosis) [Infant,](/resources/tag/infant) [Juvenile,](/resources/tag/juvenile) [Video](/resources/tag/video) The ST Infant™ Scoliosis Orthosis is designed to be used in conjunction with Mehta casting in treating all scoliosis curve types: lumbar, thoracic, double major, and thoracolumbar. **When Mehta casting is complete — what comes next?** For infants and toddlers with scoliosis, the transition to a custom orthosis is one of the most critical moments in treatment. The ST Infant™ Scoliosis Orthosis from Spinal Technology is purpose-built for exactly this stage. In this video, we take a closer look at the ST Infant™ — exclusively manufactured by Spinal Technology — designed to continue corrective care for the most vulnerable patients from infancy up to age 4. **What makes the ST Infant™ different?** ✴️ Designed for use after Mehta casting protocol for curves between 20–45° ✴️ Treats all curve types: lumbar, thoracic, double major & thoracolumbar ✴️ Suited for infantile idiopathic, congenital, and neuromuscular scoliosis ✴️ Custom-fabricated from hand measurements, cast, or 3D scan ✴️ Posterior opening for easy donning ✴️ Foam-lined for exceptional comfort and support ✴️ Engineered around infant breathing mechanics and corrective force precision The ST Infant™ is built using advanced design principles and custom manufacturing — because when it comes to treating spinal conditions in the youngest patients, there is no room for compromise. 📋 Ready to order or learn more? 👉 Product Page 📞 Call us: 800-253-7868 📐 Use our SpinalTech3D™ Scan App for precise measurements #### [ST Infant™ Scoliosis Orthosis](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis) ## Frequently Asked Questions - The target population is from infant up to age 4. Read More about the infant orthosis [here](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis). - The ST Infant™ Scoliosis Orthosis is designed to be used in conjunction with Mehta casting in treating all scoliosis curve types: lumbar, thoracic, double major, and thoracolumbar. Read more about it [here.](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis) - Its combination of advanced design principles, custom manufacturing, and comprehensive treatment integration makes it a specialized tool for managing complex spinal conditions in the most vulnerable patient population. The emphasis on breathing mechanics, comfort, and precise corrective forces demonstrates the careful consideration given to the unique needs of infants and toddlers requiring spinal orthotic intervention. It includes a foam lining for additional support and comfort. Read more [here](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis). - The ST Infant™ Scoliosis Orthosis is designed to be used in conjunction with Mehta casting in treating all scoliosis curve types: lumbar, thoracic, double major, and thoracolumbar. The target population is after the infant finishes Mehta casting protocol up to age 4 years old with spinal curves between 20–45 degrees. Read More [here](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis). #### Related Articles ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) ##### [Why is the Spine Important?](https://spinaltech.com/resources/why-is-the-spine-important) --- # Resources for University Students [Bracing,](/resources/tag/bracing) [Practitioner](/resources/tag/practitioner) We have a number of scoliosis orthoses resource guides. These are just a sample of our resources you can bookmark or download as a digital copy. Please feel free to download each one below. Orthotic Management of Adolescent Idiopathic Scoliosis Click on the image to download a pdf of the **Orthotic Management of Adolescent Idiopathic Scoliosis** booklet. Advantages of the Providence Nocturnal Scoliosis® System Click on the image to download a pdf of **Advantages of the Providence Nocturnal Scoliosis® System** brochure. Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis Click on the image to download a pdf of **Nighttime Bracing With the Providence® Brace in Adolescent Girls With Idiopathic Scoliosis** 2001 study. Providence Nocturnal Scoliosis® System Poster Click on the image to download a pdf of the **Providence Nocturnal Scoliosis® System** poster. Boston (Style) Scoliosis Orthosis Blueprint Steps Click on the image to download a PDF of the **Boston (Style) Scoliosis Orthosis Blueprint** poster. Custom Scoliosis Orthoses Click the picture to download a copy of our **Custom Scoliosis Orthosis** Overview. To get a copy of the individual product information sheets click the each link below. [**Providence Nocturnal Scoliosis® Orthosis**](https://spinaltech.com/uploaded/forms/Providence%C2%AE_Orthosis.pdf) [**SCT 3D Boston (Style) Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Full-Time_Orthosis.pdf) [**Boston (Style) Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/Full-Time_Orthosis.pdf) [**SCT 3D Chêneau (Style) Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Cheneau_Orthosis.pdf) [**SCT 3D Wilmington Scoliosis Orthosis**](https://spinaltech.com/uploaded/forms/SCT-3D_Wilmington_Orthosis.pdf) [**Kyphosis Brace**](https://spinaltech.com/uploaded/forms/ST-Kyphosis-Orthosis-Product-Info.pdf) [**Low-Profile Milwaukee Brace**](https://spinaltech.com/uploaded/forms/ST-Milwaukee-Orthosis-Product-Info.pdf) [**Kyphologic Brace**](https://spinaltech.com/uploaded/forms/SpinalTechnology-KyphologicProductInfoBrochure.pdf) #### Related Articles ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [How to Take an In-Brace X-Ray](https://spinaltech.com/resources/how-to-take-an-in-brace-x-ray) --- # How to Talk With a Child Who Is Wearing a Scoliosis Brace [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) Bracing is one of the most common treatments for adolescent idiopathic scoliosis (AIS), typically recommended for children with spinal curves between 20 and 40 degrees whose skeletons are still growing. A [scoliosis brace](https://spinaltech.com/scoliosis-braces)may need to be worn for 18 to 22 hours per day, depending on the prescription — which means it is present at school, during activities, and in nearly every social situation a child encounters. For many children and adolescents, the social experience of bracing is as challenging as the physical one. How parents, siblings, and close friends handle conversations around the brace directly affects how the child adapts to wearing it. ### For Parents **Start the conversation before the brace arrives.** Give your child time to ask questions and express concerns before the first fitting. Knowing what the brace looks like, why it is necessary, and [what to expect from bracing](https://spinaltech.com/resources/for-parents-patients/bracing-information) reduces the anxiety of the unknown. Be honest about what treatment involves while keeping the focus on what it accomplishes. **Let your child decide who knows.** Some children want to tell friends and teachers right away. Others prefer privacy. Both are valid approaches. Resist the impulse to disclose on their behalf, even with the best intentions. Control over that information belongs to the child. **Separate the brace from the child's identity.** The brace is a tool, not a defining characteristic. Avoid using it as the subject of daily check-ins ("*How was wearing the brace today?*") in favor of broader questions ("H*ow was your day?*"). This small shift reinforces that the child's life is larger than their treatment. **Acknowledge hard days without trying to fix them.** Compliance with a brace prescription is difficult. There will be days when a child is frustrated, uncomfortable, or resistant. Validate those feelings directly — "*That sounds really hard, and it makes sense that you're frustrated*" — before redirecting toward the bigger picture. Emotional acknowledgment is more effective than immediate problem-solving. **Watch for signs that the social burden has become too heavy.** If a child begins avoiding school, withdrawing from friends, or expressing persistent sadness or hopelessness, these are signals worth taking seriously. Scoliosis and its treatment can contribute to depression and anxiety in adolescents. A conversation with your child's physician or a licensed counselor is appropriate if these patterns persist. ### Design Your Own Want to see a 3D model of all the patterns we have for a custom spinal orthosis? Check out this new interactive 3D model. You can change patterns, zoom in and out and rotate to get a better feel of what the final brace will look like. [Try Now](https://spinaltech.com/design-your-orthosis) ### For Siblings and Friends **Treat the brace as a normal part of life.** The most helpful thing a sibling or close friend can do is not make the brace a recurring topic of conversation or curiosity. Normalize it. Engage with the child as you always have. This consistency communicates acceptance more powerfully than any single conversation. **Deflect questions from others without making a scene.** In school or social settings, a friend who calmly redirects unwanted attention or questions about the brace — without drawing more attention to the situation — provides real, practical support. Something as simple as "***She's got it handled, let's talk about something else***" removes the burden of self-advocacy from the child wearing the brace. **Adjust plans without making it a big deal.** Scoliosis and bracing can limit certain activities or make some days more physically challenging than others. Offering alternative plans without requiring lengthy explanation — "***We could do this instead***" — keeps the friendship normal without putting the child in the position of repeatedly justifying their limitations. ### Other Resources - [Don't Know What to Say to Someone With Scoliosis? Start Here](https://spinaltech.com/resources/what-you-can-say-to-someone-with-scoliosis) - [Scoliosis Awareness](https://spinaltech.com/resources/for-parents-patients/scoliosis-awareness) Your Scoliosis Specialists ## When to Consult a Specialist Supportive conversations go a long way. But there are circumstances where what a child or adolescent with scoliosis needs goes beyond what a friend or family member can provide, and recognizing those circumstances is part of being a good support system. ### Consult a physician or orthotist when: \- A child's curve [has not been assessed](https://spinaltech.com/resources/6-signs-of-scoliosis) by a specialist and you have noticed uneven shoulders, a prominent shoulder blade, or asymmetry at the waist or hips \- A child has been diagnosed but has not had a recent evaluation, and you have noticed changes in posture or increased pain complaints \- A child is not wearing their brace as prescribed and resistance has become a consistent pattern rather than an occasional difficult day \- A child's brace no longer fits comfortably or appears to have changed in how it sits on the body ### Consult a mental health professional when: \- A child expresses persistent feelings of sadness, hopelessness, or worthlessness related to their diagnosis or brace \- Social withdrawal becomes significant — avoiding school, friends, or previously enjoyed activities for more than a brief period \- A child refuses to discuss their condition with anyone, including the treating physician, in a way that affects their care \- A parent is struggling to emotionally support their child because they are carrying significant anxiety or distress of their own — caregiver wellbeing directly affects the child's wellbeing Neither of these conversations means something has gone wrong. They mean that the right resources are being put in place. Spinal Technology has worked with practitioners and non-profit groups to help families navigate a scoliosis diagnosis and bracing since 1991. If you have questions about treatment options or want to understand what to expect with your child's diagnosis we encourage you to look into programs offered by Higgy Bears and Scolios-us. ### Scoliosis Groups - [Higgy Bears](https://higgybears.com/) - [Scolios-us](https://www.bracingforscoliosus.org/) ## Frequently Asked Questions - The most meaningful support is practical and consistent. Offer to help carry a backpack, check in without making the brace the center of every conversation, and let the child set the pace for how much they want to discuss it. Treat them as you always have. This consistency communicates acceptance more powerfully than any single encouraging conversation. - Ask rather than assume. A simple "Is there anything I can do?" puts them in control. Follow their lead on how much detail they want to share. If they bring up pain or frustration, resist the urge to immediately problem-solve — listening without redirecting is often what people need most. Read more [here](https://spinaltech.com/resources/what-you-can-say-to-someone-with-scoliosis). #### Related Articles ##### [Don't Know What to Say to Someone With Scoliosis? Start Here](https://spinaltech.com/resources/what-you-can-say-to-someone-with-scoliosis) ##### [Coping with scoliosis: the story behind “The Silver-Horned Girl”](https://spinaltech.com/resources/coping-with-scoliosis-the-story-behind-the-silver-horned-girl) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) --- # Jessica Ashwood: The Olympic Swimmer Who Refuses to Let Scoliosis Set the Pace [Awareness,](/resources/tag/awareness) [Scoliosis,](/resources/tag/scoliosis) [Celebrities](/resources/tag/celebrities) When most people picture an Olympic medalist, they don't picture a teenager being told her spine curves in two directions at once. Jessica Ashwood's story is the rare one where the X-ray and the medal hang in the same frame — and it's one of the most powerful examples of what's possible for [**others who have scoliosis**.](https://spinaltech.com/resources/who-else-has-scoliosis) **Quick stats** - 🥈 **2016 Rio Olympic Silver** — 4 × 200 m freestyle relay - 🏅 **2015 World Championship Bronze** — 400 m freestyle (Kazan) - 🥈 **2018 Commonwealth Games Silver** — 800 m freestyle (Gold Coast) - 📈 **3 Australian National Records** across the 400 m, 800 m, and 1500 m freestyle - 🌀 **Severe S-shaped scoliosis** diagnosed in her early teens - 🏊‍♀️ **2 Olympic Games** — London 2012 and Rio 2016 ## **A Diagnosis Most Athletes Never Recover From** Jessica Ashwood was a young Sydney swimmer at MLC School when doctors confirmed what her coaches had already started to notice in the pool: she wasn't pulling evenly. The reason was a severe **S-shaped scoliosis** — a spinal deformity in which the vertebrae rotate and curve sideways in two opposing directions, often resembling a stretched-out "S" on an X-ray. For most teenage athletes, that diagnosis ends the conversation. The standard recommendations are well-known: - **Scoliosis bracing** to halt curve progression during growth - **Scoliosis-specific exercises (PSSE)** under SOSORT guidelines - **Surgical fusion** in severe, progressive curves above 45–50° But Jessica's curve created a brutal trade-off. A full-time **rigid scoliosis brace** would have stopped her swimming during peak training years, and **spinal fusion surgery** would have permanently limited the rotational and lateral flexibility her stroke depends on. After consulting her medical team, she chose a third path: **conservative management** built around physiotherapy, targeted soft-tissue work, and a re-engineered freestyle technique tailored to her asymmetric body. > *"Her scoliosis precluded her from any land-based training like running or weightlifting, which makes her accomplishments all the more extraordinary."* — [MLC School profile of eminent alumnae](https://www.mlcsyd.nsw.edu.au/our-community/mlc-school-old-girls/eminent-alumnae/jessica-ashwood-2011) ## **How a Curved Spine Changes Everything Underwater** Scoliosis isn't just a cosmetic curve. For a distance swimmer, the physical reality is constant and unforgiving: - **Asymmetric muscle development.** One side of Jessica's back and shoulder is measurably stronger than the other, visible even in race photos and the way her swimsuit sits across her shoulder blades. - **A weakened pulling arm.** The S-curve reduces force production on her weaker side, meaning every stroke must be bio-mechanically rebalanced. - **Compromised in-water balance.** A rotated spine throws off body line — the streamlined posture distance swimmers obsess over. - **Chronic neck and lower-back pain.** Especially after the eleven-plus pool sessions per week her training demanded. To compensate, Jessica developed **a unique freestyle stroke** — a technique built around her body, not the textbook. And she paired it with an aggressive recovery protocol: **two physiotherapy sessions per week** specifically to realign her spine after high-volume training, plus boxing and yoga to build the rotational stability her spine couldn't provide on its own. It isn't grit alone that got her on the podium. It's grit **plus** a meticulously engineered training and recovery system designed around her spine. **From the Junior Pan Pacs to the Olympic Podium** Jessica's career arc reads like a textbook case of consistent, multi-year progression — the kind that's nearly impossible to fake and even harder to execute when you're managing a chronic spinal condition. **2009–2011 — The Foundation Years** - **2009 Australian Youth Olympic Festival:** 2 silver, 2 bronze - **2010 Junior Pan Pacific Championships (Maui):** Bronze in the 400 m freestyle - **2011 World Championships (Shanghai):** First senior Australian team — 1500 m freestyle **2012 — First Olympics** - Qualified for the **London 2012 Olympic Games** in the 800 m freestyle - Broke the **Australian national record** in the 800 m freestyle later that year The medal ceremony at the 2015 FINA World Aquatics Championships in Kazan, Russia. **2014–2015 — The Breakthrough** - **First Australian woman ever** to swim the 800 m freestyle in under 8:20 - **Glasgow 2014 Commonwealth Games** and **Pan Pacific Championships** - **2015 World Championships in Kazan:** **Bronze in the 400 m freestyle (4:03.34)** — her first World Championship medal — plus a fourth-place finish in the 800 m, just 0.26 seconds off the podium and a new national record **2016 — Olympic Silver in Rio** - Won the **400 m and 800 m freestyle** at the Australian Olympic Trials - Set another **Australian record (8:18.14)** in the 800 m at the Pro Swim Series - **Olympic silver medal** in the 4 × 200 m freestyle relay at the **Rio 2016 Olympic Games** - Finished 5th in the 800 m and 7th in the 400 m freestyle finals **2018 — Commonwealth Silver in Front of a Home Crowd** - **Silver medal in the 800 m freestyle** at the Gold Coast 2018 Commonwealth Games — fulfilling what she called a lifelong dream of competing in front of an Australian crowd The [**Sydney Morning Herald**](https://www.smh.com.au/sport/swimming/standing-tall-jessica-ashwood-is-finally-on-the-straight-and-narrow-20190515-p51nqs.html) called Jessica "a genuine once-in-a-generation talent." Her 800 m Australian record stood until the 2018 Commonwealth Games — meaning a swimmer with severe S-shaped scoliosis held a national record on dry land for **six years**. ## How to talk about Scoliosis If you're not sure about what to say with someone who has scoliosis, you can start here with some of our ideas to feel more comfortable. [Don't Know What to Say to Someone With Scoliosis? Start Here](https://spinaltech.com/resources/what-you-can-say-to-someone-with-scoliosis) ## **What Jessica Ashwood's Story Means for You (or Your Patient)** If you or someone you love has just been diagnosed with scoliosis, the temptation is to assume that competitive sport, an active lifestyle, or athletic ambition is now off the table. Jessica's career — alongside a long list of other elite **athletes with scoliosis** like Olympic sprinter **Usain Bolt**, world-record powerlifter **Lamar Gant**, Olympic swimmer **Maritza Correia**, and tennis pro **James Blake** — proves that a curved spine is not a closed door. The research backs it up. A 2023 observational study of 511 adolescents with idiopathic scoliosis found that **regular sports participation reduced the risk of curve progression and the need for bracing**, and a 2018 study published under SOSORT showed that **brace-wearing patients who exercised regularly had higher odds of curve improvement** than those who didn't. ([European Journal of Physical and Rehabilitation Medicine](https://pmc.ncbi.nlm.nih.gov/articles/PMC10167700/), [ScoliBrace research update](https://scolibrace.com/sport-in-braced-adolescents-with-idiopathic-scoliosis-a-research-update/)) The right answer isn't "stop moving." It's **the right brace, the right exercises, and the right team** built around your goals. ## **How Modern Scoliosis Bracing Has Changed the Conversation** When Jessica was diagnosed, the bracing options on the table were rigid, full-time orthoses that would have ended her career. The bracing landscape today looks very different. Modern adult and adolescent scoliosis bracing — built around **SOSORT-aligned principles**, **3D corrective design**, and patient-specific scanning — is engineered to: - Reduce Cobb angle progression while preserving function - Allow active lifestyles, sport, and sport-specific training - Address the rotational component of an S-curve, not just the lateral - Be worn under clothing without limiting daily activity For practitioners, and patients evaluating treatment options today, the question isn't *whether* to brace — it's **which brace**, **for how long**, and **paired with which exercise protocol**. Jessica's story is a powerful reminder of what's at stake when bracing is rigid, generic, or poorly fitted: athletes get pushed toward "no treatment at all" because the available options are incompatible with their lives. ## Frequently Asked Questions - Yes — multiple Olympians have competed and medaled while managing scoliosis. Jessica Ashwood (Australia, swimming), Usain Bolt (Jamaica, sprinting — 8 Olympic golds), and Maritza Correia (USA, swimming) are well-documented examples. Reaching the Olympic level with scoliosis typically requires a sport-specific training and recovery protocol, ongoing physiotherapy or chiropractic care, and in many cases scoliosis-specific bracing or exercises during the growth years. - It can. Jessica Ashwood has spoken openly about the significant neck and back pain she manages with two physiotherapy sessions per week. Pain in adult and adolescent scoliosis often comes from muscle imbalance, joint compensation, and asymmetric loading rather than the curve itself. A combination of scoliosis-specific exercises (PSSE), targeted manual therapy, and modern bracing can dramatically reduce pain and protect long-term spinal health. - Yes. Jessica Ashwood is a two-time Olympian, an Olympic silver medalist, a World Championship bronze medalist, and held three Australian national records — all with severe S-shaped scoliosis. Olympic swimmer Maritza Correia, diagnosed at age seven, also represented the United States at the 2004 Athens Olympics. Successful swimming with scoliosis typically requires a customized stroke technique, dedicated physiotherapy, and a treatment team experienced in managing spinal curvature in athletes. - - [MLC School — Eminent Alumnae profile](https://www.mlcsyd.nsw.edu.au/our-community/mlc-school-old-girls/eminent-alumnae/jessica-ashwood-2011) - [Wikipedia — Jessica Ashwood](https://en.wikipedia.org/wiki/Jessica_Ashwood) - [Swimming World — Swimming With Scoliosis](https://www.swimmingworldmagazine.com/news/swimming-with-scoliosis/) - [World Aquatics — Jessica Ashwood medals](https://www.worldaquatics.com/athletes/1005601/jessica-ashwood/medals) - [2016 SOSORT Guidelines (PMC)](https://pmc.ncbi.nlm.nih.gov/articles/PMC5795289/) - [Sports participation reduces scoliosis progression — EJPRM](https://pmc.ncbi.nlm.nih.gov/articles/PMC10167700/) #### Related Articles ##### [Who Else Has Scoliosis?](https://spinaltech.com/resources/who-else-has-scoliosis) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) --- # Corrective Forces of Full-Time Bracing [Full-Time Bracing](/resources/tag/full-time-bracing) **Orthotic Management of Adolescent Idiopathic Scoliosis (AIS)** Section 3 In order to effectively treat and correct the multi-planar deformities of scoliosis, it is necessary to employ some basic principles. Full-time bracing presents unique challenges which must be addressed in the design of an orthosis. Due to the fact that the patient is upright and continuously in motion throughout the day, trying to maintain balance and fighting the effects of gravity, the form, fit, and function of a full-time brace must be accurate and consistent for **18 to 22 hours**, every day. ### Related Links - [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [ST Orthotic Management AIS Booklet](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ### Need more information? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. - In order to gain control of the torso and apply manipulative forces, a solid foundation is needed. The pelvis is the base of support, providing the necessary stability and leverage. - The waist rolls must be tight and deep between the iliac crest and the lower ribs, comfortably capturing the ASIS. This helps to capture and control the pelvis, as well as properly locate the brace to prevent migration. In combination with abdominal compression, this applies hydraulic forces that will help to offload weight from the lumbar spine, assisting in elongation and correction of a lumbar curve. - Both the lumbar and thoracic pads are positioned posterior-laterally to apply anterior de-rotational and medially directed forces. The pads are placed at and below the apex of each curve, with few exceptions. - Substantial relief is necessary opposite any pad or force, in order to provide room for migration. It may argued that reliefs are more important than pads, as a symmetrical brace will inherently add some degree of correctional forces to an asymmetrical patient, as long as there is space for the deformity to migrate. Positioning the pads below the apex of the curve and shaping them to create an upwards force vector provides the support needed to effectively lift the apex up and towards midline. This is necessary to counteract the effects of gravity and relieve some of the loads carried by the intervertebral discs. With daytime wear, the brace acts as a support structure, helping to reduce the axial load on the spine, alleviating some of the compressive forces of gravity across the discs and endplates. In order to correct the curvature and vertically elongate the spine, it is necessary to lift and support the weight carried above each vertebral level. Greater force is required for correction in an upright/standing position, compared to that in a recumbent state. Daytime brace wear requires the consideration of gravity, ground reaction forces, and balance in brace design. [To Next Section](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) #### Related Articles ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) ##### [Why Nocturnal Bracing Changes Everything](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything) --- # Who Else Has Scoliosis? [Scoliosis](/resources/tag/scoliosis) At first the diagnosis of scoliosis can be scary and unsettling. So many questions, what will life look like today?tomorrow? Ten years from now? Every patient is different, and the degree of your spinal curve will also impact your treatment. However, many scoliosis patients have found comfort in knowing that they are not alone. It can be confusing at first, and finding a mentor to guide you through your scoliosis journey can help as well. We've put together a list of 28 well known people who have also been diagnosed with scoliosis. Reading their stories can also help give you strength knowing that many people like you have overcome their scoliosis diagnosis to be successful in their paths to greatness. **People You May Know Who Also Have Scoliosis** 1\. [Jessica Ashwood- Olympic Swimmer](https://spinaltech.com/resources/jessica-ashwood-olympic-swimmer) Jessica Ashwood's scoliosis story is proof that a curved spine is not a closed door. She won an Olympic Silver Medal with a severe S-shaped spine. Her journey is the rare one where the X-ray and the medal hang in the same frame — and it's one of the most powerful examples of what's possible for **others who have scoliosis**. Read the full journey — from diagnosis to the Olympic podium. 2\. [Chloe Sevigny- Actress](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) Most "celebrities with scoliosis" pages tell the same story — diagnosis, brace, success. Chloë Sevigny's story is the one those pages skip over: **what actually happens when a scoliosis brace never becomes part of the plan**. 3\. [Shailene Woodley- Actress](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) Shailene Woodley's story is the middle path — and the one that plays out in tens of thousands of American households every year. 4\. [Stacy Lewis- Golfer](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) Learn how professional golfer Stacy Lewis faced scoliosis, bracing, spinal surgery, and rehabilitation—and returned to the game she loved to become an LPGA champion. 5\. [Usain Bolt- Olympic Runner](https://www.essentiallysports.com/athletics-news-olympic-legend-usain-bolt-admits-he-never-corrected-his-scoliosis-throughout-career/) 6\. [Kurt Cobain- Lead Singer of Nirvana](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/kurt-cobain/) 7\. [Maritza Correia- Olympic Swimmer](https://www.maritzamcclendon.com/meet-maritza) 8\. [Laura Dern- Actress](https://www.ranker.com/list/famous-people-with-scoliosis/celebrity-lists) 9\. [Lamar Gant- World Record Powerlifter](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/lamar-gant/) 10\. [Sarah Michelle Gellar- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/sarah-michelle-gellar/) 11\. [Daryl Hannah- Actress](https://www.ranker.com/list/famous-people-with-scoliosis/celebrity-lists) 12\. [Dudley Hart- Golf Pro](https://collegeofgolf.keiseruniversity.edu/its-good-for-your-game) 13\. [Kristin Kreuk- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/kristin-kreuk/) 14\. [Jeanette Lee- Professional Pool Player](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/jeanette-lee/) 15. [James Blake- Tennis Pro](https://www.ranker.com/list/famous-people-with-scoliosis/celebrity-lists) 16\. [John Lydon (Johnny Rotten) Lead Singer, Sex Pistols](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/vanessa-williams) 17\. [Yo Yo Ma- Cellist](https://www.grunge.com/735721/the-untold-truth-of-yo-yo-ma/) 18\. [General Douglas MacArthur- US General World War II](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/general-douglas-macarthur/) 19\. [Liza Minnelli- Actress, Dancer, Singer](https://scoliosishealth.tumblr.com/post/25718784450/famous-people-with-scoliosis-liza-minnelli/amp) 20\. [Guliana Rancic- Entertainment Journalist](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/giuliana-rancic/) 21\. [Rebecca Romijn- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/rebecca-romijn/) 22\. [Isabella Rossellini- Italian Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/isabella-rossellini-elettra-wiedemann/) 23\. [Renee Russo- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/renee-russo/) 24\. [Elizabeth Taylor- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/elizabeth-taylor/) 25\. [Tutankhamun- Egyptian Pharaoh](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/king-tutankhamun-scoliosis/) 26\. [Elettra Wiedemann- daughter of Isabella Rossellini, Model](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/isabella-rossellini-elettra-wiedemann/) 27\. [Vanessa Williams- Actress](https://www.hudsonvalleyscoliosis.com/celebrities-scoliosis/vanessa-williams/) 28\. [Princess Eugenie Windsor- Queen of England's granddaughter](https://www.ranker.com/list/famous-people-with-scoliosis/celebrity-lists) #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) --- # The Custom Fabrication Process [Brace](/resources/tag/brace) Once your scoliosis team of experts have taken all your patient information, measurements and prescribed the orthosis design customized to meet your requirements, they send us any photos, scans and shape profile with the order. General Information Received \- Specified patient information, including age, height, weight, and diagnosis are received. \- Prescribed orthosis design, customized to meet the requirements for that individual patient \- Detailed anatomical patient measurements, and shape definition profile information \- Any additional supporting materials, such as photos or scans, supporting the design and accuracy of the orthosis. When Spinal Technology receives the order, every detail and specification is reviewed by our senior fabrication specialists and a custom mold is fabricated to match your exact anatomical measurements. If you choose a colorful transfer pattern or any decals, those get heated in the oven then they are formed and cured around the brace mold. The mold then is hand cut to the shape of your prescribed brace, the edges are buffed for comfort and all the necessary hardware, such as straps and buckles are added. Our quality team inspects each brace one by one to ensure all design parameters have been met. Then we ship the finished product to your clinician who will fit and make any adjustments needed for maximum comfort. ### Related Links - [See how the Providence Brace is made.](https://spinaltech.com/resources/what-is-a-providence-brace) - [See how the Cheneau Style brace is made](https://spinaltech.com/resources/what-is-the-cheneau-style-brace) ### Related Products - [SCT 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) - [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) - [SCT 3D Chêneau (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) #### Related Articles ##### [Not All Braces are Created Equal](https://spinaltech.com/resources/not-all-braces-are-created-equal) ##### [Positive Providence® Brace Patient Outcomes](https://spinaltech.com/resources/positive-providence-brace-patient-outcomes) ##### [Watch How Your Brace Gets Made?](https://spinaltech.com/resources/how-does-your-brace-get-made) --- # Advantages of the Providence Nocturnal Scoliosis® System [Providence](/resources/tag/providence) The Providence® brace is a scoliosis orthosis that is worn while in a recumbent position. The Providence Nocturnal Scoliosis® system’s objective is to move the scoliosis curves to midline or beyond the midline through the application of controlled, direct, lateral and de-rotational forces to the spine. **The Providence Nocturnal Scoliosis® System achieves this result in 7 key ways.** ## 1. The recumbent position allows for greater correction of the scoliotic spine. - When recumbent, the spine elongates and the ribs align vertically. This creates a wider space between the floating ribs and the iliac crest, providing **greater access to the lumbar spine to apply effective lateral and de-rotational forces.** - When thoracic ribs are aligned vertically, **thoracic pads may be applied more precisely.** Locating the correct apices to apply the appropriate push towards midline and appropriate de-rotational forces is vital to successful correction. - The recumbent position significantly reduces compressive gravitational forces which **helps access, control and correct higher thoracic curves.** In contrast, full-time braces are limited in the amount of correction and the type of curves that each can successfully correct. - **The initial in brace x-ray for the Providence® orthosis is 98% correction.** Collectively the in brace x-ray of fulltime bracing is 56%. There is a 42% differential in initial in brace x-ray results of the Providence® versus full-time braces. ### 2. The Providence® orthosis utilizes overlapping 3-point pressure systems with opposing void and segmental de-rotation at selected points. Every brace is designed with a corrective pad(s) and 2 stabilizing pads. Single curves use a single 3 point system while thoracic and double curves will utilize an overlapping 3 point pressure system. Thoracic curves with rotation evident will be derotated 25 degrees in relation to the pelvis. There is no bending of the patient in the Providence® brace. ### 3. The Providence Nocturnal Scoliosis® System is a nighttime system. Optimal correction occurs during critical growth hours. There is elevated output of HGH at night. ### Related Links - [Providence Study 2001 – Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis](https://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2001&issue=09150&article=00014&type=abstract) - [Providence Study 2019 – Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°](https://link.springer.com/article/10.1007%2Fs00586-019-06077-z) ### Questions concerning The Providence Nocturnal Scoliosis® System? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) Human Growth Hormone (HGH) output is highest at night. As such, optimal correction occurs during critical growth hours. ### 4. Research shows there is a strong correlation between best or initial in brace correction and follow up correction. Study of Scoliosis Correction | Spine Journal, September 15, 2001, Volume 26, Issue 18 Product Researchers Correction Milwaukee Carr et al. 55-60% Boston Emans et al. 50% Wilmington Basset et al. 50% Miami McCollough et al. 50% Charleston Price et al. 73% Providence d'Amato et al. 98% ### 5. The Providence Nocturnal Scoliosis® System utilizes a measuring board to provide a more precise and convenient measuring system. - The orthotist will place stabilizing and corrective pads to the patient on the board according to his/ her X-ray blueprint. **The stabilizing pads will maintain patient on center line while the pressure pads shift the curve(s) towards centerline or beyond.** The practitioner can manually palpate the patient’s spinous process to determine how much correction the pads are creating, as well as how much the patient can tolerate. In some cases, the orthotist/practitioner has the flexibility to have x-rays taken while patient is on the board to ensure that the pad placements are correct and positioned to achieve maximum correction. **There is no other scoliosis bracing system that provides these immediate results.** - The patient’s measurements and coordinates from the board are recorded and uploaded to Spinal Technology using proprietary CAD/ CAM software for design and fabrication of the Providence® orthosis. **Pad placements are precisely carved to deliver the proper corrective pressures and take into account the de-rotational forces** and the void areas to the positive image/ mold of each patient. - The Providence Nocturnal Scoliosis® System measuring board eliminates, for the patient and clinician, the time, expense and nuisance associated with casting a patient for a negative plaster mold of their torso. Patient on Providence Nocturnal Scoliosis® System Board ### Providence Nocturnal Scoliosis® System Board The orthotist will place stabilizing and corrective pads to the patient on the board according to his/ her X-ray blueprint. **The stabilizing pads will maintain patient on center line while the pressure pads shift the curve(s) towards centerline or beyond.** This animation shows the process of spinal correction with the Providence Nocturnal Scoliosis® System. The example shown is a double major (Thoracic and Lumbar) curve. ### ### 6. The Providence® brace is not a full contact orthosis. - Depending on the curve type, only 30%-40% of the orthosis comes in direct contact with the patient. **The Providence® brace is strategically designed to maximize correction and ultimate comfort to promote high compliance rates for the patient.** Void areas are evident on the Providence® brace with consideration of the patient’s breathing expansion. - Unlike full-time braces that need to be replaced due to the growth of the patient, **the efficiency of the Providence® orthosis increases as the patient grows.** Full-time braces lose their ability to make sufficient contact on the appropriate apices as the patient matures. The opening of a full-time orthosis will expand and minimize vital pressure to the curves needed for correction. **The Providence® brace will actually increase the amount of needed pressure to the curve.** As the patient’s hips expand in width, the lumbar pad pressure increases because the iliac/ilium isn’t covered in the Providence® orthosis. This limits the number of new braces the patient would need to skeletal maturity. ### Example of a Good Fitting Lumbar Pad As the patient’s hips expand in width, the lumbar pad pressure increases. ### 7. Compliance is critical to success in scoliosis bracing. - **Wearing the Providence® orthosis eliminates the social stigma of having to wear a full-time, full coverage brace to school.** In addition to the physical discomfort of wearing a full-time brace, many adolescents describe it as an isolating and uncomfortable experience which may negatively impact compliance rates. - **The patient wears the Providence® orthosis while sleeping**, and for best results, should wear the Providence® brace while doing homework or watching TV in the supine position. For most patients this means **10 to 12 hours of wearing time**; for juveniles it can be up to 16 hours as opposed to the 23 hours per day required for full-time bracing. - In order for full-time braces to reach and hold high thoracic apices of curves, the brace has to be designed in a manner that one shoulder is elevated inches above the opposing shoulder, limiting mobility, making everyday functions challenging and drawing attention to the wearer. ### The answer is clear. In considering the Providence Nocturnal Scoliosis® System over full-time bracing, remember that with the Providence Nocturnal Scoliosis® System it’s possible to apply optimal pressures and shift towards midline while maximizing de-rotation of the thoracic spine to correct rotation of the curve. Application of these forces in a full-time brace to achieve these results is, in many cases, simply too difficult for the patient to tolerate. Attaining a successful result by de-rotating the patient’s thoracic spine 25% and expecting the patient to be able to walk, run or sit comfortably when the thoracic is aggressively rotated in relation to the pelvis, is unlikely. This type of scoliosis treatment can only be accomplished with comfort and tolerance of the patient in the recumbent state – with the Providence® orthosis. Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis. #### 3 questions to ask before recommending a scoliosis orthosis: 1. Is it likely that your patient will follow the recommended treatment? 2. Does the orthosis have the potential to deliver the highest degree of correction? 3. Can it minimize or eliminate social anxiety? **The Providence Nocturnal Scoliosis® System is designed and fabricated to help you answer each of these questions with a confident “Yes”** ### See The Results These X-Ray results of the Providence® orthosis correction on scoliosis curves show the efficacy of this innovative product. #### X-Ray results of the Providence® orthosis correction on scoliosis curves - ##### 27° Right Lumbar Curve / Risser 2 Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 27° Right Thoracic, 21° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 45° Right Thoracic, 50° High Left Thoracic Curve Original Patient In-Brace (Supine) - ##### 25° Right Thoracic, 21° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 34° Right Thoracic, 30° Left Lumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 26° Right Thoracic, 26° Left Thoracolumbar Curve Original Patient on Board (Supine) Patient In-Brace (Supine) - ##### 24° Right Thoracic, 17° Left Lumbar Curve / Risser 2 Original Patient In-Brace (Supine) ## Frequently Asked Questions - Clinical evidence supports the use of the Providence brace as a primary treatment for AIS. A significant 2001 study, *"Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis,"* found that nocturnal bracing produced success rates comparable to those reported for full-time wear (TLSO) braces. The system is particularly effective because it can provide "over-correction." By shifting the patient’s trunk toward the midline or beyond, the brace addresses the curve more aggressively during sleep, when most adolescent growth occurs. [Click here to read more.](https://spinaltech.com/uploaded/forms/Nighttime-Bracing-with-the-Providence-2001.pdf) #### Related Articles ##### [Advantages of Nocturnal Bracing](https://spinaltech.com/resources/advantages-of-nocturnal-bracing) ##### [The Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/the-providence-nocturnal-scoliosis-system) ##### [Providence® Nocturnal Scoliosis Orthosis - Medical Studies](https://spinaltech.com/resources/providence-brace-studies) --- # A Patient's Guide to Adolescent Idiopathic Scoliosis Surgery [Scoliosis Awareness](/resources/tag/scoliosis-awareness) Frequently Asked Questions about Scoliosis Surgery The [Scoliosis Research Society](https://www.srs.org/UserFiles/file/patients/brochures/FAQs-AISSurgery-handbook-v5_lores_FINAL.pdf) has published a guide with frequently asked questions regarding surgery when diagnosed with Adolescent Idiopathic Scoliosis. We are not experts in surgery, so we are providing you with a copy of their guide to help answer any of your questions. Please click to download the full guide. #### Related Articles ##### [Can Food Help Manage Scoliosis?](https://spinaltech.com/resources/can-food-help-manage-scoliosis) ##### [Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team](https://spinaltech.com/resources/a-deep-dive-into-the-scoliosis-treatment-team) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis) --- # Spinal Technology earns 2021 Hanger Partner Award for Collaboration The Collaboration Award is granted to a partner that made outstanding contributions resulting in shared success. Spinal Technology was chosen to receive the award for factors including their collaboration with Hanger Clinic clinicians on challenging cases and on post-fitting evaluations, as well as their customer service, consistency, and ease of doing business. “At Spinal Technology, we place a great deal of emphasis upon the relationships we build with our customers. This award truly speaks to that commitment and demonstrates the level of dedication that our team has to providing the best possible outcomes for patients,” said Jim Tierney, President, Spinal Technology. “Winning the Collaboration Award from Hanger signifies that Spinal Technology’s partnership with Hanger allows practitioners to deliver custom orthoses to each and every patient with confidence,” he added. **About Hanger, Inc. – Headquartered in Austin, Texas,** Hanger, Inc. (NYSE: HNGR) provides comprehensive, outcomes-based orthotic and prosthetic (O&P) services through its Patient Care segment, with approximately 875 [Hanger Clinic](https://hangerclinic.com/) locations nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions. Recognized by *Forbes* as one of America’s Best Employers for 2022, and rooted in 160 years of clinical excellence and innovation, Hanger is a purpose-driven company with a vision to lead the O&P markets by providing superior patient care, outcomes, services and value, aimed at empowering human potential. For more information on Hanger, visit news.hanger.com. #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Variations of Scoliosis Brace Design [Scoliosis,](/resources/tag/scoliosis) [Bracing](/resources/tag/bracing) The diversity of designed braces and the choices of design parameters. If we look back first at what is a brace, and really a scoliosis brace, it's a plastic shell, and that shell is just a frame to hold mechanical forces. There's nothing more to it, the shape of that shell and how it's cut out and constructed all it is just an anchoring point, and it's a structure for holding these corrective forces beyond that. Scoliosis is a lateral deviation and axial rotation, and the only way to bring that back into balance are going to be specific force vectors that de rotate and medially translate. And there are more efficient force vectors that can accomplish that, but you have the capability in just about any most brace types anyway, to affect that. So if you go back years before bracing, and you look at traction devices, where you'd have a wooden framework with straps and pulleys, and a patient would sit down all day, those straps and pulleys are applying a certain force factor that's de rotating medially translating in there, correcting the deformity mechanically. That's all we're doing within a brace. The variations among the braces come down to some specifics in how we address our sagittal alignment and our balance. That's really where the differences end. We have to go back to the basics of brace design and the mechanics of how bracing works in order to really understand what a brace is. Clinicians around the world tend to get confused with different names and types with all the nuances and features that they think really add some significant clinical advantage, when in reality, there's nothing out there that really has demonstrated anything above and beyond the other bracing types. > *There's so many variations on these scoliosis braces. There has to be one that is just the best, right? There's got to be a simple one stop answer that covers the whole spectrum?* That's the ultimate question from orthotists all across the globe. You may find a handful of experts that will say they know the answer to that. But in reality, there is no solid answer to that. Instead what we have is a great deal of misunderstandings or misconceptions about various brace styles and types. If you read through the literature, there is nothing in science and research that can demonstrate clear superiority of any one type of brace over another. So there's a lot more **similarities** among bracing types than there are differences. ### So what does the research tell us? Over the years, much research has been conducted on the effectiveness of bracing. A single search query on PubMed for “adolescent idiopathic scoliosis brace” returned a net result of 1,367 articles. Throughout O&P, one of the most sought-after answers has become “which brace is best?” With a dramatic increase in the frequency of published papers, it can be challenging to make sense of it all. It’s important to recognize that the reported success of any specific brace type can vary significantly depending on which related study is reviewed. The discrepancies in outcome data across existing literature can likely be attributed to a myriad of factors involving any component of a study; from its design and protocols to the quality of the brace fabrication, or from the clinical team’s level of expertise to the patient’s brace wearing compliance. Additionally, a high risk of bias throughout much of the research available exists. The magnitude of this discrepancy has been well documented and defined. The most notable of literature reviews is a 2021 article by Costa et al. \[1\], evaluating research published on various brace types. They strongly note “The majority of brace studies have significant risk of bias”\[1\]. That paper also noted previous reviews, including a 2018 paper stating, “The vast majority of the studies had a moderate to high risk of bias, as also shown by Negrini et al. in their review and SOSORT guidelines \[8,18\]”\[2,3\]. To answer the question of best brace type, the growing consensus is that the answer does not exist, nor likely will it. What is becoming more widely accepted is that any brace can be effective and just as effective as any other. The most impactful variables in outcomes relate to the skill and expertise of the clinician, the quality of brace fabrication and, most significantly, patient compliance. This is likely our biggest challenge. As a result of this understanding, the inclusion of an objective method of measuring for compliance with technological advancements, such as the stWear® Compliance Monitoring System, has had a dramatic increase in the rate of adoption in recent years. This has also become an important component of any bracing research, as identified in the guidance of study design by the SRS. However, as for bracing effectiveness by type, some answers have come to light, not in superiority of outcomes, but in that of similarity. There has been a growing level of evidence and acceptance of nocturnal bracing, such as the [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system), as a comparable alternative to full-time bracing. While the corrective mechanics are mostly consistent with other brace designs, the [hyper-corrective](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) ability of nocturnal braces can often produce a significantly greater degree of correction. Worn when most of the growth is occurring, the brace can achieve comparable outcomes in a shorter period of wear time. This is magnified by the increase in rates of compliance, due to being worn in the privacy of a patient's home and only when lying down, among other reasons. Considering these outcome findings, the improvement in a patient’s quality of life and the psychosocial impact of brace wear, there are quite compelling reasons for considering nocturnal bracing for many patients. *1. Costa L, Schlosser TPC, Jimale H, Homans JF, Kruyt MC, Castelein RM. The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis. J Clin Med. 2021 May 15;10(10):2145. doi: 10.3390/jcm10102145. PMID: 34063540; PMCID: PMC8156678.* *2. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. PMID: 29435499; PMCID: PMC5795289.* *3. Negrini S, Minozzi S, Bettany-Saltikov J, Chockalingam N, Grivas TB, Kotwicki T, Maruyama T, Romano M, Zaina F. Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev. 2015 Jun 18;2015(6):CD006850. doi: 10.1002/14651858.CD006850.pub3. PMID: 26086959; PMCID: PMC10616811.* #### Related Articles ##### [Not All Braces are Created Equal](https://spinaltech.com/resources/not-all-braces-are-created-equal) ##### [O&P Clinical Insiders Podcast-Industry Partner Edition](https://spinaltech.com/resources/o-p-clinical-insiders-podcast-industry-partner-edition) ##### [Are You Tired of Inadequate Patient Compliance?](https://spinaltech.com/resources/scoliosis-braces-patient-compliance) --- # Harnessing Collective Expertise: A Deep Dive into the Scoliosis Treatment Team Embracing a collaborative and holistic approach, treating scoliosis involves a diverse team of medical professionals. From skilled doctors specializing in spinal deformities to diligent nurses providing compassionate care, and meticulous x-ray technicians capturing vital images, each member plays a crucial role in the journey of scoliosis treatment. Working hand in hand with knowledgeable orthotists shaping custom braces, dedicated physical therapists guiding rehabilitation, and other health workers each have an indispensable role in the collective pursuit of optimal patient care. The Multidisciplinary Scoliosis Treatment Team **Recognizing the Collaborative Approach** The success in treating scoliosis hinges on a multidisciplinary team, where each expert brings unique skills to the table. Pediatricians or primary care physicians initially identify the condition and remain involved throughout treatment. Nurses provide essential care and ensure the patient's comfort and understanding of their treatment. The team may also include an orthopedic surgeon, who would lead the treatment plan and perform surgery if it is ultimately deemed necessary. **Roles of Various Health Workers** Health workers form the backbone of the scoliosis treatment process. Beyond the primary medical team, there are numerous specialists whose roles are crucial in managing the condition. Physical therapists design and implement exercise regimes to strengthen the patient's back muscles, potentially slowing the curvature's progression. Occupational therapists may come into play, especially for patients recovering from surgery, helping them adapt to daily activities with their new physical limitations. Psychologists or counselors often support the patient's mental health, addressing the emotional impact of living with a chronic condition. In the case of children and adolescents, school nurses play a significant role in providing ongoing support and ensuring that the treatment plan is accommodated in the school environment. Each health worker contributes to a network of care that prioritizes the patient's well-being, both physically and emotionally. **The Power of Collaboration** A radiologist or x-ray technician is key for accurate diagnosis and monitoring progression, taking precise images that guide treatment decisions. Additionally, a physical therapist may oversee non-surgical interventions and pain management, contributing to a comprehensive care strategy. This collaborative approach ensures that all aspects of scoliosis management are addressed, leading to better outcomes and a more personalized care experience for the patient. **Importance of Orthotists in the Team** Orthotists are pivotal in the scoliosis treatment team, especially when bracing is part of the management strategy. An orthotist is a health worker skilled in designing and fitting orthoses, which are devices like braces that support or correct musculoskeletal deformities. In scoliosis care, they custom-build braces to fit the patient's unique body shape and curvature of the spine. The role of the orthotist extends beyond just the creation of these devices. They are also responsible for educating the patient and their families on proper brace use, maintenance, and the importance of adherence to the treatment plan. Regular consultations with the orthotist are essential for adjustments to the brace as the patient grows or as their condition changes. By providing these specialized services, orthotists contribute significantly to the non-surgical management of scoliosis, often preventing the need for more invasive procedures. **The Cooperative Advantage of Teamwork** Teamwork in scoliosis treatment offers a cooperative advantage that can significantly improve patient outcomes. By working together, team members can share insights, combine their expertise, and create a more holistic treatment plan. This approach ensures that all aspects of the patient's condition are considered, including the physical, emotional, and social effects of scoliosis. The combined effort allows for quicker adjustments in treatment plans when necessary and a more seamless integration of various therapies. Regular team meetings enable consistent communication among all professionals involved, ensuring that everyone is up to date on the patient's progress and needs. The collective expertise also provides a support system for patients and families, reinforcing the message that they are not facing this challenge alone. In essence, the cooperative nature of this team approach fosters a nurturing environment that is conducive to healing and growth. **Building Confidence and Trust in Scoliosis Care** Building confidence and trust is essential in scoliosis care. The condition can be a source of anxiety and uncertainty for patients and their families, making the clarity and consistency of information provided by the treatment team vital. When each health worker communicates effectively and demonstrates expertise in their respective fields, it instills a sense of trust in the patient. This trust is crucial for adherence to treatment plans, especially when they include long-term commitments like bracing or ongoing therapy. The team's ability to present a united front and a well-coordinated care plan also conveys to the patient that they are receiving comprehensive, high-quality care. Moreover, the involvement of patients in the decision-making process empowers them, further solidifying their confidence in the treatment. As trusted advisors, the treatment team's reliability and support are instrumental in navigating the complexities of scoliosis management. #### Related Articles ##### [A Parent's Guide to the Providence Nocturnal Scoliosis® Brace](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) ##### [A Patient's Guide to Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/a-patients-guide-to-adolescent-idiopathic-scoliosis) --- # Spinal Technology is the World's Greatest [Video](/resources/tag/video) How2Media, the producers of the television show “World’s Greatest!...”, announced today that they have recently selected Spinal Technology Inc. to be a part of the popular television series. With a history dating back to 1991, Spinal Technology Inc. has manufactured over a million spinal braces. As the global leader in the design and custom fabrication of Spinal Orthoses, their expertise and innovation are sought all over the world. “We think their story will be meaningful as well as educational to our viewers,” said Kyle Freeman, Executive Producer of the show. As part of the show, How2Media sent a film crew to spend time at the company’s facilities in West Yarmouth, Massachusetts to find out what the story behind the story is with this great and growing company, and to show the “World’s Greatest!...” viewers why Spinal Technology Inc. was selected as the best in their category, and therefore featured on the show. “Being chosen as the World’s Greatest! Central fabricator of scoliosis braces and spinal orthoses is exciting news,” said CEO and Founder, Jim Tierney. “Our combined knowledge, highly skilled expertise, craftsmanship and customer service are our focus when we fabricate each and every brace. Spinal Technology’s sole purpose is to better each patient’s life,” added Sean Cadieux, Director of Operations. “World’s Greatest!...” is a thirty-minute show dedicated to highlighting the world’s greatest companies, products, places, and people. Each show is a fast-paced tour around the world featuring behind-the-scenes footage, informative interviews, and exciting visuals. #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # What is a Pectus Carinatum brace? [Video,](/resources/tag/video) [Brace,](/resources/tag/brace) [pectus](/resources/tag/pectus) Our custom Pectus Carinatum brace features a low profile design with both anterior and posterior panels with a flexible surround that easily contours around the patient’s chest. These panels are designed to direct both an anterior and posterior force needed for compressive correction. To learn more about the key elements of the brace, please [click here](https://spinaltech.com/pectus-carinatum-orthosis). #### Related Articles ##### [Pectus Carinatum Wearing Protocol](https://spinaltech.com/resources/pectus-carinatum-wearing-protocol) ##### [Pectus Carinatum Orthosis (Article)](https://spinaltech.com/resources/o-p-edge-article-on-pectus-carinatum-orthosis) ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) --- # Education with Jonathan Taylor [Education](/resources/tag/education) Jonathan Taylor has over 20 years experience in Clinical Operations and Business Development. He heads the Research/Development and Clinical Education programs at Spinal Technology and can be found presenting at many national and international O&P industry meetings and conferences. ### April 9, 2026 Webinar - [Register for the FREE Webinar](https://events.teams.microsoft.com/event/61f4d4dd-ee2d-437c-934d-ac49078a8c30@ecd1fbc4-bd8f-4fb0-a739-836d766214f8) Jon Taylor presenting at a recent Academy Meeting For a full list of our 2026 O & P Industry Events visit our [Exhibition page](https://spinaltech.com/resources/event-schedule-2026). Contact Jonathan directly for more information on his trainings or in-person clinical education sessions. Read his full bio below. Contact Jonathan Taylor for more information Clinical Educational Courses Understanding Scoliosis Brace Designs and Methods Advanced Methodologies of Full-Time Scoliosis Bracing Scoliosis Bracing – Principles and considerations of design, evaluation, and modifications for successful outcomes. Advantages of Nocturnal Bracing Scoliosis Bracing and The Challenge of Patient Compliance Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design Corrective Forces of Full-Time Bracing Jonathan has over 20 years of expertise in Orthotics and Prosthetics, maintaining a primary focus on pediatric orthotics and specializing in the orthotic management of Adolescent Idiopathic Scoliosis. Along with experience in patient care and clinic operations, he has held executive roles with major spinal brace manufacturers, running manufacturing/distribution, research and development, sales/ marketing, and business development. In partnership with Children’s Hospital Boston, he led the development of specialized orthopedic devices from concept to introduction in patient care markets, including the prosecution of multiple patents, the design and execution of clinical trials, navigation through FDA and regulatory clearance, as well as all phases of product development, from design/ prototype to the manufacturing and distribution. Jonathan’s clinical studies with surgeons from Children’s Hospital Boston and Children’s National Medical Center in Washington, DC, resulted in the co-authoring of prominent publications in the journal of “Plastic and Reconstructive Surgery”, and “Journal of Craniofacial Surgery”. ### Related Links - [Orthotic Management of AIS](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) - [Hyper–Correction Forces and The Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) ### Linkedin [Follow Jonathan on Linkedin](https://www.linkedin.com/in/jonathan-taylor-0762b93a/) Contact Jonathan Taylor for more information Clinical Educational Courses Advanced Methodologies of Full-Time Scoliosis Bracing Scoliosis Bracing – Principles and considerations of design, evaluation, and modifications for successful outcomes. Advantages of Nocturnal Bracing Scoliosis Bracing and The Challenge of Patient Compliance Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design Corrective Forces of Full-Time Bracing #### Related Articles ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) ##### [O&P Clinical Insiders Podcast-Industry Partner Edition](https://spinaltech.com/resources/o-p-clinical-insiders-podcast-industry-partner-edition) ##### [Learning at an Industry Event](https://spinaltech.com/resources/learning-at-an-industry-event) --- # A Parent's Guide to Understanding Scoliosis [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Scoliosis](/resources/tag/scoliosis) #### **Letter To Parents And Caregivers** At Spinal Technology, we understand that a scoliosis diagnosis for your child can be overwhelming. Rest assured, it’s natural to feel worried. Many hours of online research or talking to your medical provider can be like drinking from a firehose. You want the best options for your child and don’t know where to begin. As a trusted leader in the orthotics and prosthetics industry, Spinal Technology is known as the Scoliosis Specialist. Since 1991, Spinal Technology has been fabricating custom spinal orthoses to improve patients' lives. We are the global leader specializing in custom options to help many spinal conditions. We are the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis, and we also fabricate a number of full-time scoliosis brace styles. Medical experts around the world depend on our expertise for the assessment of patient curvature, the blueprinting of x-rays, the design of each orthosis, and the x-ray evaluation of patients in-brace. At Spinal Technology, we believe that sharing our knowledge and absorbing that of others is the most effective way to advance the treatment and care of all patients. We have created a comprehensive guide for parents and caregivers to start at the beginning of what scoliosis means and end up with resources for your family that can help guide you through this scoliosis journey. ### Download a Parent's Guide Download a printable guide to Adolescent Idiopathic Scoliosis for parents and caregivers. [Download Now](https://spinaltech.com/uploaded/uploads/Spinal-Tech_Parents_Guide_Prov_AIS_2025-05-07-1.pdf) #### **Understanding Adolescent Idiopathic Scoliosis (AIS)** As a parent, learning that your child has scoliosis can feel overwhelming. Adolescent idiopathic scoliosis (AIS) is a condition where the spine develops a curve, most commonly between ages 10 and 18. While this can be concerning, early detection and the right treatment plan can help your child manage their scoliosis effectively. **You are not alone**—many families face this diagnosis with the guidance of medical professionals and proven treatment options. #### **How is Scoliosis Diagnosed?** AIS is often first noticed during routine scoliosis screening, which is typically conducted at schools or during regular checkups. One of the most common ways to assess spinal curvature is through the Adams Forward Bend Test. - During this simple test, your child will be asked to stand with their feet together, place their hands in front of them, and slowly bend forward at the waist while keeping their knees straight. - This allows the provider to observe the back for any signs of unevenness in the shoulders, ribs, or hips, which could indicate scoliosis. - According to Boston Children’s Hospital (2020), one key indicator is a raised “rib hump” on one side of the back, suggesting that the spine may be curving abnormally. - If any signs of scoliosis are found, your doctor may recommend an X-ray to get a clearer picture of your child’s spine. - The X-ray will measure the curvature’s degree using the Cobb angle—a key factor in determining whether scoliosis is present and how best to manage it. Generally, a curve more significant than 5–7 degrees is considered scoliosis. #### **What Happens After a Scoliosis Screening?** - If scoliosis is suspected, your child’s doctor will take a complete medical history, including asking about any family history of scoliosis. They will also conduct a physical examination to better understand how the spine is curving and assess any impact on posture or movement. - A spinal X-ray (radiograph) will provide a more detailed look at the shape and direction of the curve. Scoliosis can develop in different parts of the spine—including the thoracic (upper back), lumbar (lower back), or cervical (neck) regions—and may curve in a “C” or “S” shape. These details help doctors determine the best course for your child’s treatment. - At Spinal Technology, we understand that scoliosis can feel overwhelming for parents and children alike. However, early detection and the proper treatment can make a significant difference. Working closely with your child’s medical team makes you feel confident in finding a solution supporting their spinal health and overall well-being. #### **What is AIS?** Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis, accounting for 80% of cases. It occurs when the spine curves sideways and rotates. While the exact cause is unknown, it often progresses rapidly during growth spurts. The goal of treatment is to monitor or slow the progression of the curve, ensuring the best possible outcome for your child’s spinal health. #### **Symptoms of AIS** Scoliosis symptoms vary based on the degree of the spinal curve: - **Mild scoliosis (10–25 degrees)**: This condition often goes unnoticed and is typically found during a school or doctor’s screening. - **Moderate scoliosis (26–40 degrees)**: This may cause noticeable unevenness in the shoulders, waist, or back and mild discomfort. - **Severe scoliosis (over 40 degrees)**: This can lead to more visible spinal curvature, rib prominence, and in some cases, breathing difficulties or discomfort. Early detection allows for more treatment options and may reduce the need for surgery. #### **Treatment Options for AIS** When it comes to treating adolescent idiopathic scoliosis, every child’s journey is unique. The right approach depends on the severity of the curve, how much your child is still growing, and their overall health. - **Mild cases: If your child has a slight spinal curve, their doctor may recommend regular checkups to monitor any changes as they grow. Many children with mild scoliosis don’t need treatment beyond observation.** - **Moderate cases: When the curve is more pronounced, bracing is often the best way to help prevent it from worsening. A well-fitted brace can gently guide the spine while allowing children to stay active and comfortable.** - **Severe cases: A doctor may discuss surgical options in some situations, especially when the curve is significant and continues to progress. However, this is only considered when necessary, and bracing is often the first line of defense.** For many families, bracing is an effective and non-invasive way to manage scoliosis. Nighttime bracing has become a preferred option because it provides strong spinal correction while only being worn during sleep. Children can go about their day without the added stress of wearing a brace at school or during activities. Many parents find that nighttime bracing offers peace of mind, knowing their child is getting effective treatment in a way that feels less disruptive to their daily lives. ## Frequently Asked Questions - Parents and caregivers are essential partners in the bracing journey, as patient adherence to the prescribed wear schedule is the single biggest challenge in treating Adolescent Idiopathic Scoliosis (AIS). Compliance is critical because the brace's efficacy depends on sustained wear to achieve the necessary in-brace correction and maintain spinal balance. [Click here to read more of our scoliosis resources.](https://spinaltech.com/resources/for-parents-patients) - To support successful outcomes and address psychosocial concerns like body image, caregivers can utilize the following strategies: **Empathetic Care & Open Dialogue:** Recognizing that a diagnosis can be daunting, caregivers should create a safe space for conversations regarding mental health. Sharing stories of others with scoliosis, such as "well-known people" or narratives like [*The Silver-Horned Girl*,](https://spinaltech.com/resources/coping-with-scoliosis-the-story-behind-the-silver-horned-girl) can help patients realize they are not alone and reduce the social stigma of bracing. - **Leveraging Technology for Accountability:** Tools such as the [stWear™ Compliance Monitoring System](https://spinaltech.com/resources/providence-brace-stwear-compliance-monitoring-system-success) enable parents and practitioners to access objective data. This shifts the focus from "policing" wear time to collaborative, evidence-based goal-setting. - **Practical Body Image Solutions:** For adolescents concerned about their appearance in a brace, caregivers can: - **Choose Low-Profile Options:** Consider the [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis), which is worn only at night (10–12 hours). This eliminates the need to wear a brace to school, effectively removing the social anxiety and clothing limitations associated with daytime bracing. - **Promote Self-Love:** Encourage activities that foster confidence, such as finding "summer jobs" that maximize comfort or following "self-love guides" specifically tailored for scoliosis patients (e.g., advice on wearing bikinis or specialized clothing). - **Educational Support:** Understanding that scoliosis is not caused by posture or lifestyle can help alleviate a patient’s feelings of self-blame or "otherness." #### Related Articles ##### [What is Scoliosis?](https://spinaltech.com/resources/what-is-scoliosis-2) ##### [6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) ##### [Scoliosis Awareness Resources](https://spinaltech.com/resources/scoliosis-awareness-resources) --- # Scoliosis Research Society Holds Q&A [Bracing,](/resources/tag/bracing) [Video](/resources/tag/video) SRS.org held a livestream with the social media committee to talk about scoliosis and do a live Q&A on February 20, 2024. You can watch the full video [here](https://www.youtube.com/watch?v=1NY5QlFnX5k)on their YouTube channel. Below is an excerpt we captured with regards to the effectiveness of scoliosis bracing from Ryan Fitzgerald, MD FAAOS. *Our job is to teach the science so you can make the best decision for your your family and your child and certainly that is a part of a treatment algorithm for a lot of people.* *Now as far as bracing is concerned this is something where we actually have excellent evidence. And so a typical algorithm for bracing for people is when curves are progressive above 25 degrees that still have quite a bit of growth remaining.* *That is a patient population that is ideal for bracing. And what we know is that bracing truly can prevent surgeries from happening.* *So there was a good prospective study that was done out of Iowa that showed us that they actually had to stop the study early because it was unfair for the patients that didn't give up.* *So they brace not to get it. And what they showed is that the number needed to treat was three. And so what that means is you take everyone that would have to have surgery and you give them a brace and they wear a brace well that we can stop a third of surgeries from happening.* *And so I think that evidence is really You what we hang our hat on and why bracing is such a cornerstone in what we do.* *Typically that type of brace is a full time brace and so the second point we got out of that study is the number of hours per day that you wear that brace is very important.* *So if you don't Thanks watching! If don't wear the brace at least 13 hours a day, you may as well not be wearing it at all.* *To every hour on average that you're wearing it more than that, up to 18 hours we can get further umm further benefits.* *So for me and my clinic for patients that still have That's great. That's great. Both remaining to have a curve above 25 degrees, the main state of treatment is a brace that umm is again worn with a goal of 18 to 20 hours a day.* *And ultimately if those curves progress, that's when we start talking about surgery. Curves that are above 45 to 50 degrees, we're starting to lose balance.* *Umm. Those are the ones that tend to be kind of worse actors long term and that's when we start talking about surgical options.* *Great. Now thank you, Dr. Sarah. I think that's a very helpful and it's important for families and parents to realize that there are options and good options before serving the entertainer.* *And I was tell you know my students and families you know always give comfort to opinions about this kind of information.* *These are critical decisions and you want to make sure you're talking to services. To be honest with you like yourself and others for part of SRS who are well informed about the current upgrades and current guidelines of local literature. That is very very important.* ### Related Links - [O&P Research Insights with Dr. Steve Gard](https://spinaltech.com/resources/o-p-research-insights-with-dr-steve-gard) #### Related Articles ##### [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) ##### [Spinal Orthotics, Scoliosis and Establishing a Code - A Conversation with Scott Thach](https://spinaltech.com/resources/spinal-orthotics-scoliosis-and-establishing-a-code-a-conversation-with-scott-thach) ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) --- # What is a 3D Boston (Style) Brace? [Brace,](/resources/tag/brace) [Full-Time Bracing,](/resources/tag/full-time-bracing) [Video](/resources/tag/video) Our SCT 3D Boston (Style) Scoliosis Orthosis is designed using CAD/CAM technology. This orthosis provides a brace design that corrects the spine based on three body planes, the Sagittal, Coronal and Transverse (SCT) and provides a precise combination of lateral and rotational forces that move the spine into a corrected position. This design allows for lateral shift of the curves to midline and provides relief/void areas on opposing sides of the scoliosis curve from both rotational and lateral forces. Using CAD/CAM technology allows for precise fabrication to maximize spinal correction that can be measured to the exact millimeter. To learn more about the features [click here.](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # What is a TLSO brace? [Brace,](/resources/tag/brace) [TLSO,](/resources/tag/tlso) [Video](/resources/tag/video) Thoracic Lumbar Sacral Orthosis (TLSO) The anterior and posterior sections of the high profile TLSO Flex Foam® 1 - Bivalve opening are connected by a set of three heavy-duty hook and loop straps on each side, allowing compression, expansion and adjustability, with good lateral control. The patented frame is lined with soft foam, available in several thicknesses, to maximize comfort. Multiple opening and frame designs are available to accommodate medical needs. To learn more about the product details [click here.](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam) #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # Spinal Technology®, the global leader in custom spinal brace manufacturing, joins the Eqwal Group. Eqwal is pleased to announce the acquisition of Spinal Technology on August 30th, 2023. Founded in 1976 and headquartered in Toulouse, France, [the Eqwal Group](https://eqwalgroup.com/en/objectives/) is a global prosthetics and orthotics patient care services provider, employing over 2,700 people with clinics across Europe and the USA. Eqwal is also a global leader in 3D printing solutions and CAD/CAM systems. Joining Eqwal will provide Spinal Technology access to new markets and the opportunity to deliver continuous innovation across its product portfolio. Founded in 1991, Spinal Technology is the global leader in the design and custom fabrication of Spinal Orthoses, for the stabilization, immobilization, and correction of various abnormalities of the spine. The company specializes in the treatment of Adolescent Idiopathic Scoliosis. With the help of over 100 employees working on two facilities (located in the United States – West Yarmouth and Louisville), Spinal Technology can provide custom fabrication services to practitioners across the United States and around the world. The company maintains expertise in various scoliosis bracing methodologies and remains on the forefront of research and development, particularly in 3D scanning and CAD/CAM technologies. Spinal Technology's advanced research coupled with highly experienced manufacturing staff will enable Eqwal to optimize cost efficient supply chain for Eqwal Clinics worldwide, benefit from the C-Fab for U.S. O&P network and have internal educational and technical support/training opportunities across all sectors. Jean-Pierre Mahé, CEO of Eqwal said: “Incontestably, Spinal Technology is the American leader in custom-made orthopedic spinal devices. Today, its reputation extends well beyond American borders. This success is partly attributed to Spinal Technology's unique positioning in its market. Indeed, Spinal Technology has not merely been a remarkable manufacturing hub but has also integrated itself into the patient care journey by cultivating close partnership relationships with its customers. This distinctive and disruptive approach, aimed at achieving excellence for the patient, has naturally led us to consider Spinal Technology as an essential part of the great Eqwal's project in the United States and on a global scale. I am delighted and proud to welcome Spinal Technology's teams into Eqwal. I am convinced that Spinal Technology will contribute to Eqwal's growth just as much as Eqwal will contribute to the growth of Spinal Technology. “ #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # What is Scoliosis? [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Video](/resources/tag/video) When you look at the spine, it is typically straight. Scoliosis is present when the spine shifts to the right or to the left. It is defined as the lateral deviation of the normal vertical line of the spine which, when measured by x-ray, is greater than ten degrees. Scoliosis consists of a lateral curvature of the spine with rotation of the vertebrae within the curve. Rotation of the vertebrae also occurs which produces the rib cage and flank muscle asymmetry. ### Newly Diagnosed? We've put together some resources to help you and your child navigate your scoliosis journey. Click below to learn more and find guidance from others who have experienced this already. [Learn More](https://spinaltech.com/resources/for-parents-patients) #### Related Articles ##### [Why is the Spine Important?](https://spinaltech.com/resources/why-is-the-spine-important) ##### [What are Scoliosis Braces?](https://spinaltech.com/resources/what-are-scoliosis-braces) ##### [6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) --- # What is the Chêneau (Style) brace? [Brace,](/resources/tag/brace) [Cheneau,](/resources/tag/cheneau) [Video](/resources/tag/video) The SCT 3D Chêneau (Style) brace is a corrective TLSO uniquely constructed to bring the body and spine into the best possible postural and morphological 3D corrected alignment by using a combination of forces applied to the body surface by specifically designed pads, facilitated by expansion or relief spaces. To learn more about the brace features, [click here.](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [What Makes Us Legendary?](https://spinaltech.com/resources/what-makes-us-legendary) --- # How2Media announces that Spinal Technology will be part of its “World’s Greatest!...” series **Boynton Beach, FL -** *May 26, 2023* How2Media, the producers of the television show “World’s Greatest!...”, announced today that they have recently selected Spinal Technology to be a part of the popular television series. With a history dating back to 1991, Spinal Technology, LLC has manufactured over a million spinal braces. As the global leader in the design and custom fabrication of Spinal Orthoses, their expertise and innovation are sought all over the world. “We think their story will be meaningful as well as educational to our viewers,” said Kyle Freeman, Executive Producer of the show. As part of the show, How2Media sent a film crew to spend time at the company’s facilities in West Yarmouth, Massachusetts to find out what the story behind the story is with this great and growing company, and to show the “World’s Greatest!...” viewers why Spinal Technology was selected as the best in their category, and therefore featured on the show. “Being chosen as the World’s Greatest! Central fabricator of scoliosis braces and spinal orthoses is exciting news,” said CEO and Founder, Jim Tierney. “Our combined knowledge, highly skilled expertise, craftsmanship and customer service are our focus when we fabricate each and every brace. Spinal Technology’s sole purpose is to better each patient’s life,” added Sean Cadieux, Director of Operations. “World’s Greatest!...” is a thirty-minute show dedicated to highlighting the world’s greatest companies, products, places, and people. Each show is a fast-paced tour around the world featuring behind-the-scenes footage, informative interviews, and exciting visuals. How2Media is a 21st Century television production company. Their award-winning programming can be seen on national cable channels and local network affiliates across the country. For more information on How2Media and their show lineup, please visit how2mediaproductions.com Spinal Technology is featured in Episode 341 **BLOOMBERG TV: may air reruns** On DirecTV: Channel 353. On DISH Network: Channel 203. On Cable: Depends on your local area and carrier **or visit** [**www.worldsgreatesttelevision.com**](https://www.worldsgreatesttelevision.com/free-episodes) **to see the full episode.** #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Scoliosis: The Strength to Bend and Not Break [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Ambassador](/resources/tag/ambassador) Shared with permission from the author **Prologue** A teenager named Rianna fights through a type of scoliosis called idiopathic. She learns that scoliosis is a very common condition and finds a way to cope without the fear of being judged. With encouragement from her mom, teacher, friends, and family Rianna feels like she can accomplish the challenges that come her way. *For my biggest supporter: My Mom, Sara Kesablyan.* *With the help of my AB Teacher, Mrs Fletcher, and the one who always supported me, My Mom, and some people at Hanger's clinic who inspired me.* Once upon a time, there lived a beautiful young girl named Rianna. As she matured, Rianna began to experience an abnormal curvature of her spine - a condition known as scoliosis. The diagnosis filled Rianna and her family with fear. The doctors warned them that scoliosis can cause severe back pain and drastically reduce Rianna's quality of life. Resigned to her fate, Rianna began wearing a large metal brace day and night in an effort to limit the damage being done. While the brace kept her spine from becoming too disfigured, the cosmetic effects were heartbreaking. Rianna eventually began to resent her brace and even herself, and she felt like a walking skeleton. This drove her deep into depression, until one day, she had a fateful encounter. On her way home from school, Rianna ran into her old school teacher, Mrs. Jones. Mrs. Jones inquired as to why Rianna was wearing the brace. Rianna then shared her story. Mrs. Jones offered Rianna a glimmer of hope: she told her of a traditional folk dance performed by people with scoliosis. This dance, she said, strengthened the bodies of those afflicted, and gave them freedom of movement. With Rianna's mom by her side supporting her day and night Rianna felt very proud of being who she was, Rianna's mom never gave up on her and never gave up on her brace, Rianna was inspired by her mom. Mrs. Jones offered Rianna a glimmer of hope: she told her of a traditional folk dance performed by people with scoliosis. This dance, she said, strengthened the bodies of those afflicted, and gave them freedom of movement. With Rianna's mom by her side supporting her day and night Rianna felt very proud of being who she was, Rianna's mom never gave up on her and never gave up on her brace, Rianna was inspired by her mom. After Mrs. Jones told her about how people with scoliosis do traditional dancing, Rianna got inspired and it encouraged her to join an Armenian dance group. Once her mom found a dance studio she immediately told the dance teacher, Mrs. Karine, about her condition. After a couple of days of her dance life, she knew that she found her passion. Later on, Karine taught her a traditional Armenian folk dance that also made her spine and spirit stronger. Rianna was captivated by the message. After the meeting with Mrs. Karine, Rianna begged Mrs. Karine to teach her the traditional dance. After a while learning the moves, she was finally able to shed her brace and perform the dance in public. The dance became a symbol of her newfound strength, courage and resilience. As Rianna progressed, she joined sports including soccer, track and field, volleyball, and cross country. Rianna's scoliosis had actually helped her take advantage of the love of dancing and sports. Some kids at Rianna's school even wore bulky clothes and hid their braces when later on Rianna wore the brace loud and proud in public, some kids came to Rianna and talked about the same disabilities and soon or later kids started wearing their braces out in public. To this day, Rianna remains an inspiration to many. She is an example of how one can overcome even the most debilitating of obstacles and tap into the power of the human spirit. **''You were given this life because you are STRONG ENOUGH to live it."** *- Rianna.* **"Bent But Not Broken."** *- Rianna.* **''You never know how strong you are, until being strong is the only choice you have."** *- Rianna.* Rianna pictured in her brace with her practitioner Rose **A Little Bit About The Author:** Hi my name is Rianna Kesablyan and I am 12 years old. I have been wearing a brace from 2021--2023 and it's almost my last year of wearing my brace. I am Armenian, I love sports, and my favorite hobby is Armenian Traditional Folk dancing. I got inspired by my mom, she helped me start off my goal of writing stories and telling me about doing what I love. My mom has been next to me and supportive of my brace and condition - Scoliosis-. My dream is to inspire kids like me who have the same condition and to motivate them about being who they are and to never look back on the people who judge or stare at you. Like my mom said, ***"Scoliosis is only a disability if you let it be."*** ***"Don't Be Ashamed Of Your Story As It Will Inspire Others."*** *Inspirational Words from my father, My hero, **''Your brace is your Iron Man Suit."*** #### Related Articles ##### [6 Signs of Scoliosis](https://spinaltech.com/resources/6-signs-of-scoliosis) ##### [How Common is Scoliosis?](https://spinaltech.com/resources/how-common-is-scoliosis) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) --- # The Providence Nocturnal Scoliosis® System The Providence® Orthosis is the first hyper corrective brace that is worn at nighttime to treat Adolescent Idiopathic Scoliosis (AIS). This revolutionary orthosis has gained in popularity because of its effectiveness in treating scoliosis and its enhanced ease of compliance among adolescent patients. It has been successful in treating all curve types: lumbar, thoracic, double major, and thoracolumbar. The Providence Nocturnal Scoliosis® System combines the precise grid coordinates of the patented measuring board and utilization of a CAD/CAM system to effectively establish consistent spinal modification strategies. The Providence Nocturnal Scoliosis® System is designed to aggressively correct scoliotic curves while the patient sleeps. The Providence® is also effective for obese, juvenile and neuromuscular patients. *Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® System.* ### Related Links - [Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-protocol) - [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) - [Providence® Orthosis Casting Procedure](https://spinaltech.com/resources/providence-orthosis-casting-procedure) #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) ### Why Nighttime Bracing vs Full-Time? **Human Growth Hormone** The Providence Nocturnal Scoliosis® Orthosis is a nighttime orthosis designed to be worn when optimal correction occurs during critical growth hours. There is elevated output of **Human Growth Hormone** (HGH) at night. ### Compliance **Compliance is critical to success in scoliosis bracing.** Wearing the Providence® orthosis eliminates the social stigma of having to wear a full-time, full coverage brace to school. In addition to the physical discomfort of wearing a full-time brace, many adolescents describe it as an isolating and uncomfortable experience which may negatively impact compliance rates. The patient wears the Providence® orthosis while sleeping, and for best results, should wear the Providence® brace while doing homework or watching TV in the supine position. For most patients this means 10 to 12 hours of wearing time; for juveniles it can be up to 16 hours as opposed to the 23 hours per day required for full-time bracing. **Compliance** The patient wears the Providence® nighttime brace while sleeping. The Providence® orthosis eliminates the social stigma of having to wear a full-time, full coverage brace to school and lets kids be kids. ### Efficacy of the Providence® Orthosis **Initial In-Brace Correction** The **initial in-brace x-ray for the Providence® orthosis** is **98%** correction. Collectively the in brace x-ray of full-time bracing is 56%. There is a 42% differential in initial in brace x-ray results of the Providence® versus full-time braces. Research shows there is a strong correlation between best or initial in brace correction and follow up correction. Initial Correction Results - Spine Journal, September 15, 2001, Volume 26, Issue 18 Product Researchers Correction Milwaukee Carr et al. 55-60% Boston Emans et al. 50% Wilmington Basset et al. 50% Miami McCollough et al. 50% Charleston Price et al. 73% Providence Brace d'Amato et al. 98% ### Correction Outcomes 26° Right Thoracic, 26° Left Thoracolumbar Curve Original - Out Of Brace X-Ray On Board X-Ray (Supine) In-Brace X-Ray (Supine) - Original - Out Of Brace X-Ray - On Board X-Ray (Supine) - In-Brace X-Ray (Supine) 25° Right Thoracic, 21° Left Lumbar Curve Original - Out Of Brace X-Ray On Board X-Ray (Supine) In-Brace X-Ray (Supine) - Original - Out Of Brace X-Ray - On Board X-Ray (Supine) - In-Brace X-Ray (Supine) 45° Right Thoracic Curve Original - Out Of Brace X-Ray In-Brace X-Ray (Supine) - Original - Out Of Brace X-Ray - In-Brace X-Ray (Supine) 34° Right Thoracic, 30° Left Lumbar Curve Original - Out Of Brace X-Ray On Board X-Ray (Supine) In-Brace X-Ray (Supine) - Original - Out Of Brace X-Ray - On Board X-Ray (Supine) - In-Brace X-Ray (Supine) ### Published Medical Studies For more information on the success of the Providence® orthosis, see the published studies: **– Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°** *Ane Simony, Inge Beuschau, Lena Quisth, Stig Mindadahl Jespersen, Leah Yaccat Carreon, Mikkel Osterheden Andersen* *European Spine Journal, September 2019, Volume 28, Issue 9* [**Read More**](https://eprintservices.trustrack.com/weblink/d7f5762d6e6a86e4016edbff93601f0b) **– Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis** *Charles Roland d’Amato, MD, FRCS(C), Sean Griggs, MD, and Barry McCoy, MEd, CPO* *Spine Journal, September 15, 2001, Volume 26, Issue 18* [**Read More**](https://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=2001&issue=09150&article=00014&type=abstract) ### Elements of the Providence Nocturnal Scoliosis® System To properly acquire the precise measurements needed for the fabrication of the custom Providence Nocturnal Scoliosis® Orthosis, a system of a board and pads are used to chart the placement of corrective and derotational forces needed to adjust the scoliosis curve apices for best correction. **The Process** The patient lies on the board, with their spine (C7 to S1) over the center line and waist at row zero. Based on scoliosis curve type as defined by patient x-ray evaluation, stabilizing and corrective pads are positioned against the patient. The corrective pads are “dialed in” to produce controlled, direct, lateral and derotational force to move the apices of Scoliosis curves to the midline or beyond midline. **The Providence® Board** The patented Providence® Board is an acrylic board with holes numbered in columns and rows. The columns are alphabetical and the rows are numeric. The holes represent a precise grid pattern that allow both corrective and stabilizing pad placement against the patient. Pad placement is determined by scoliosis curve type. The grid matrix is also represented on the Providence Orthometry Form which the orthotist fills out to note the exact placement of pads, pad compression distance and patient measurements. The acrylic board is portable with folding hinges and comes with two sets of pads for small (for small pediatric) and larger for adolescent patients. **Corrective & Stabilizing Pads** Corrective pads have a handle that turns to increase compression and push the curve apexes toward midline. Stabilizing pads hold the patient on midline while on the board. Each pad has pegs that fit into the lettered and numbered holes on board. ### Overlapping 3-Point Pressure System **Corrective Pads** push apexes toward midline • Lumbar (L) • Thoracic (TH) **Stabilizing Pads** hold patient on midline • Axilla (A) • Trochanter (TR) ### Corrective Pad Compression **Corrective Pad Compression** Corrective Pads have a handle that turns to apply pressure (Lumbar Pad Shown) - compression is measured by distance of threads extended from pad collar to pad base. ### Recording Measurements The practitioner documents each pad placement (Column & Row) and corrective pad measurements. Patient linear and A/P measurements are also recorded while patient is on the Providence® board. **Record Measurements** **Linear Measurements** \- Waist to Xyphoid \- Waist to Pubis **A/P - take with ML Gauge** \- Xyphoid Level \- ASIS Level ### The Providence® Orthometry Form The practitioner completes the Providence® Orthometry Order Form, with all measurements and pad placement information. The Providence® order form allows practitioners to chart the exact position of each pad location and record patient measurements for brace fabrication. [**Download**](https://spinaltech.com/uploaded/forms/ST-ProvidenceOrderForm-Sept23.pdf) ### Education Spinal Technology holds several courses for practitioners throughout the U.S. each year that address custom spinal bracing for both Full-time and Providence® Nocturnal Scoliosis Orthosis products. [Read More](https://spinaltech.com/resources/education-for-practitioners) ### The Providence® Course Online Our Providence® course is recommended before ordering this orthosis. Practitioners will learn how to satisfactorily address the needs of scoliotic patients through the review of scoliosis principles and use of this innovative technology to maximize spinal correction, improve fit, and enhance orthoses comfort. Spinal Technology offers a Providence course for practitioners both online and at multiple association trade venues nationally and internationally. The American Board for Certification in Orthotics and Prosthetics has approved this course for continuing education credit for those that attend or complete our online training module. Spinal Technology offers The Providence Nocturnal Scoliosis® Course online for those practitioners that can’t attend in person. This online course is a step-by-step presentation to the concepts and methodology for spinal correction using this innovative technology. Practitioners need to register to take the course. There is no charge to take the course. For more information, contact our Customer Service Team at **800 253 7868**. **ABC Course Credit** For practitioners that would like to earn five (5) continuing education credits, approved by The American Board for Certification in Orthotics and Prosthetics, we offer an online course with exam questions included. There is a fee of $105 for the ABC credit online course. For more information, contact our Customer Service Team at **800 253 7868**. ### Free Providence Refresher Course - [Providence Refresher Course](https://spinaltech.com/providence-orthosis-refresher-course) ### Questions concerning The Providence Nocturnal Scoliosis® System? Contact our Customer Service Team at **800 253 7868**. We'll be glad to help you with your question. #### Related Articles ##### [Providence® Nocturnal Scoliosis Orthosis - Medical Studies](https://spinaltech.com/resources/providence-brace-studies) ##### [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) --- # ESG Statement Manufacturing facility in Louisville, KY **ENVIRONMENTAL | SOCIAL | GOVERNANCE** Spinal Technology is the global leader in the design and custom fabrication of spinal orthoses. As a leading manufacturer in the O&P industry, we understand the important role we play in ensuring we are doing our part in bettering our community. Spinal Technology operates out of two facilities: our corporate headquarters in West Yarmouth, Massachusetts and our manufacturing plant in Louisville, Kentucky. **ENVIRONMENTAL** In the world of manufacturing, Spinal Technology has a relatively small carbon footprint. Although we believe we do not significantly contribute to greenhouse gas emissions, we understand even the smallest change can make a difference. These are some of the ways we are maintaining our small footprint. ***Energy Efficient Lighting*** We have upgraded to LED lighting in both our facilities, which provide a longer life creating less waste than our prior lighting. We have seen a proven and sustained 30% reduction in energy consumption. ***Shipping & Packaging*** Sustainability is important when it comes to Spinal Technology’s shipping and packaging practices. We have selected UPS as our preferred shipper, who has increased their efforts in investing in alternative fuel options for their trucks. We do our part by shipping braces in the smallest box size the brace will allow and consolidating orders into as few boxes as possible. This is not only better for the environment, but it also helps our customers save money on shipping. We also ensure that all cardboard we receive from incoming packages is recycled or reused. ***Office*** We actively manage paper reduction for ourselves, our customers, and suppliers. We encourage electronic delivery of inbound and outbound documents, and more than 95% of our supplier payments are now electronic. ***Waste Removal*** While we continually strive to reduce plastic waste consistent with maintaining the highest product quality, our waste management suppliers have adopted their own sustainability metrics, report on their progress, and have even won awards for innovative recycling solutions. --- **SOCIAL** ***Education*** Our clinical team proudly supports the medical community with advanced educational courses and seminars, along with the dedicated teaching and resources we deliver to various colleges and universities. We support our workforce with professional certifications and with innovative training programs at local colleges. ***Safety*** The safety of our workforce is of utmost importance, and we continually invest in staff training, ergonomic and safety equipment in our facilities. ***Privacy & Security*** As a Business Associate as defined under HIPAA (Health Information Portability and Accountability Act of 1996), we do not take the privacy and security of our customers’ patient information lightly. All our employees receive ongoing training and best practices for safeguarding our own and our customers’ data. --- **GOVERNANCE** We aim to conduct our business with integrity and transparency in accordance with the highest ethical standards. We maintain a robust risk management and internal control process and extend these controls to the vetting of our suppliers and customers. We actively monitor cyber security and other threats to our own and our customers’ data. We conduct annual risk assessments in accordance with HIPAA and take appropriate actions. **HIPAA COMPLIANCE STATEMENT** Updated November 1, 2023 Spinal Technology is fully compliant with the HIPAA Standards for Privacy, Electronic Transactions and Security (including the HITECH Act and the Omnibus Rule of 2013). We have implemented policies, processes, and procedures designed to ensure compliance with Federal security laws, regulations, and rules, and we monitor ongoing compliance efforts and maintain various reporting mechanisms that are required by law or requested by our customers. We recognize that it is a key responsibility for our business and will continue to provide all of our various programs and services in accordance with the relevant requirements of all federal laws and regulations, including, as applicable, HIPAA. Questions regarding our HIPAA policies or compliance may be directed to: Kathryn Perry, HIPAA Privacy Officer [compliance@spinaltech.com](mailto:MAILTO:compliance@spinaltech.com). #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Academy Today- Winter 2023 [Education](/resources/tag/education) Academy Today Winter 2023 Read the latest published article by Jonathan Taylor "[Advantages of Nocturnal Bracing for Scoliosis](https://online.publicationprinters.com/html5/reader/production/default.aspx?pnum=23&edid=ad0ef329-e3c7-4251-b1c9-15a18d40ad48&isshared=true)" **Advantages of Nocturnal Bracing for Scoliosis (AT019-1B)** Academy TODAY: Winter 2023 - Volume 19, Number 1 $50 (Members pay $20) Historically, full-time bracing has been the most prominent and widely accepted method for the conservative management of scoliosis. Many design variations have been introduced over the years, with each one claiming to exceed the benefits of its predecessors. There’s no shortage of research comparing various iterations of full-time orthoses, yet very little evidence exists to demonstrate any significant and repeatable advantages of one design over all others. In general, the effectiveness of any orthosis relies on meeting a few principles and requirements: in-brace correction (reduction of Cobb and rotation); alignment and balance in the sagittal and coronal planes; and, of course, patient compliance. Combined, those criteria for success can create complicated scenarios when treating actual patients, especially those who are required to wear a brace for 18 to 22 hours per day. The challenges most often stem from the need for the patient to be upright and mobile. That alone contributes to most of the complications that result from traditional full-time brace design. With nighttime bracing, most of those challenges do not exist. There are significant advantages to bracing at night, including simplified brace design, the ability to apply more targeted corrective forces, improved compliance, and potentially better outcomes. [Read the full article.](https://online.publicationprinters.com/html5/reader/production/default.aspx?pnum=23&edid=ad0ef329-e3c7-4251-b1c9-15a18d40ad48&isshared=true) #### Related Articles ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) ##### [Education with Jonathan Taylor](https://spinaltech.com/resources/education-with-jonathan-taylor) ##### [On Demand Learning](https://spinaltech.com/resources/on-demand-learning) --- # What is a STOP Brace? [STOP,](/resources/tag/stop) [Brace](/resources/tag/brace) These are (OTS) Off-The-Shelf orthoses. The OTS modular brace with the same quality manufacturing you trust from Spinal Technology. We are the experts in custom bracing, so trust us with the same quality craftsmanship for your off-the-shelf solutions as well. Stock up with complete male and female components to have on hand in an emergency. The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting based on standard body proportions for both male and female patients. Each anterior and posterior section is made out of a (Rigid) polyethelene plastic lined with foam and have adjustable velcro straps. There are four different styles of S.T.O.P. braces. See more product information by clicking on Product Details call out. ### Order your Starter Package Stock up with complete male and female components to have on hand in an emergency. Click below for pricing. [Introductory Package Pricing](https://spinaltech.com/stop-brace-2022-pricing) #### [S.T.O.P. Orthoses](https://spinaltech.com/s-t-o-p-orthosis) [Product Details](https://spinaltech.com/s-t-o-p-orthosis) #### Related Articles ##### [Prefabricated S.T.O.P. Orthoses - Size Chart](https://spinaltech.com/resources/prefabricated-s-t-o-p-orthoses-size-chart) ##### [Body Contours](https://spinaltech.com/resources/body-contours) ##### [Kyphologic Orthosis - Product Options](https://spinaltech.com/resources/kyphologic-orthosis-product-options) --- # What Makes Us Legendary? #### Related Articles ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) ##### [A Scoliosis Double Curve Animation](https://spinaltech.com/resources/a-scoliosis-double-curve-animation) ##### [Why is the Spine Important?](https://spinaltech.com/resources/why-is-the-spine-important) --- # Stronger Than Scoliosis [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) ### Raising Scoliosis Awareness by Stephanie Polito I usually don’t like to talk about my scoliosis because it’s still an emotional topic for me. But I know that I'm stronger than the curve, and I choose to share my story now to spread awareness about scoliosis. I was diagnosed with scoliosis at the age of 7. I can remember wearing a back brace, and I did not like wearing a back brace because I felt very self-conscious of my body and the way I looked. When my scoliosis got so bad, I would wear baggy clothes to hide my body because I didn’t want people to see my back and the way it looked. When I got to be a teenager, my scoliosis curve progressed so severely that my back hurt and sometimes I couldn’t breathe. I even had a hard time walking as well. People would call me not so nice names, and I can remember feeling sorry for myself. I really didn’t feel beautiful in my own body. When I was 16 years old, I had the scoliosis surgery in 2009. They had to do two surgeries totaling 13 hours. The first surgery they did was to open up my rib cage to fix it since my spine was touching my rib cage. After that was successful, they worked on my spine. During the spine surgery, they discovered that all my discs were loose. The doctors thought I wouldn’t make it out of surgery since it was so severe. But I am alive today to share my story. I can remember waking up in the hospital room being in so much pain. During my recovery, I had to learn how to walk again, do a lot of physical therapy and occupational therapy. I had to learn how to get out of bed, and I had to re-learn how to dress myself in ways that wouldn't impact my spine as much.. The one thing I remember after my surgery the nurses had to have me sit on this chair for for a couple of hours to fix my posture that way I can sit up straight I can remember being in so much pain I wanted to get out of that chair. It was so painful and uncomfortable. I still can’t believe I had this surgery over 15 years ago. I have overcome so much the obstacles and challenges throughout my scoliosis journey. I sometimes still get very uncomfortable and self-conscious about my scars. Sometimes I’ll cover up my scars that way no one doesn’t see them. I know scars can tell a story, and every story is behind a scar. There were several years of recovery to gain my full mobility and strength. I am back doing my physical activities that I enjoyed doing before. I love dancing, practicing yoga, doing Zumba to keep healthy and stay in shape. I work out in the gym to build up my muscle, and to do some exercises to straighten out my back. Knowing that there is a full community of scoliosis warriors out there who are just like me is reassuring. Learning about their stories has helped me to share mine. I know I couldn't have done it alone. I just want to say a big thank you to all my friends and family who have been through my scoliosis journey and I just want to say a big thank you to Shriners Children's Hospital New England. Without them, I don’t know where I would be. Shriners really changed my life in so many different and positive ways. I will always remember how much I have overcome my obstacles growing up with scoliosis. I will always be a true scoliosis warrior. > "The reason why I picked Shriners Hospital is because there are a remarkable hospital. The things that they do for their patients, they go above and beyond and you will never see anything like this at any type of hospital."- Stephanie Polito ### Listen to more of Stephanie's Story - [2019 Shriners Radio-thon](https://spinaltech.com/uploaded/uploads/S-Polito-10-18-19.mp3) #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [A Parent's Guide to Understanding Scoliosis](https://spinaltech.com/resources/a-parents-guide-to-understanding-scoliosis) ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) --- # On Demand Learning At Spinal Technology, we believe that sharing our knowledge, and absorbing that of others, is the most effective way to advance the treatment and care for all patients. Our clinical team proudly supports the medical community with advanced educational courses and seminars, along with the dedicated teaching and resources we deliver to various colleges and universities. We understand how difficult it can be to remember everything you learned if you don't practice it regularly. So we've created an [On-Demand Learning series of videos](https://www.youtube.com/playlist?list=PLaJ6dUZaY8acAUSQNJFHx0QVC0gBXWovS) and downloadable PDF guides to refer back to any time you need it. For a more in-depth training or in-person seminar, please "Tell Us More" in the blue box to request more specific training. ### In-Person Learning If you'd prefer to have a small group training, please let us know what you are looking for in this brief survey. [Tell Us More](https://forms.monday.com/forms/9b5b2155a827273c5038038f2a9e1c09?r=use1) ### Providence Refresher Course - [Providence® Orthosis Refresher Course](https://spinaltech.com/providence-orthosis-refresher-course) **What are the Advantages of Nocturnal Bracing for Treating Scoliosis?** This is a quick overview of the main advantages to using Nocturnal Bracing versus Full-Time Bracing in the treatment of idiopathic scoliosis. **[Download the PDF guide](https://spinaltech.com/uploaded/uploads/Advantages-of-Nocturnal-Bracing_Practitioners-Guide.pdf).** **An Overview of the Providence Nocturnal Scoliosis® System** Take a more detailed look at the ways the Providence Brace can treat all four curve types. Listen as your host, David Collins, CO discusses the best ways to measure and utilize nocturnal bracing for scoliosis. [**Download the PDF Guide.**](https://spinaltech.com/uploaded/uploads/Providence-Overview-PractitionersGuide.pdf) **What Types of Straps are Available?** Did you know that we can customize the straps for your patient? Depending on the different needs of each child, there might be a better type of strap to keep the orthosis stable. Watch as Erick Osborne demonstrates each type of strap. #### Related Articles ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) ##### [Education with Jonathan Taylor](https://spinaltech.com/resources/education-with-jonathan-taylor) ##### [O&P Clinical Insiders Podcast-Industry Partner Edition](https://spinaltech.com/resources/o-p-clinical-insiders-podcast-industry-partner-edition) --- # Spinal Technology - Named Manufacturer of the Year **West Yarmouth** - based **Spinal Technology** was honored at the Massachusetts statehouse today as Legislators celebrated the Massachusetts Manufacturer of the Year from their districts. Rep. Will Crocker nominated Spinal Technology for the 2nd Barnstable district, the State House News Service reported. Formed in August 2014, the Manufacturing Caucus includes more than 60 legislators from around the Commonwealth. Lawmakers focus on training for manufacturing employees, encouraging innovation by helping start-ups access resources, and expanding apprenticeship opportunities in key manufacturing sectors. Massachusetts has become a strong leader in advanced manufacturing, and it is important for government and industry to continue to work together to pursue innovation. Under the leadership of Speaker DeLeo and Senate President Spilka, and in conjunction with Governor Baker, the Legislature has made thoughtful investments in this sector. "We continue to look for ways to improve production and provide high paying jobs for the residents of the Commonwealth as manufacturing is vitally important to the Massachusetts economy and our future." Scheduled speakers at the event included House Speaker Robert DeLeo, co-chairs of the caucus Sen. Eric Lesser and Rep. Jeffrey Roy, Housing and Development Secretary Michael Kennealym and Associated Industries of Massachusetts Vice President of Governmental Affairs Brooke Thomson. During the annual ceremony, Legislators from the Manufacturing Caucus honor companies from their districts with the “Massachusetts Manufacturer of the Year” award. #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # O&P Clinical Insiders Podcast-Industry Partner Edition [Scoliosis,](/resources/tag/scoliosis) [Bracing,](/resources/tag/bracing) [Education](/resources/tag/education) On this episode of the AAOP quarterly podcast, *O&P Clinical Care Insiders: Industry Partners Edition*, host Seth O'Brien, CP, FAAOP(D), chats with Jonathan Taylor, Director of Clinical Development and Education at Spinal Technology. They explore the complexities of scoliosis bracing, comparing various brace types. Taylor emphasizes the lack of a single superior bracing method, noting the importance of clinical expertise and patient compliance. The conversation also touches on the impact of digital design and fabrication techniques in modern orthotic practices and the crucial role of industry partners in clinical decision-making. They conclude by highlighting the ongoing need for patient-centric care and the valuable resource role that companies like Spinal Technology can play for clinicians. Click to listen to the full podcast episode **There are 7 key themes discussed in the podcast: 1. **Variability of Scoliosis Braces**: The existence of numerous brace styles and designs tailored to individual needs. 2. **Misunderstandings and Myths**: Common misconceptions surrounding the effectiveness and purpose of different scoliosis braces. 3. **Individualized Treatment**: The importance of personalized assessments and recommendations from healthcare professionals. 4. **Effectiveness of Bracing**: Understanding that braces can help prevent progression but may not fully correct spinal curvature. 5. **Comfort and Compliance**: The significance of choosing a comfortable brace to ensure consistent wear and adherence to treatment. 6. **Holistic Approach to Treatment**: The role of braces as part of a comprehensive treatment plan that may include other therapies. 7. **Expert Opinions**: The diversity of expert opinions on scoliosis braces and the complexity of treatment options available. - [Clinical Care Insiders Podcast: Industry Partners episode 1 January 2025](https://spinaltech.com/uploaded/uploads/CCI_Industry_ep1_V2.mp3) **Episode Show Notes** with links to other resources on SpinalTechnology.com --- 1:27 Spinal Technology depth of knowledge- [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) 2:40 [Basics of Brace Design](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) 5:10 Back to Basics- [Variations of Brace Design](https://spinaltech.com/resources/variations-of-scoliosis-brace-design) 10:45- [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/providence-nocturnal-scoliosis-orthosis) [3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) [3D Chêneau (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) [Low Profile Milwaukee Brace](https://spinaltech.com/scoliosis-braces/milwaukee-orthosis) [Not all Braces Are Created Equal](https://spinaltech.com/resources/not-all-braces-are-created-equal) 11:30 Nocturnal vs Full Time Bracing [Advantages of Nocturnal Bracing](https://spinaltech.com/uploaded/forms/Providence-Mech.-Booklet.8.5_-x-11_-Spinal-Technology.pdf) [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) [Research in Nocturnal Bracing](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-elements-of-the-system) [2001 Nighttime Bracing Study with the Providence](https://spinaltech.com/uploaded/forms/Nighttime-Bracing-with-the-Providence-2001.pdf) [Illustrations of the Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/uploaded/forms/SpinalTechnology-ProvidencePoster-34x27inch-mf-01-Nov-2023-V1.pdf) [Illustrations of the Boston (Style) Full-Time Orthosis](https://spinaltech.com/uploaded/forms/Boston-Style-Blueprint-Poster.pdf) 12:30- [Compliance](https://spinaltech.com/resources/scoliosis-bracing-and-the-challenge-of-patient-compliance) [stWear Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) 14:00 [Parent Resources](https://spinaltech.com/resources/for-parents-patients) 16:56 [Hyper correction Forces](https://spinaltech.com/resources/hyper-correction-forces-and-the-providence-nocturnal-scoliosis-orthosis) [Growth Plates](https://spinaltech.com/resources/scoliosis-bracing-growth-plate-physiology) 20:23 [What is Scoliosis](https://www.youtube.com/watch?v=IiLOKp_SGh8&list=PLaJ6dUZaY8acYi5LY5lL3Fq3fKZNi5TNY&index=2) [What are Scoliosis Braces](https://youtu.be/rXD5CprWUTg?feature=shared) 20:34 [Pub Med Adolescent Idiopathic Scoliosis](https://pubmed.ncbi.nlm.nih.gov/?term=adolescent+idipoathic+scoliosis) 22:50 [Practitioner Resources](https://spinaltech.com/resources/for-practitioners) 23:12 [CAD/CAM Digital Design](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) 27:25 [Case Study Scoliosis Specialists](https://spinaltech.com/testimonials) [Top 10 Reasons](https://spinaltech.com/resources/top-10-reasons-you-should-choose-spinal-technology) #### Related Articles ##### [Spinal Orthotics, Scoliosis and Establishing a Code - A Conversation with Scott Thach](https://spinaltech.com/resources/spinal-orthotics-scoliosis-and-establishing-a-code-a-conversation-with-scott-thach) ##### [O&P Research Insights with Dr. Steve Gard](https://spinaltech.com/resources/o-p-research-insights-with-dr-steve-gard) ##### [Resources for University Students](https://spinaltech.com/resources/resources-for-students) --- # HIPAA/HITECH Assessment [HIPAA](/resources/tag/hipaa) Click to see the full letter **HIPAA COMPLIANCE STATEMENT** Updated October 18, 2023 Brian L Tuttle, Inc PO Box 113 Swainsboro, GA 30401-0113 brian@hipaa-consulting.com www.hipaa-consulting.com On October 18th, 2023, I conducted a HIPAA/HITECH Security Risk Assessment for Spinal Technology, LLC doing business out of 191 Mid Tech Dr., West Yarmouth, MA 02673. This assessment was performed to evaluate and assess compliance of systems, policies and procedures against the 18 Standards and 44 Implementation Specifications of the HIPAA/HITECH Security Rule. Based on my review of the organization’s systems and through interviews with key staff members, risks relating to the Administrative, Physical, and Technical Standards for securing electronic protected health information (EPHI) are mitigated to reasonable and appropriate levels through current controls and procedural changes enforced by policy. This audit is part of the organization’s ongoing HIPAA/HITECH compliance effort. As policy, a third-party external HIPAA/HITECH Security audit (or an internal HIPAA/HITECH Security audit) is conducted on a periodic basis or whenever any major technical, procedural, or legislative changes occur to ensure the organization is taking reasonable and appropriate actions regarding the security of electronic protected health information. Questions regarding our HIPAA policies or compliance may be directed to: Kathryn Perry, HIPAA Privacy Officer [compliance@spinaltech.com](mailto:MAILTO:compliance@spinaltech.com). #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Prosthetics Fabrication [Prosthetics](/resources/tag/prosthetics) Spinal Technology is proud to announce our new Prosthetics Fabrication division. Together, our ABC Certified staff of Orthotists and Prosthetists collaborate with highly skilled, experienced technicians to provide the highest quality custom products and prosthetic devices, fast delivery time, as well as unparalleled customer support to our customers. Using Computer Aided Design (CAD) modification and fabrication, our experienced team has been making prosthetic sockets for over 25 years. We specialize in both above the knee (AK) and below the knee (BK) diagnostic and definitive sockets. All orders are custom fabricated to your patient’s cast, scans and measurements. ### Related Links - [Prosthetic Socket Brochure](https://spinaltech.com/uploaded/uploads/CAD-ETS-ST-Prosthetics-Brochure.pdf) - [Submit Orders](mailto:ProstheticsOrders@SpinalTech.com) ### Prosthetics Questions? Call Glenn or a member of our Customer Service Support team at **855-569-3754**. Click below to find the Prosthetics Order Forms [Download Now](https://spinaltech.com/resources/prosthetics-order-forms) Glenn Hutnick, CPO, CTP Glenn Hutnick, CPO, CTP and his team of experienced central fabrication prosthetic technicians have moved to our Louisville, Kentucky location to continue manufacturing prosthetic sockets. ## **Transfemoral Socket Prosthetics** Transfemoral socket prosthetics are designed for above-knee amputees, replacing the anatomical segments from below the hip to the foot. The socket is the primary interface between the residual limb and the prosthesis, crucial for: - Distributing forces through the residual limb - Providing support and stability during daily activities - Ensuring comfort and functionality AK socket AK dynamic socket AK transfemoral decorative socket 3 AK socket 3 1 AK REVO socket 3 AK socket 2 - AK socket - AK dynamic socket - AK transfemoral decorative socket 3 - AK socket 3 1 - AK REVO socket 3 - AK socket 2 ## **Transtibial Socket Prosthetics** A transtibial socket prosthetic is a critical component for below-knee amputees, providing a comfortable interface between the residual limb and the prosthetic device. This custom-made socket is designed to: - Transmit body weight effectively - Ensure stability during the stance phase of walking - Allow sufficient control for mobility - Protect the residual limb's soft tissue Inside of BK socket BK dynamic socket 4 BK TSB socket 3 BK transtibial check socket 4 BK REVO socket BK dynamic socket 5 BK locking socket - Inside of BK socket - BK dynamic socket 4 - BK TSB socket 3 - BK transtibial check socket 4 - BK REVO socket - BK dynamic socket 5 - BK locking socket #### Related Articles ##### [Meet Glenn Hutnick](https://spinaltech.com/resources/meet-glenn-hutnick) ##### [CAD Prosthetics Fabrication](https://spinaltech.com/resources/cad-prosthetics-fabrication) ##### [Prosthetics Order Forms](https://spinaltech.com/resources/prosthetics-order-forms) --- # Stronger Than the Curve [Scoliosis,](/resources/tag/scoliosis) [Scoliosis Awareness,](/resources/tag/scoliosis-awareness) [Ambassador](/resources/tag/ambassador) In the tranquil town of Willow Creek, nestled amidst emerald hills, there lived a young girl named Anya. Unbeknownst to her, within her graceful body lurked a silent adversary: scoliosis, a curvature of the spine that relentlessly twisted and deformed its path. As time passed, Anya's back began to arch unnaturally, her shoulders hunched, and her hips twisted out of alignment. The once-vibrant girl grew withdrawn and self-conscious, dreading the stares and whispers that followed her. But amidst the despair, a beacon of hope emerged. At a routine checkup, Anya's doctor gently informed her of her scoliosis and recommended she seek the guidance of a specialized surgeon. It was a moment of both trepidation and longing—trembling on the cusp of an uncertain future, yet yearned for a chance to reclaim her life's rhythm. With unwavering determination, Anya embarked on her arduous journey. She underwent countless hours of grueling physical therapy, enduring pain and exhaustion in pursuit of restoring her body's harmony. Nights were a torment, filled with tosses and turns as her spine ached relentlessly. Through it all, Anya held onto the unwavering support of her family and friends, who became her unwavering allies in this battle. They shared laughter and tears, bolstering her spirits when hope waned and cheering her triumphs, no matter how small. Finally, the day arrived for Anya's surgery. In a state of both anticipation and trepidation, she entered the operating room. Skilled hands and advanced techniques sculpted her spine back into its rightful curvature, promising to unravel years of tortuous deformation. In the months that followed, Anya's recovery became a testament to her indomitable will. She toiled tirelessly in rehabilitation, strengthening her muscles and relearning the simple act of walking with confidence. Slowly but surely, her body began to transform, and the hunched silhouette that had once defined her gave way to a posture of grace and resilience. Word of Anya's unyielding spirit spread throughout Willow Creek and beyond. She became an inspiration to others battling similar challenges, reminding them that even in the face of adversity, the human soul possesses the indomitable power to triumph. And so, as Scoliosis Awareness Month dawned, Anya stood tall, her scars serving as a poignant reminder of her arduous journey. Her story became a beacon of hope, a testament to the transformative power of human perseverance and the unyielding bonds of love and support. For in the tapestry of life, scoliosis may leave its mark, but it is the indomitable spirit that truly defines the narrative—a spirit that refuses to be bowed, broken, or defeated. - Rianna Kesablyan Rianna pictured in her brace with her practitioner Rose **A Little Bit About The Author:** Hi my name is Rianna Kesablyan and I am 12 years old. I have been wearing a brace from 2021--2023 and it's almost my last year of wearing my brace. I am Armenian, I love sports, and my favorite hobby is Armenian Traditional Folk dancing. I got inspired by my mom, she helped me start off my goal of writing stories and telling me about doing what I love. My mom has been next to me and supportive of my brace and condition - Scoliosis-. My dream is to inspire kids like me who have the same condition and to motivate them about being who they are and to never look back on the people who judge or stare at you. Like my mom said, ***"Scoliosis is only a disability if you let it be."*** ***"Don't Be Ashamed Of Your Story As It Will Inspire Others."*** *Inspirational Words from my father, My hero,* ***''Your brace is your Iron Man Suit."*** #### Related Articles ##### [Scoliosis: The Strength to Bend and Not Break](https://spinaltech.com/resources/scoliosis-the-strength-to-bend-and-not-break) ##### [Scoliosis & Bikinis](https://spinaltech.com/resources/scoliosis-bikinis) ##### [Learning You Have Scoliosis](https://spinaltech.com/resources/learning-you-have-scoliosis) --- # Top 10 Reasons You Should Choose Spinal Technology [About Us,](/resources/tag/about-us) [Spinal Orthoses,](/resources/tag/spinal-orthoses) [Scoliosis Specialists](/resources/tag/scoliosis-specialists) What your patients expect. We understand that your patients want positive outcomes with their scoliosis brace. At Spinal Technology, we are able to meet those expectations with better fit, better results and a faster turnaround time. Here are some of the other reasons you should choose to work with us that may be most important to you. 1. You get a live human on the phone right here in the USA. 2. We have extended service hours and can take your order up until 9pm EST [most days.](https://spinaltech.com/hours) 3. In many cases, we offer next day delivery if you need it. 4. All of our braces are proudly made in the USA. 5. The value that our board certified, experienced staff can provide you and your team is unmatched. 6. Our knowledge is unparalleled. 7. Our award-winning Customer Service team will assist you in finding the best bracing option for your patient, answer questions, and make adjustments based on the individual needs. 8. Medical experts around the world depend on our expertise for the assessment of patient curvature, the blueprinting of x-rays, the design of each orthosis, and the x-ray evaluation of patients in-brace. 9. Our clinical team proudly supports the medical community with advanced educational courses and seminars, along with the dedicated teaching and resources we deliver to various colleges and universities. 10. Together, we can help your patient reach their goal of an improved life with a positive outcome. ### Questions? We've Got Your Back Let us know what you need to be successful. Send us your questions and we will put you in touch with one of our award-winning Customer Relations Team experts to help. [Ask Us](https://forms.monday.com/forms/3fd3e5e7d6f312381e897f0171d9029e?r=use1) #### Related Articles ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) ##### [Positive Providence® Brace Patient Outcomes](https://spinaltech.com/resources/positive-providence-brace-patient-outcomes) ##### [What Others Say about Spinal Technology](https://spinaltech.com/resources/what-others-say-about-spinal-technology) --- # Earth Day Every Day [Environmental](/resources/tag/environmental) In the world of manufacturing, Spinal Technology has a relatively small carbon footprint. Although we believe we do not significantly contribute to greenhouse gas emissions, we understand even the smallest change can make a difference. These are some of the ways we are maintaining our small footprint. See if any of these small changes can fit into your business practices to try and make Earth Day an every day occurrence. ### ESG Statement - [ESG Statement](https://spinaltech.com/news/esg-statement) Energy Efficient Lighting We have upgraded to LED lighting in both our facilities, which provide a longer life creating less waste than our prior lighting. We have seen a proven and sustained 30% reduction in energy consumption. Reduce. Reuse. Recycle Throughout all our Spinal Technology facilities we have adopted several ways we can reduce waste, reuse items and recycle whats left. - Our offices have eliminated styrofoam cups and the staff now use their own mugs for coffee and beverages throughout the day. - Our shipping team reuses bits of leftover foam as packaging materials to protect the braces during transit. - Our accounting department emails invoices and uses ACH payments whenever possible to reduce the need for paper checks and statements. - All of our shredded documents are recycled. - We also recycle our metal scraps. Using our Resources Wisely We are conscious about using the resources we need and managing the areas that we can eliminate waste. - We have cut back on the number of times we water and fertilize our outdoor landscaping around each facility. - All areas of the buildings have programmable thermostats - We hold as many digital meetings with our teams across the country as possible reducing travel #### Related Articles ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) ##### [2026 Event Schedule](https://spinaltech.com/resources/event-schedule-2026) --- # Spinal Technology Junior Golf Classic [Golf,](/resources/tag/golf) [Sponsorships](/resources/tag/sponsorships) Spinal Technology is a proud supporter of the United States Challenge Cup Junior Golf Foundation. For several years we have sponsored the [Spinal Technology Junior Classic](https://uschallengecup.org/content/tournament/2023-spinal-technology-junior-classic) at [Sanford Country Club](https://sanfordcountryclub.com/) in Sanford, ME. It is an open tournament with Boys 14 & Under, Boys 15-18, Girls Open Divisions. For more information and to view the most recent tournament results, please [click here](http://www.juniorgolfresults.golfstat.com/public/index.cfm?event_id=343). #### Related Articles ##### [Golfing with Spinal Technology](https://spinaltech.com/resources/golfing-with-spinal-technology) ##### [Shriners International Awareness Day](https://spinaltech.com/resources/shriners-international-awareness-day) ##### [Proudly Made in the USA](https://spinaltech.com/resources/made-in-the-usa) --- # Spinal Orthotics, Scoliosis and Establishing a Code - A Conversation with Scott Thach [Orthoses,](/resources/tag/orthoses) [Studies](/resources/tag/studies) Click to listen to the full O&P Clinical Care Insiders June 2023 episode *O&P Clinical Care Insiders*, a monthly podcast with Seth O'Brien, CP, FAAOP(D), dissects clinical care topics with leaders of the American Academy of Orthotists and Prosthetists Scientific Societies and the O&P profession. This month listen as Scott Thach, MSPO, LPO, CPO discusses Spinal Orthotics, Scoliosis and Establishing a Code. Click on the image to listen to the full podcast. #### Related Articles ##### [O&P Research Insights with Dr. Steve Gard](https://spinaltech.com/resources/o-p-research-insights-with-dr-steve-gard) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) ##### [What Makes a Scoliosis Brace Truly Three-Dimensional?](https://spinaltech.com/resources/what-makes-a-scoliosis-brace-truly-three-dimensional) --- # Types of Scoliosis Braces: The Complete Guide for Teens and Families [Scoliosis,](/resources/tag/scoliosis) [Bracing,](/resources/tag/bracing) [Compliance,](/resources/tag/compliance) [Nighttime Bracing](/resources/tag/nighttime-bracing) Scoliosis Brace Types ## Key Takeaways - Scoliosis braces fall into two main categories: full-time (daytime) and nocturnal (nighttime-only). - The Providence Nocturnal Scoliosis® System achieves 98% in-brace correction, a higher standard than full-time alternatives. - Compliance is the single biggest factor in bracing outcomes. Nocturnal designs remove the social burden that undermines full-time programs. If your child was just diagnosed with adolescent idiopathic scoliosis (AIS), the first question you'll likely ask an orthotist is: does my child need a brace? The second question is almost always: which one is the best? There is no single "best scoliosis brace" for every patient. The right choice depends on curve severity, location, and the patient's ability to wear it consistently. That last point matters more than most families realize. A brace that achieves excellent correction in testing is useless if it stays on a chair instead of the spine. This ultimate guide will cover every major type of scoliosis brace available today, the clinical evidence behind each, and the questions worth asking before getting any of them. ## What Is a Scoliosis Brace and When Is It Recommended? A scoliosis brace is a custom-fabricated orthosis designed to slow or stop curve progression during skeletal growth. Bracing is the primary non-surgical treatment for AIS in patients, typically adolescents aged 10-16, with Cobb angles in the 20°-42° range. The goal is not to permanently straighten the spine. Bracing is about holding the curve stable until growth is complete, preventing progression into surgical territory. When it works, it works. The landmark [BRAIST trial, published in the New England Journal of Medicine in 2013](https://pubmed.ncbi.nlm.nih.gov/24195939/), confirmed that bracing significantly reduces the risk of treatment failure for patients with progressive AIS. Bracing is typically recommended when: - Cobb angle falls between 20° and 45° - The patient is skeletally immature (0-2) according to the [Risser scale that measures skeletal maturity](https://www.physio-pedia.com/Risser_Sign). - There is evidence of curve progression (5° or more on two consecutive x-rays) - [Apex](https://www.srs.org/Patients/Resources/Glossary-of-Terms) level is between T6 and L3 ## The Main Types of Scoliosis Braces Scoliosis orthoses divide into two broad categories: full-time braces worn for 16 to 23 hours per day, and nocturnal braces worn only during sleep, typically 8 to 10 hours. Each has a distinct biomechanical strategy. ### Full-Time Braces The thoracolumbosacral orthosis covers most [daytime bracing options](https://spinaltech.com/scoliosis-braces). These rigid devices wrap the torso and apply three-point pressure to push the spine toward a corrected position throughout the day. #### Boston (Style) [The Boston (Style)](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) orthosis is one of the most widely used designs in North America. It uses a prefabricated symmetric module that an orthotist modifies with pads and reliefs based on the patient's curve pattern. It is prescribed for thoracic and thoracolumbar curves and is typically worn 18 to 23 hours per day. The clinical challenge is compliance. Wearing a rigid plastic shell to school, sports practice, and social events for nearly every waking hour is a real burden for adolescents, and research consistently shows that prescribed hours and actual hours diverge significantly. #### SCT 3D Chêneau (Style) [The SCT 3D Chêneau (Style)](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) orthosis takes a different biomechanical approach. Instead of compression alone, it uses three-dimensional rotational forces to actively de-rotate the spine and encourage corrective posture. It is CAD/CAM-fabricated from a custom scan and targets more complex, multi-apex curves that symmetric designs don't address as precisely. The SCT 3D demands a high daily wear commitment, which makes compliance the same limiting factor seen across the entire TLSO category. ## Download A Parent's Guide Get a comprehensive guide to Adolescent Idiopathic Scoliosis and the Providence Nocturnal Scoliosis® Orthosis. [Yes Please!](https://spinaltech.com/resources/a-parents-guide-to-the-providence-nocturnal-scoliosis-brace) ## Nocturnal Bracing ### The Providence Nocturnal Scoliosis® System Nocturnal bracing operates on a completely different principle. Rather than holding the spine upright during daily activities, it applies hypercorrective forces while the patient is supine (lying down) and gravity is eliminated. That shift makes a significant clinical difference. [The Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/what-is-a-providence-brace) is the only brace built specifically around this nighttime-only model. It was the subject of a [landmark 2001 peer-reviewed study](https://spinaltech.com/resources/providence-brace-studies), and the results remain the strongest in nocturnal bracing: a 74% success rate across the study population, with 98% in-brace x-ray correction. Compared to the 56% in-brace correction typically seen with full-time alternatives, the Providence® achieves [more correction in fewer hours](https://spinaltech.com/resources/positive-providence-brace-patient-outcomes) because it works with the body's resting position, not against the demands of an active, compliance-challenging day. ## The Compliance Problem: Why the Best Brace Is the One Patients Actually Wear No conversation about types of scoliosis braces is complete without addressing compliance. [Study after study shows that](https://link.springer.com/article/10.1007/s43390-026-01312-2) prescribed hours and actual wear hours diverge in full-time brace programs. Adolescents aren't non-compliant because they're careless, but because full-time bracing is socially and physically demanding. The Providence® Brace was [designed with this reality in mind](https://spinaltech.com/resources/the-providence-nocturnal-scoliosis-system). Wear it while you sleep. Go to school brace-free. That's not a marketing line, it's the clinical strategy. By removing the social burden entirely, the design solves the compliance problem that undermines full-time programs. The [stWear®](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) Compliance Monitoring System, integrated into any scoliosis bracing program, gives orthotists objective wear-time data rather than relying on patient self-reporting. The accountability loop for data from the orthotist to the family closes the gap between prescribed and actual hours in a way that bracing alone cannot match. ### [The Winning Combination: Providence Nocturnal Scoliosis® Orthosis + stWear® Compliance Monitor](https://spinaltech.com/resources/providence-brace-stwear-compliance-monitoring-system-success) ## How Orthotists Choose the Right Scoliosis Brace Prescribing a scoliosis brace is not a one-size-fits-all decision. An [ABC-certified orthotist](https://www.abcop.org/who-we-are/about-abc) evaluates several factors before recommending a design. #### Cobb Angle and Curve Progression Curves between 20° and 42° are the primary bracing window. The Providence Nocturnal Scoliosis® Orthosis has been successful in treating all curve types: lumbar, thoracic, double major, and thoracolumbar, with apex levels between T6 and L3. #### Apex Level and Curve Pattern Apex location determines which brace design can apply the most effective corrective forces. High thoracic curves behave differently from lumbar curves, and the orthosis geometry must address that specifically, which is [why CAD/CAM fabrication matters](https://spinaltech.com/resources/exacting-fit-fabrication-through-the-use-of-advanced-technology). #### Skeletal Maturity Bracing is [most effective in skeletally immature patients](https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external-policies/interventions-for-progressive-scoliosis/). Risser score, bone age, and growth potential all factor into how long a patient will need to wear a brace and which type is most appropriate. #### Patient Lifestyle and Compliance Risk This is where clinical evidence meets real life. A patient with high compliance risk, such as an active athlete or a teenager with significant anxiety about wearing a brace at school, may achieve better outcomes with the [Providence® Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) than with a full-time brace that will never be worn consistently. ## The Bottom Line The best scoliosis brace is the one that matches the patient's curve, their anatomy, and, most importantly, their life. ## Frequently Asked Questions - A nocturnal brace is often[the more practical choice for active adolescents](https://spinaltech.com/resources/why-nocturnal-bracing-changes-everything), because is worn only during sleep, and it places no restrictions on athletic activity, school, or social life during the day. - It depends on the brace type. Full-time scoliosis braces are prescribed for 16 to 23 hours daily. The Providence Nocturnal Scoliosis® System requires only 10 to 12 hours of nighttime wear, which aligns with the recommended sleep duration for adolescents. - Yes. The Providence® achieves 98% in-brace correction compared to 56% for full-time braces, because the supine position allows hyper-corrective forces to work without the resistance of gravity and daily movement. A 2019 [study in the European Spine Journal](https://spinaltech.com/resources/providence-brace-studies)of 124 patients reported an 89% success rate, demonstrating the effectiveness of Providence® even for curves greater than 35°. #### Related Articles ##### [Variations of Scoliosis Brace Design](https://spinaltech.com/resources/variations-of-scoliosis-brace-design) ##### [Scoliosis Bracing and The Challenge of Patient Compliance](https://spinaltech.com/resources/scoliosis-bracing-and-the-challenge-of-patient-compliance) ##### [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) --- # Nighttime Bracing vs Full-Time Bracing [Full-Time Bracing,](/resources/tag/full-time-bracing) [Nighttime Bracing](/resources/tag/nighttime-bracing) ## Night Bracing vs Full-Time Bracing: What’s the Difference? Scoliosis bracing can look very different depending on the treatment plan, curve pattern, and goals for correction. Some braces are designed for daytime wear during school, sports, and daily activity, while others are intended to be worn only at night during sleep. Both approaches play an important role in scoliosis care, but they function differently bio-mechanically and practically. Gravity, posture, movement, comfort, and compliance all influence how a brace performs and how successfully it fits into daily life. As scoliosis treatment continues to evolve, nighttime scoliosis brace systems and full-time scoliosis brace designs are increasingly tailored to the needs of individual patients rather than a one-size-fits-all approach. Understanding how these approaches differ can help create more personalized and effective treatment strategies. ## Understanding the Difference Between Nighttime and Full-Time Bracing A full-time scoliosis brace is typically worn during most waking hours and is designed to provide corrective support while the body is upright and moving throughout the day. These braces must account for walking, sitting, posture changes, and daily activity while still maintaining effective corrective forces. Nighttime braces, also known as nocturnal scoliosis bracing, are worn during sleep. Since the body is lying down and movement is reduced, nighttime braces can approach correction differently than daytime systems. The goals of treatment may overlap, but the mechanics are not the same. Full-time braces often focus on achieving balanced correction while preserving mobility and comfort during daily routines. Nighttime braces may allow more aggressive positioning and correction because the body is not actively balancing against gravity. Both approaches require thoughtful customization, careful fitting, and ongoing follow-up to support long-term success. ### How Gravity Changes Brace Mechanics One of the biggest bio-mechanical differences between nighttime and daytime bracing involves gravity and movement. During the day, the spine and trunk are constantly adapting to standing balance, walking, sitting, and changes in posture. A full-time brace must work with those forces while maintaining stability and alignment. Corrective pressure must be carefully balanced so the patient can move, breathe, and function comfortably throughout daily activities. At night, those movement demands change significantly. When the body is lying down, gravitational loading on the spine is reduced, and balance reactions become less of a factor. This can create opportunities for different corrective strategies and positioning inside the brace. Nighttime systems are often able to apply stronger corrective forces because the patient does not need to maintain an upright posture while sleeping. In some cases, this allows clinicians to target higher in-brace correction percentages compared to daytime bracing. The biomechanics are also different because the body can tolerate positions during sleep that would not be practical during daytime activity. This is one reason nighttime bracing has become an important option for carefully selected cases of scoliosis. ## Full-Time Bracing During Daily Activity A full-time scoliosis brace must support correction while also fitting into everyday life. Daily movement introduces constant changes in posture and force distribution. Sitting in class, participating in sports, walking through hallways, or simply moving through a normal routine all affect how a brace feels and functions throughout the day. Comfort becomes especially important because scoliosis brace compliance is closely connected to wearability. If a brace creates excessive restriction, discomfort, or frustration, maintaining consistent wear can become much more difficult over time. This is particularly important during adolescence, when bracing already carries emotional and social challenges. Modern brace design places greater emphasis on balancing correction with comfort, mobility, and sagittal alignment. CAD/CAM workflows and custom fabrication techniques help clinicians create braces that better reflect the patient’s anatomy and treatment goals while improving overall consistency. Even with advanced technology, successful full-time bracing still depends heavily on follow-up care, adjustments, and collaboration between the clinician, patient, and fabrication team. ## Providence Brace vs Charleston Brace ## Understanding the Difference Two of the most widely recognized nighttime scoliosis brace systems are the Providence brace and the Charleston brace. Although both are designed for nocturnal scoliosis bracing, they use different correction strategies. ### Charleston Brace The Charleston brace is commonly described as a bending brace. It positions the body into an overcorrected side-bending posture during sleep and is often used for certain single-curve patterns, including some lumbar and thoracolumbar curves. Its design focuses heavily on lateral bending to achieve correction while the patient is lying down. ### Providence Brace The Providence brace uses a different biomechanical approach. Rather than primarily bending the body laterally, it applies direct translational and de-rotational forces to guide the curve toward midline alignment. One of the unique advantages of the Providence Nocturnal Scoliosis® system is the use of a measurement board that allows clinicians to evaluate corrective positioning and patient tolerance before final fabrication. This helps create a more predictable and highly customized nighttime brace design. Because these systems use different mechanics, the Providence and Charleston braces are not interchangeable. Curve pattern, flexibility, correction goals, and tolerance all influence which approach may be more appropriate. ## Compliance, Comfort, and Lifestyle Considerations Scoliosis brace compliance remains one of the most important factors influencing treatment outcomes. Even the most advanced brace design can only be effective if it is worn consistently and comfortably enough to support the prescribed treatment plan. For many adolescents, brace wear can feel physically restrictive and emotionally challenging. Concerns around appearance, comfort, activity limitations, and social situations often affect long-term consistency. Nighttime bracing may improve compliance among some patients by reducing disruptions during school, sports, and other daytime activities. Sleeping in the brace can feel more manageable than wearing it throughout the day, particularly for patients with appropriate curve types and treatment goals. At the same time, nighttime bracing is not suitable for every case. Some curves require the continuous support and correction provided by a full-time scoliosis brace. Finding the right balance between correction, comfort, and daily life is an important part of creating a sustainable treatment plan. ## ### [Are You Tired of Inadequate Patient Compliance?](https://spinaltech.com/resources/scoliosis-braces-patient-compliance) ## Download A Practitioner's Guide to AIS Download a free copy of our Orthotic Management of Adolescent Idiopathic Scoliosis for your clinic. [Yes, Please](https://spinaltech.com/uploaded/forms/ST_Orthotic_Mananagement_AIS_Booklet.pdf) ## Choosing the Right Bracing Approach There is no single bracing strategy that works best for every scoliosis case. Curve location, flexibility, skeletal maturity, sagittal profile, lifestyle, and patient tolerance all influence treatment planning. The clinician’s experience with a specific brace system also plays a major role in achieving successful outcomes. Modern scoliosis treatment continues to move toward highly individualized approaches supported by advanced digital workflows, precise customization, and collaborative care. At[Spinal Technology](https://spinaltech.com/company), that commitment to personalized scoliosis bracing supports practitioners with advanced fabrication solutions, CAD/CAM expertise, and custom-brace systems designed for each patient’s unique needs. Whether treatment involves nighttime bracing, full-time wear, or a combination of strategies, the goal remains the same: creating effective correction while supporting long-term comfort, confidence, and compliance. ## What Are the Corrective Forces of Full-Time Bracing Read more about the bio-mechanics of full-time bracing here. [Read More](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) #### Related Articles ##### [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) ##### [Corrective Forces of Full-Time Bracing](https://spinaltech.com/resources/corrective-forces-of-full-time-bracing) ##### [Orthotic Management of Adolescent Idiopathic Scoliosis](https://spinaltech.com/resources/orthotic-management-of-adolescent-idiopathic-scoliosis) --- # What Makes a Scoliosis Brace Truly Three-Dimensional? [3D Bracing,](/resources/tag/3d-bracing) [Scoliosis](/resources/tag/scoliosis) Scoliosis is often described using X-rays and curve measurements, but the condition affects much more than side-to-side spinal alignment alone. The spine can rotate, posture can shift, and the rib cage and trunk can change shape as the body adapts to the curve over time. That complexity is one reason modern scoliosis treatment has continued evolving toward more advanced three-dimensional correction strategies. A 3D scoliosis brace is designed to address the body across multiple planes at the same time. Instead of focusing only on reducing visible curvature, modern brace design considers rotation, balance, posture, and how forces move through the body during daily activity. This bio-mechanical approach has transformed how clinicians and fabrication teams think about scoliosis bracing, especially as CAD/CAM technology and digital workflows continue improving customization and precision. ## Understanding Scoliosis as a Three-Dimensional Condition Scoliosis affects the body in three distinct planes: - The coronal plane, which relates to side-to-side curvature - The sagittal plane, which affects posture and spinal alignment from the side - The transverse plane, which involves spinal and rib cage rotation Historically, many conversations around scoliosis centered heavily on Cobb angle measurements because they are easy to track on radiographs. While those measurements remain important, they do not fully capture how scoliosis changes posture, balance, and trunk symmetry. Rotation, for example, plays a major role in the visible appearance of scoliosis. Rib prominence, uneven shoulders, and trunk asymmetry are often connected to rotational changes within the spine and thorax. This is where 3D scoliosis brace design becomes especially important. Effective correction requires thoughtful management of all three planes together rather than approaching scoliosis as a purely two-dimensional condition. **3D Bracing incorporates the de-rotational and translation forces applied through the ribs** ## What Scoliosis De-Rotation Means in Brace Design One of the most important concepts in modern scoliosis brace biomechanics is de-rotation. Scoliosis de-rotation refers to the process of applying corrective forces that help guide rotational aspects of the curve toward improved alignment. In many thoracic curves, the spine rotates along with the rib cage, creating asymmetry throughout the trunk. Modern braces are designed to apply pressure and relief in carefully controlled areas to influence that rotational pattern. Thoracic curves often provide strong opportunities for rotational correction because the rib cage gives clinicians and fabrication teams a structural area where corrective forces can be applied more effectively. Lumbar curves can require different strategies because the anatomy and leverage points differ significantly lower in the spine. De-rotation is not simply about applying more pressure. The direction, placement, and balance of those forces matter. Corrective pressure must work together with expansion areas and posture management to encourage controlled movement within the brace. This level of precision is one reason customization plays such an important role in successful scoliosis brace treatment. ## Medial Translation and Corrective Force Patterns Modern bracing also relies heavily on medial translation and balanced force application. Medial translation refers to guiding portions of the trunk and spine toward a more centered position over the pelvis. This process involves much more than pushing the spine sideways. Effective correction depends on how forces interact with posture, gravity, balance, and movement throughout the body. Every corrective force creates a reaction elsewhere in the trunk. Because of this, brace design must account for how the patient stands, walks, and maintains alignment during daily activity. Different brace systems may approach this process in different ways. Some designs create asymmetry more directly within the brace shape, while others rely more heavily on internal modifications and strategic padding. Regardless of the workflow, the underlying bio-mechanical goals are often very similar. Balanced correction remains essential. Uneven or poorly controlled force patterns can affect comfort, posture, and long-term tolerance, which may ultimately influence compliance. #### Related Articles ##### [Principles of 3D Bracing – Design and Methodologies](https://spinaltech.com/resources/principles-of-3d-bracing-design-and-methodologies) ##### [Principles of 3D Bracing – Modifications and Approach to Curve Analysis and Brace Design](https://spinaltech.com/resources/principles-of-3d-bracing-modifications-and-approach-to-curve-analysis-and-brace-design) ##### [Nighttime Bracing vs Full-Time Bracing](https://spinaltech.com/resources/nighttime-bracing-vs-full-time-bracing) --- # Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis [Celebrities,](/resources/tag/celebrities) [Scoliosis Awareness](/resources/tag/scoliosis-awareness) **Chloë Sevigny: The Oscar-Nominated Actress Who Built a 30-Year Career Around Untreated Scoliosis** Most "celebrities with scoliosis" pages tell the same story — diagnosis, brace, success. Chloë Sevigny's story is the one those pages skip over: **what actually happens when a scoliosis brace never becomes part of the plan**. She's an Oscar nominee. A Golden Globe winner. A Cannes fixture, a downtown fashion icon, and one of the most influential independent film actresses of her generation. And she's spent every one of those decades on camera managing a visibly curved spine that was, in her own words, "never treated." **Quick stats** - 🏆 **1 Golden Globe Award** — Best Supporting Actress, *Big Love* (2010) - 🎬 **1 Academy Award nomination** — Best Supporting Actress, *Boys Don't Cry* (1999) - 🏅 **1 Independent Spirit Award** — Best Supporting Female, *Boys Don't Cry* (1999) - 📺 **1 Primetime Emmy nomination** — *Monsters: The Lyle and Erik Menendez Story* (2024) - 🎭 **60+ film and television roles** across a 30-year career - 🌀 **Idiopathic scoliosis** diagnosed in childhood — **never braced, never operated on** **A Diagnosis, and a Decision Not to Treat It** Chloë Stevens Sevigny was born in **Springfield, Massachusetts** on November 18, 1974, and raised in **Darien, Connecticut** — a wealthy commuter town she has publicly called "a bubble." ([Wikipedia — Chloë Sevigny](https://en.wikipedia.org/wiki/Chlo%C3%AB_Sevigny), [Darienite interview](https://darienite.com/actor-chloe-sevigny-talks-growing-darien-time-not-harshly-19011)) Somewhere in her adolescence, doctors confirmed what most families dread hearing: she had **idiopathic scoliosis**, the most common form of the condition — a three-dimensional curvature of the spine that typically appears during the adolescent growth spurt and, in most cases, has no known cause. In her own words: > *"It was never treated. I can't remember why. I feel like we went to a specialist upstate, and they said, well, you can get a brace, but it was very expensive. And I think for some reason, it never happened, and they gave me all these certain exercises. They said, you know, that the curvature wasn't strong enough to have to have the operation, which I know a few girls that have a metal rod in their back."* ([Chloë Sevigny — Hudson Valley Scoliosis](https://www.hudsonvalleyscoliosis.com/chloe-sevigny/)) Two things stand out clinically in that quote. First: her curve was moderate — below the surgical threshold, which for adolescent idiopathic scoliosis (AIS) is generally around **45–50° Cobb** at skeletal maturity per the [2016 SOSORT guidelines](https://spinaltech.com/resources/sosort-guidelines-explained). Second: the reason bracing "never happened" wasn't clinical. It was financial. The brace was "very expensive," and her family opted instead for a home-exercise program. That decision — made in a Connecticut specialist's office sometime in the 1980s — has quietly shaped every red-carpet photograph, every costume fitting, and every love scene of Chloë Sevigny's career since. **What Untreated Scoliosis Looks Like on Camera** For most young women with scoliosis, the condition is invisible under clothing. For an actress whose job is to be photographed and filmed — often in period corsets, form-fitting HBO wardrobe, or minimal indie-film costumes — there is nowhere for the curve to hide. ## Chloë Sevigny Chloë has spoken about this with unusual candor over the years: *"To me, now, it's like — I still — every time I see myself on film, I see it. That's all I see. And I — and even in photographs, I'm just — to me, it's like…I'd come home and cry and be, like, I'm so crooked. It's my one thing that, yeah, that I still have a hard time with."* ([Chloë Sevigny — Hudson Valley Scoliosis](https://www.hudsonvalleyscoliosis.com/chloe-sevigny/)) The physical realities of an untreated adolescent curve, carried into adulthood, are well-documented: - **Visible asymmetry** — one shoulder higher than the other, a rotated rib prominence, or an uneven waistline. [*The New Yorker's 1994 profile of Sevigny*](https://www.newyorker.com/magazine/1994/11/07/chloes-scene) *noted "the crookedness in her posture, a remnant of childhood scoliosis," when she was just 20 years old.* - **A leg-length discrepancy.** In a 1999 *i-D* magazine interview, Sevigny mentioned wearing "a lift in her shoe to even herself out" and working out "on a special exercise machine." ([i-D via Angelfire archive](https://www.angelfire.com/ab/harmonykorine/idmag02.html)) - **Chronic postural discomfort**, especially in form-fitting wardrobe. On playing Nicolette Grant in HBO's *Big Love*: *"I see it all the time, especially with those outfits, because they're so form-fitting. I see myself walking, and I'm like…eek."* ([Hudson Valley Scoliosis](https://www.hudsonvalleyscoliosis.com/chloe-sevigny/)) - **Long-term concerns about pregnancy and load-bearing.** In her 1999 *i-D* interview she said doctors had told her *"if I want to have a baby I can't carry the weight, so I'm thinking about getting a rod put in."* She ultimately did not have the surgery and gave birth to her son Vanja in 2020. ([Wikipedia — Chloë Sevigny](https://en.wikipedia.org/wiki/Chlo%C3%AB_Sevigny)) This is the piece most celebrity-with-scoliosis articles gloss over. Untreated scoliosis in adulthood doesn't just disappear. It becomes a life you learn to manage. **How Chloë Sevigny Manages Her Spine as an Adult** Without a brace or surgery in her history, Sevigny has built her own longitudinal management plan — the kind millions of adults with untreated childhood scoliosis quietly rely on: - **Yoga.** She's referenced yoga repeatedly as her single most helpful intervention: *"I've been doing a lot of yoga, which has been helping. It makes me feel like it's straightened me out a little bit."* ([Hudson Valley Scoliosis](https://www.hudsonvalleyscoliosis.com/chloe-sevigny/)) - **Chiropractic care.** In the *i-D* interview, she said, *"From now on, auditions will take a backseat to visits to her chiropractor."* ([Angelfire archive of i-D](https://www.angelfire.com/ab/harmonykorine/idmag02.html)) A moderate curve managed conservatively across a lifetime often relies on ongoing chiropractic, PT, or physiatric care. - **Home exercise.** The prescribed exercises given at her original diagnosis remained part of her routine into adulthood. - **Style as adaptation.** Her signature layered, oversized-meets-tailored fashion aesthetic — described by *The New Yorker* as making her look like a downtown Audrey Hepburn — has been read by fashion critics as part-instinct, part-adaptation to a spine that doesn't fit clothes the way the industry assumes bodies should. ([Apple TV bio](https://tv.apple.com/us/person/chloe-stevens-sevigny/umc.cpc.wc8azas38mc4wyrvs4wgvf9l)) The Sevigny playbook isn't the SOSORT gold standard. It's the far more common reality: **someone whose scoliosis was caught, wasn't braced, and who has spent adulthood building a support system around a spine that never got its optimal early intervention.** **A 30-Year Acting Career That Never Waited for Her Spine** Sevigny's career arc is one of the most respected in independent American film — and every milestone below happened alongside her spinal condition. Source: Wikipedia **The 1990s — Downtown Icon to Oscar Nominee** - **1994:** Profiled in *The New Yorker* at age 19 as the new face of downtown New York fashion ([New Yorker, "Chloe's Scene"](https://www.newyorker.com/magazine/1994/11/07/chloes-scene)) - **1995:** Screen debut in Larry Clark's controversial *Kids*, written by Harmony Korine — earning an **Independent Spirit Award nomination** - **1997:** Starred in Korine's *Gummo* - **1998:** *The Last Days of Disco* (Whit Stillman) - **1999:** *Boys Don't Cry* — as Lana Tisdel opposite Hilary Swank. Won the **Independent Spirit Award for Best Supporting Female**, plus critics' awards from Los Angeles, Boston, Chicago, and the National Society of Film Critics ([Wikipedia — Awards](https://en.wikipedia.org/wiki/List_of_awards_and_nominations_received_by_Chlo%C3%AB_Sevigny)) - **2000:** **Academy Award nomination** for Best Supporting Actress + Golden Globe and SAG nominations for the same role ([Oscars.org](https://en.wikipedia.org/wiki/Boys_Don%27t_Cry_(1999_film))) Source: Greg2600, CC BY-SA 2.0 via Wikimedia Commons **The 2000s — Range and Provocation** - **2000-** American Psycho - **2003-** Party Monster - **2003-** Dogville (Lars von Trier) - **2003-** Shattered Glass - **2004-** The Brown Bunny - **2004-** Melinda and Melinda (Woody Allen) - **2005-** Broken Flowers (Jim Jarmusch) - **2007-** Zodiac (David Fincher) Source: Wikipedia **2006–2011 —** ***Big Love*** **and the Golden Globe** - Starred as Nicolette Grant on HBO's *Big Love* for five seasons - **Won the Golden Globe Award for Best Supporting Actress in a Series** in 2010 ([Golden Globes profile](https://goldenglobes.com/person/chloe-sevigny/)) - Earned Satellite Award and Primetime Emmy Award nominations for the role **2010s — Television Prestige, Continued Indie Work** - **2012-** American Horror Story: Asylum (2012) and AHS: Hotel (2015) — Ryan Murphy collaborations - **2012-** Hit & Miss — third Satellite Award nomination - **2013-** Portlandia - **2016-** Love & Friendship (Whit Stillman) - **2017-** Lean on Pete - **2018-** Lizzie — as Lizzie Borden opposite Kristen Stewart - **2019-** Queen & Slim Source: Wikipedia **2020s — A Full-Circle Career Peak** - *Russian Doll* (Netflix, 2019 & 2022) - *The Act* (Hulu, 2019) - *Bones and All* (Luca Guadagnino, 2022) - ***Feud: Capote vs. The Swans*** as socialite **C.Z. Guest** (FX, 2024) — the buzziest supporting role of the year ([FX](https://www.fxnetworks.com/shows/feud/capote-vs-the-swans/cast/chloe-sevigny-c-z-guest)) - ***Monsters: The Lyle and Erik Menendez Story*** as **Kitty Menendez** (Netflix, 2024) — earned her **first Primetime Emmy nomination** for Outstanding Supporting Actress in a Limited Series ([Wikipedia — Awards](https://en.wikipedia.org/wiki/List_of_awards_and_nominations_received_by_Chlo%C3%AB_Sevigny)) - *Bonjour Tristesse* (2025) - *After the Hunt* (Luca Guadagnino, 2025) - *Magic Farm* (2025) By the numbers: **9 competitive wins and 27+ nominations** across the Academy Awards, Golden Globes, Emmys, Independent Spirit Awards, Satellite Awards, and every major American critics' circle. ([IMDb Awards](https://www.imdb.com/name/nm0001721/awards/)) **What Chloë Sevigny's Story Teaches Every Adult With Untreated Scoliosis** If Jessica Ashwood's story is the model of what happens when scoliosis is actively managed around an athletic career, **Chloë Sevigny's story is the model most patients actually live**: caught in adolescence, moderate in severity, un-braced, and quietly managed into adulthood. Her story matters clinically because it illustrates three things every adult scoliosis patient — and every chiropractor working with them — should know: **1. Untreated moderate adolescent scoliosis doesn't prevent a life. It just requires one.** Sevigny won a Golden Globe, was nominated for an Oscar, and became one of the most influential actresses of her generation. But she's also been publicly frank about the emotional weight of an untreated curve — decades of *"every time I see myself on film, I see it."* Untreated scoliosis has a psychosocial cost that clinicians shouldn't dismiss. **2. The "expense of a brace" is often the deciding factor — and modern bracing has changed that math.** Sevigny's family passed on bracing because it was "very expensive." That was reality in 1980s–1990s American healthcare, and it remains reality for many families today. Modern insurance coverage, [SOSORT-aligned bracing protocols](https://spinaltech.com/resources/sosort-guidelines-explained), and durable-medical-equipment benefits have shifted that landscape considerably. The question every family deserves to ask today is *what does bracing actually cost through my plan* — not *can we afford it out of pocket*. **3. Adult scoliosis is a manageable, long-tail condition.** Yoga, chiropractic care, PSSE (physiotherapeutic scoliosis-specific exercises), and — when indicated — **adult scoliosis bracing** can meaningfully reduce pain and slow progression in adulthood. Bracing isn't only for growing spines. For symptomatic adults, corrective bracing worn 14+ hours per day for at least six months has shown pain and functional benefit in the peer-reviewed literature. ([Open Orthopaedics Journal](https://openorthopaedicsjournal.com/VOLUME/16/ELOCATOR/e187432502205270/PDF/)) ## Frequently Asked Questions - No. Adult scoliosis is treatable at any age. Treatment goals shift from correction to **stabilization, pain management, and preservation of function**. Options include scoliosis-specific exercise, chiropractic care, physical therapy, adult scoliosis bracing (worn part-time for pain and progressive curves), and in select cases, surgery. Even patients like Chloë Sevigny — diagnosed decades ago and never braced — remain candidates for meaningful conservative management as adults. - No. In interviews, Sevigny has said her family consulted a specialist who recommended a brace, but they did not proceed with bracing because it was too expensive. Her doctors said her curve was below the surgical threshold, so she was given home exercises and monitored instead. She has publicly said she believes yoga, chiropractic care, and lifestyle management have helped her manage the curve as an adult. - Yes. Chloë Sevigny built a 30-year career including an Academy Award nomination, a Golden Globe win, and a Primetime Emmy nomination while living with untreated scoliosis. Shailene Woodley starred in *Big Little Lies* and the *Divergent* franchise after wearing a scoliosis brace for two years as a teenager. Acting with scoliosis is highly manageable, though costumes, stage combat, and physically demanding roles may require accommodations. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Types of Scoliosis: A Visual and Practical Guide for Families](https://spinaltech.com/resources/types-of-scoliosis) --- # Shailene Woodley: The Actress Who Braced Her Way Out of Surgery [Celebrities,](/resources/tag/celebrities) [Scoliosis](/resources/tag/scoliosis) ## **Shailene Woodley: The Golden Globe-Nominated Actress Whose Scoliosis Brace Kept Her Off the Operating Table** If [Chloë Sevigny's](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) scoliosis story is what happens when a family can't afford to brace, and [Jessica Ashwood's](https://spinaltech.com/resources/jessica-ashwood-olympic-swimmer) is what happens when an elite athlete refuses to, **Shailene Woodley's story is the middle path — and the one that plays out in tens of thousands of American households every year.** A 38° curve caught at age 15. A chest-to-hips plastic brace worn **18 hours a day for two years**. A successful outcome. And on the other side of it, an [Academy of Motion Picture Arts and Sciences](https://www.oscars.org/)–adjacent career: two Golden Globe nominations, a Primetime Emmy nomination, an Independent Spirit Award win, and one of the most recognizable young-adult film franchises of the 2010s. Source CC BY-NC 4.0 PngImg.com **Quick stats —** - 🎬 **2 Golden Globe nominations** — *The Descendants* (2012), *Big Little Lies* (2018) - 🏆 **Independent Spirit Award win** — Best Supporting Female, *The Descendants* (2012) - 📺 **1 Primetime Emmy nomination** — Outstanding Supporting Actress, *Big Little Lies* (2017) - 🎥 **60+ film and television credits** across a 25-year career - 🌀 **38° Idiopathic Scoliosis** diagnosed at age 15 - 🦺 **Braced 18 hours/day for 2 years** — chest-to-hips TLSO - ⚕️ **Never required surgery** — the goal of bracing, achieved **A Diagnosis Between Takes** Shailene Diann Woodley was born on **November 15, 1991** in **San Bernardino County, California**, and grew up in **Simi Valley** — a working-actor's childhood spent alternating between commercials, guest spots on *Crossing Jordan* and *The O.C.*, and normal middle-school life. ([Wikipedia — Shailene Woodley](https://en.wikipedia.org/wiki/Shailene_Woodley), [Britannica](https://www.britannica.com/biography/Shailene-Woodley)) The summer before her sophomore year of high school — the same summer she was cast as pregnant 15-year-old Amy Juergens in ABC Family's *The Secret Life of the American Teenager* — she was standing at a pool in a bikini when a friend delivered the sentence that would shape the next two years of her life. ([WebMD](https://www.webmd.com/pain-management/features/actress-shailene-woodley-takes-scoliosis-in-stride_)) > *"We were getting ready to go swimming and I was in a bikini... My best friend was like, 'Shai, your spine is weird.'"* — Shailene Woodley, WebMD She had **idiopathic scoliosis** — the most common form, with no known cause. Her curve measured **38° Cobb**. She had passed a middle-school scoliosis screening, but a rapid adolescent growth spurt during 8th and 9th grade had let the curve accelerate undetected. Two numbers mattered clinically: - **38° Cobb** — below the ~45° surgical threshold established in the [2016 SOSORT guidelines](https://spinaltech.com/resources/sosort-guidelines-explained), but well above the ~25° threshold at which bracing is strongly recommended in a still-growing patient - **Skeletal immaturity** — Woodley was mid-growth, meaning the curve had substantial room to progress toward surgical territory if left untreated Her doctors recommended a **chest-to-hips plastic TLSO** — the same category of brace as the well-known [**Boston (Style) Scoliosis Orthosis**.](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) Prescription: **18 hours a day, minimum**. Duration: **until the curve stabilized and growth completed.** She agreed. She was 15. **What 18 Hours a Day Really Feels Like** The clinical version of "wear a Boston-style TLSO 18 hours a day" is antiseptic. Woodley's version — repeated across a decade of interviews — is not. > *"It was like wearing a tacky, disgusting, plastic corset for 18 hours a day. In the beginning, it was hard to eat or breathe. And I had to give up cross-country running. But I needed to have it to realign my spine."* — Shailene Woodley, *Us Weekly*, 2008 ([Us Weekly](https://www.usmagazine.com/celebrity-news/news/5-things-you-dont-know-about-shailene-woodley-2012281/)) And later, more candidly, in *Seventeen*: > *"I wore it for two years, sophomore and junior years. And I hated it. But at school, it was totally cool… What sucked was I could have it off only six hours a day. So I had to sleep in it; I had to do everything in it. There were times when I just wanted to tear it off and times I cried and I'd hate it or it just got so painful. Every two weeks, it would push even harder, and I felt like all my organs were moving, and my entire body was sore."* — Shailene Woodley, *Seventeen*, May 2010 The physical realities she was describing are exactly what clinicians warn newly-braced teens about: - **Restricted breathing and eating** during the first weeks of full-time wear as the chest and abdomen adjust - **Loss of muscle mass** — Woodley described being "in the process of rebuilding" her physical strength after brace weaning - **Sport modifications** — she had to give up cross-country running during her brace years (though current SOSORT guidance both allow most sports during brace-free hours) - **Two-week tightening cycles** — periodic re-adjustment as the spine responded, similar to orthodontic braces - **The emotional weight** — a teenage girl navigating high school, a starring TV role, and a plastic shell running from armpits to hips ## Shailene Woodley But she framed it in a way that still helps every newly-diagnosed teen who reads it: *"Some people have crooked teeth, some people have broken fingers, and I've got a back that — has my initial on it."* — Shailene Woodley, *Marie Claire*, 2014 ([Marie Claire](https://www.marieclaire.com/celebrity/a9208/shailene-woodley-april-cover-feature-interview/)) **Filming** ***The Secret Life of the American Teenager*** **in a Back Brace** The complicating factor: Woodley was simultaneously the lead of a nationally-broadcast TV show. Playing a pregnant 15-year-old on ABC Family required a specific silhouette. A rigid chest-to-hips plastic brace changes silhouettes. Her workaround was the same one many braced teens use — **strategic removal within the daily brace-free window**: > *"\[She\] would take the brace off during filming and put it back on during breaks."* — [Wikipedia](https://en.wikipedia.org/wiki/Shailene_Woodley), citing her *Us Weekly* interview This is exactly the flexibility that modern SOSORT-aligned bracing protocols emphasize. Per the guidelines and reinforced by the [2013 BrAIST trial](https://pubmed.ncbi.nlm.nih.gov/24047455/), **compliance is the single strongest predictor of a successful bracing outcome** — but "compliance" means **hitting the daily hour target**, not wearing the brace at any specific hour of the day. A patient can remove the brace for school, sport, filming, or swimming and still hit an 18-hour target by wearing it aggressively during evenings, nights, and mornings. The 2018 [Annals of Translational Medicine review](https://pmc.ncbi.nlm.nih.gov/articles/PMC6995912/) puts the standard bluntly: the target is **20 hours out of 24**, with the four hours out of the brace typically used for showering, swimming, physical education, and sport. Woodley's 18-hour prescription with 6-hour brace-free windows put her right inside that band. The result, two years later: > *"The treatment was successful, and she took the brace off for good."* — [WebMD](https://www.webmd.com/pain-management/features/actress-shailene-woodley-takes-scoliosis-in-stride_) She never needed surgery. She never had a rod placed. And by the time *The Descendants* premiered in 2011 — the film that would earn her a Golden Globe nomination opposite George Clooney — the brace was already three years behind her. **What Life With Scoliosis Looks Like After the Brace Comes Off** Woodley's post-brace years demolish one of the most persistent scoliosis myths: that a curved spine limits what your body can do. Source: Wikipedia In a 2014 interview with Movies Online, promoting *Divergent*, she was asked directly. Her answer has become one of the most-quoted patient testimonials in the celebrity-scoliosis literature: ([Avala Spine transcription](https://avalaspine.com/actress-shailene-woodley-wont-let-scoliosis-get-the-best-of-her/)) > *"I still have scoliosis, but it was never a question of whether I could be active or not. Never. Actually, I have pretty severe scoliosis but it's not something that will ever affect my life. You can still get pregnant; you can still live your life the way anyone else can live their life. You can bungee jump. You can skydive. It does not hold you back from anything. Every now and then you get a little bit of pain, but everyone has their stuff to deal with. Everyone has their own pains and obstacles to battle with. But it's never been physically limiting at all."* Since her brace came off in 2009, Woodley has: - **Performed her own stunts** on the *Divergent* trilogy — zip-lining, hand-to-hand combat, climbing sequences - **Trained for months** to survive at sea for *Adrift* (2018), which required extreme physical conditioning and dramatic weight loss for a role loosely based on Tami Oldham Ashcraft's true story - **Given birth** — a milestone that carries specific concerns for women with residual scoliosis, and one Woodley normalized in her *Movies Online* comments years before she personally became a mother - **Continued environmental activism** including her 2016 arrest at the Dakota Access Pipeline protest, which required physical presence on the ground ([BBC](https://www.bbc.com/news/world-us-canada-37614797)) - **Practiced foraging, herbalism, and outdoor living** as part of her public lifestyle Her scoliosis is still present. Bracing didn't erase her curve — that isn't what bracing is designed to do. Per [Boston O&P](https://www.bostonoandp.com/blog/can-bracing-correct-spinal-curves-from-scoliosis/), *"treatment with the Boston Brace, or any scoliosis brace, will not eliminate a spinal curve… The goal of bracing is, at the minimum, to prevent the curve from getting worse when the patient is still growing, and hopefully keep the spinal curve small enough that the patient can avoid surgery."* That is exactly what happened for Woodley — and exactly the outcome bracing is supposed to deliver. ## **A 25-Year Acting Career, Uninterrupted by a Curved Spine** Woodley's professional trajectory tracks alongside her scoliosis in a way few celebrity stories do. She was already working when she was diagnosed. She kept working through her brace years. And she has kept working ever since. Source: Wikipedia **1999–2007 — Child Actor Years** - Screen debut in the TV film *Replacing Dad* (1999) - Guest and recurring roles on *The District*, *Crossing Jordan*, *The O.C.*, *Jack & Bobby*, *CSI: NY*, *My Name Is Earl* - Young Artist Award nominations for *A Place Called Home* (2004) and *Felicity: An American Girl Adventure* (2005) **2008–2013 —** ***Secret Life*** **+ Scoliosis Brace + Breakout Film** - **2008–2013:** Starring role as Amy Juergens in *The Secret Life of the American Teenager* (ABC Family) — five seasons, filmed largely during and after her brace years - **2011:** Feature film debut in Alexander Payne's ***The Descendants*** opposite George Clooney — the role critics called *"one of the toughest, smartest, most credible adolescent performances in recent memory"* ([New York Times, A.O. Scott](https://www.nytimes.com/2011/11/16/movies/the-descendants-with-george-clooney-review.html), quoted by [IMDb](https://www.imdb.com/name/nm0940362/bio/)) - **2012:** **Golden Globe nomination** — Best Supporting Actress (Motion Picture) for *The Descendants* ([Golden Globes](https://goldenglobes.com/person/shailene-woodley/)) - **2012:** **Independent Spirit Award win** — Best Supporting Female for *The Descendants* - **2012:** **Trophée Chopard** at the Cannes Film Festival + Santa Barbara Virtuoso Award - **2013:** *The Spectacular Now* (Sundance Special Jury Award for Acting) opposite Miles Teller Source: WikiMedia Commons **2014–2016 — YA Franchise Lead** - **2014:** ***The Fault in Our Stars*** as Hazel Grace Lancaster — global box office breakout - **2014:** ***Divergent*** as Beatrice "Tris" Prior, launching a trilogy that grossed over $760 million worldwide ([Rotten Tomatoes](https://www.rottentomatoes.com/celebrity/shailene_woodley)) - **2015:** *Insurgent* - **2015:** BAFTA Rising Star Award nomination - **2016:** *Allegiant* + Oliver Stone's *Snowden* opposite Joseph Gordon-Levitt **2017–2019 —** ***Big Little Lies*** **and Emmy Recognition** - Starring role as **Jane Chapman** — a single mother and sexual assault survivor — in HBO's ***Big Little Lies*** opposite Nicole Kidman, Reese Witherspoon, Laura Dern, and Meryl Streep - **2017: Primetime Emmy nomination** — Outstanding Supporting Actress in a Limited Series or Movie - **2018: Second Golden Globe nomination** — Best Supporting Actress in a Series/Limited Series - **2018:** *Adrift* — starring role and producer Source: Wikipedia **2020–2026 — Range, Reinvention, Return** - **2021:** *The Mauritanian* opposite Jodie Foster and Benedict Cumberbatch - **2021:** *The Last Letter From Your Lover* - **2022:** *The Fallout* (SXSW Grand Jury Prize) — recognized for her performance as a therapist - **2023:** *Ferrari* (dir. Michael Mann) as Lina Lardi - **2023:** *Dumb Money* as Caroline Gill - **2023:** *To Catch a Killer* — starring role and producer - **2024:** ***Three Women*** on Starz — leading role as journalist Gia, based on Lisa Taddeo's bestselling book ([Deadline](https://deadline.com/2024/10/shailene-woodley-heavy-personal-transition-making-three-women-1236163010/)) - **2026:** Confirmed return as Jane Chapman for ***Big Little Lies Season 3*** on HBO ([Business Insider](https://www.businessinsider.com/shailene-woodley-movie-tv-roles-divergent-secret-life-big-little-lies-2024-8), [IMDb](https://www.imdb.com/name/nm0940362/)) By the numbers: **36 competitive wins and 73+ nominations** across the Golden Globes, Emmys, BAFTAs, Independent Spirit Awards, SAG Awards, Critics' Choice, and every major American film critics circle. ([IMDb Awards](https://www.imdb.com/name/nm0940362/awards/)) **Why Shailene Woodley's Story Is the One Every Newly-Diagnosed Teen Needs** Each of the three celebrity-scoliosis archetypes tells a different clinical story. Woodley's is the one that maps most closely onto **the average American teenager sitting in a scoliosis clinic today**: **1. Her curve was the exact size where bracing decisions get made.** At **38° Cobb** in a still-growing patient, Woodley was in the classic bracing band — above the ~25° observation-vs-brace threshold, below the ~45° surgical threshold. Whether or not a patient in that band ends up needing surgery depends heavily on whether they brace, how many hours per day, and how consistently. Woodley is a real-world example of what happens when the answer is *yes, yes, yes*. **2. Her compliance is the model.** The [BrAIST trial](https://pubmed.ncbi.nlm.nih.gov/24047455/) established that bracing reduces the likelihood of curve progression to the surgical threshold — but only if patients actually wear the brace. Compliance data consistently shows patients who wear their brace ≥12 hours per day have surgery rates around 6%, compared to ~32% among those who wear it less than 7 hours per day. Woodley hit 18. She had every teenage reason not to — a starring TV role, cross-country running, high-school social life — and she did it anyway. **3. Her outcome is the goal.** Bracing succeeded. She never required surgery. She emerged with a manageable adult curve, a full range of physical capability, and — by her own account — a life "that has not been physically limiting at all." That is exactly the outcome the [2016 SOSORT guidelines](https://spinaltech.com/resources/sosort-guidelines-explained) frame as the target of adolescent bracing. **4. Her career is the anti-limitation argument.** For any parent who worries a scoliosis brace will damage their child's confidence, social life, or future opportunities, Woodley is the counter-example. She earned a Golden Globe nomination three years after her brace came off, and starred in a $760 million film franchise five years after that. She isn't the only bracing success story on this list. But she is the most visible one — and the one whose interviews you can hand a nervous 14-year-old and expect them to actually read. Shailene Woodley's story is the direct clinical counterpart to Chloë Sevigny's: **the same era, same curve severity range, same body type, same industry — one braced, one didn't.** Comparing their outcomes side-by-side is one of the clearest arguments for early, compliant bracing that celebrity stories can make. ([Scoliosis Reduction Center — Famous People With Scoliosis](https://www.scoliosisreductioncenter.com/blog/famous-people-with-scoliosis)) ## Frequently Asked Questions - Shailene Woodley wore a chest-to-hips plastic TLSO brace for **18 hours a day for two years**, during her sophomore and junior years of high school, after being diagnosed with a 38° idiopathic scoliosis curve at age 15. She was allowed to remove it for filming, swimming, and about six hours of daily brace-free time. Her doctors declared the treatment successful at the end of the two years, and she has not required surgery. - Yes. Shailene Woodley continued starring in *The Secret Life of the American Teenager* throughout her brace years — she simply removed the brace during filming and put it back on during breaks. Modern SOSORT bracing guidance encourages continued sport, school attendance, and social activity, with the brace worn during evenings, nights, and mornings to hit the daily hour target. Studies confirm that active brace-wearers have equivalent or better outcomes than sedentary ones. - Most sports and exercise can continue during a scoliosis brace's daily off-hours. Woodley gave up cross-country running during her brace years, but that was a personal choice — most Boston-style TLSO prescriptions specifically build in brace-free hours for sport and physical education. Per [Massachusetts General Hospital](https://www.massgeneral.org/orthopaedics/children/conditions-and-treatments/scoliosis-and-bracing), *"unless otherwise instructed by your physician, you are not restricted from participation in any sport or activities."* Modern bracing philosophy strongly encourages continued athletic activity. #### Related Articles ##### [Stacy Lewis and Scoliosis: From Bracing to LPGA Champion](https://spinaltech.com/resources/stacy-lewis-and-scoliosis-from-bracing-to-lpga-champion) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) ##### [Types of Scoliosis: A Visual and Practical Guide for Families](https://spinaltech.com/resources/types-of-scoliosis) --- # Stacy Lewis and Scoliosis: From Bracing to LPGA Champion [Celebrities,](/resources/tag/celebrities) [Golf,](/resources/tag/golf) [Scoliosis](/resources/tag/scoliosis) Photo: Wmigda, via Wikimedia Commons, CC BY-SA 3.0 **Stacy Lewis: Scoliosis Couldn’t Stop Her Swing** For Stacy Lewis, golf was more than a sport. It was a place to feel free. At age 11, a school screening identified an asymmetry in Stacy’s back. Follow-up evaluation and X-rays confirmed scoliosis. What followed was a challenging adolescence shaped by a back brace, uncertainty about the future, and a determination to keep pursuing the game she loved. Today, Stacy Lewis is known as one of the most accomplished golfers of her generation. Her path to the top was not easy—but it is a powerful reminder that a scoliosis diagnosis does not have to put dreams on hold. ## A diagnosis at age 11 Stacy was diagnosed with scoliosis after a school screening exam. She began wearing a back brace for approximately 18 hours each day, including while she slept. For more than seven years, the brace became part of her daily routine. [srs](https://www.srs.org/Patient-Stories/Stacys-Story) Like many teenagers treated for scoliosis, Stacy found bracing emotionally difficult. She has spoken openly about worrying about how she looked, what others thought, and trying to hide her brace beneath her clothes. The heat, discomfort, bruising, and the challenge of sleeping in a brace made the experience even harder. [espn](https://www.espn.com/blog/high-school/girl/post/_/id/2218/stacy-lewis-scoliosis-made-me-who-i-am) But there was one part of the day she especially looked forward to: golf practice. > “Golf became my sanctuary.” — Stacy Lewis [cnn](https://www.cnn.com/2013/06/06/health/human-factor-lewis) Golf was the time Stacy could remove her brace and focus on something she loved. The course gave her confidence, purpose, and an outlet during an otherwise difficult period. ## When bracing was not enough Stacy stopped wearing her brace after she finished growing, around age 18. Unfortunately, her spinal curve continued to progress, and surgery was recommended to help prevent further progression. [srs](https://www.srs.org/Patient-Stories/Stacys-Story) The decision was especially difficult because Stacy had recently accepted a golf scholarship to the University of Arkansas. Surgery seemed like it might interrupt—or even end—the career she had worked so hard to pursue. Instead, with support from her family, medical team, and Arkansas golf coach, Stacy made the decision to move forward with treatment. Her surgeon used an approach intended to preserve as much lower-back mobility as possible for her golf swing. The procedure included placement of a rod and five screws, followed by additional bracing and months of rehabilitation. .jpg) Photo: Wmigda, CC BY-SA 3.0, via Wikimedia Commons ## A return built one shot at a time Recovery required patience. Stacy spent months rebuilding before returning gradually to the game, starting with putting and chipping before progressing to a fuller swing. She missed her first college golf season, but stayed committed to recovery and continued developing her short game. Her comeback was extraordinary. Stacy returned to the University of Arkansas golf team and went on to win the NCAA individual championship. As a professional, she won the 2011 Kraft Nabisco Championship, became LPGA Player of the Year in 2012, and rose to the world No. 1 ranking in 2013. ## **What Stacy’s story can teach us** A scoliosis diagnosis can feel overwhelming—especially for a child or teenager who is concerned about appearance, activities, friendships, sports, or the future. Stacy’s story does not minimize those challenges. Instead, it shows the value of compassionate care, family support, persistence, and a treatment plan tailored to the individual. Her experience is a reminder that: - Wearing a brace can be physically and emotionally challenging, and young people deserve encouragement throughout treatment. - Staying active, when permitted by a treating clinician, can help children continue participating in the activities that bring them confidence and joy. - Treatment plans may change as a child grows, so ongoing monitoring and communication with a qualified spine specialist are important. - Scoliosis may be part of someone’s story, but it does not determine what they can accomplish. ## **Keep moving toward your goals** Stacy Lewis faced years of bracing, major surgery, and rehabilitation before becoming one of the world’s top golfers. Her story is not about ignoring scoliosis—it is about facing it with support, determination, and a plan. If your child has been diagnosed with scoliosis, speak with their healthcare provider about appropriate evaluation, monitoring, and treatment options. Every person’s condition is different, and individualized clinical guidance matters. ###### *This article is for educational purposes only and is not medical advice. Consult a qualified healthcare professional for diagnosis and treatment recommendations.* ## FAQ - Yes. Stacy Lewis was diagnosed with scoliosis at age 11 after a school screening. She wore a back brace for many years and later had spinal surgery after her curve continued to progress. She returned to competitive golf following recovery and rehabilitation. - Stacy Lewis wore a scoliosis brace for approximately 18 hours a day during her teenage years. Golf practice was a time when she could take off the brace and focus on the sport she loved, subject to the guidance of her care team. - No. Stacy needed time to recover and rebuild her strength after spinal surgery, including a gradual return to golf activities. She later competed in college, won the NCAA individual championship, became an LPGA major champion, and reached world No. 1. #### Related Articles ##### [Shailene Woodley: The Actress Who Braced Her Way Out of Surgery](https://spinaltech.com/resources/celebrities-with-scoliosis-shailene-woodley-actress) ##### [Chloë Sevigny: The Oscar Nominee Living With Untreated Scoliosis](https://spinaltech.com/resources/celebrities-with-scoliosis-chloe-sevigny-actress) ##### [Jessica Ashwood: The Olympic Swimmer Who Refuses to Let Scoliosis Set the Pace](https://spinaltech.com/resources/jessica-ashwood-olympic-swimmer) --- # Low Profile Milwaukee Brace Drag Image To Rotate #### Overview The Milwaukee style brace is widely used to treat idiopathic scoliosis and Scheuermann’s disease, and structural kyphosis. A low-profile neck ring, held in place by an adjustable vertical bar, addresses curves with apices higher than T7. #### Spinal Indications - Scoliosis - Scheuermann’s Kyphosis - Structural Kyphosis #### Features - Multiple adjustment capabilities. - The neck ring can be adjusted. - For kyphosis, static pads can be attached to the posterior upright or a dynamic floating pad to anterior cross bar. - Open system maximizes correction. - The thoracic and axilla pads can be tightened or loosened to influence correction and to center the patient within the superstructure. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/ST-Milwaukee-Orthosis-Product-Info.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Low Profile Milwaukee Orthosis - Product Options](https://spinaltech.com/resources/low-milwaukee-orthosis-product-options) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Milwaukee Low Profile Brace - Anterior View - Milwaukee Low Profile Brace - Front Three Quarter View - Milwaukee Low Profile Brace - Left Lateral View - Milwaukee Low Profile Brace - Posterior View - Milwaukee Low Profile Brace - Right Lateral View - Milwaukee Orthosis - Anterior View - Milwaukee Orthosis - Kyphosis Pad - Milwaukee Orthosis - Thoracic Pad - Milwaukee Orthosis - Kyphosis Pad Static - Posterior View - Milwaukee Orthosis - Posterior View - Milwaukee Orthosis - Axilla Sling - Milwaukee Low Profile Brace - Anterior View - Milwaukee Low Profile Brace - Front Three Quarter View - Milwaukee Low Profile Brace - Left Lateral View - Milwaukee Low Profile Brace - Posterior View - Milwaukee Low Profile Brace - Right Lateral View - Milwaukee Orthosis - Anterior View - Milwaukee Orthosis - Kyphosis Pad - Milwaukee Orthosis - Thoracic Pad - Milwaukee Orthosis - Kyphosis Pad Static - Posterior View - Milwaukee Orthosis - Posterior View - Milwaukee Orthosis - Axilla Sling ### Accessories - Milwaukee Neck Ring - Low Profile - Torso Body Sock - Milwaukee Neck Ring - Low Profile - With or without arm flaps Torso Body Sock --- # Kyphologic Brace Drag Image To Rotate #### Product Overview The Kyphologic style w/ Anterior opening & “Cow Horns” that attach laterally and allows for a corrective force at the apex of kyphosis. The brace is used to correct Kyphosis and stabilize adult patients. #### Spinal Indications - Mild Structural Kyphosis - Scheuermann’s Kyphosis - Postural Stabilization #### Features - The trims are designed to allow hips & scapulae to be relieved of pressure, to move more freely and is easier to conceal under clothing. - “Cow Horns” allow for adjustment of height, & pivot for more extension force. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/Kyphologic-Product-Info-Brochure-09-03-26.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [What is a Kyphologic Brace?](https://spinaltech.com/resources/what-is-a-kyphologic-brace) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) ### Product Photos - Kyphologic Brace Anterior View - Kyphologic Brace Posterior View - Kyphologic Brace Right Lateral View - Kyphologic Brace Left Lateral View - Kyphologic Brace Anterior View - Kyphologic Brace Posterior View - Kyphologic Brace Right Lateral View - Kyphologic Brace Left Lateral View --- # Kyphosis Brace Low Profile with Custom Sternal Shield Drag Image To Rotate #### Overview In a healthy spine, its natural curve should be at an angle around 20-45 degrees. Those who have kyphosis, however, their abnormal curvature in their spine sits at an angle of over 50 degrees. Our Kyphosis orthosis is low profile with a custom sternal shield attached. The posterior is reinforced and allows for corrective force at the apex of kyphosis. This brace is designed to help correct and stabilize this condition. #### Spinal Indications - Scheuermann's Kyphosis - Mild Structural Kyphosis - Postural Stabilization - Kyphoscoliosis #### Features - Anterior Milwaukee bar with sternal shield allows for height adjustment and extension force. - Easily concealed under clothing. - Low profile design increases compliance. - Posterior is reinforced to allow corrective force at apex of kyphosis. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/ST-Kyphosis-Orthosis-Product-Info.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Kyphosis Orthosis - Product Options](https://spinaltech.com/resources/kyphosis-orthosis-product-options) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Kyphosis Front - Anterior View - Kyphosis Orthosis - Right Lateral View - Kyphosis Orthosis - Posterior Aluminum Reinforcements - Kyphosis Orthosis - Left Lateral View - Kyphosis Orthosis - Anterior View - Kyphosis Orthosis - Right Lateral View - Kyphosis Orthosis - Posterior Aluminum Reinforcements - Kyphosis Orthosis with Front Channels - Kyphosis Orthosis with Channels- Right Lateral View - Kyphosis Front - Anterior View - Kyphosis Orthosis - Right Lateral View - Kyphosis Orthosis - Posterior Aluminum Reinforcements - Kyphosis Orthosis - Left Lateral View - Kyphosis Orthosis - Anterior View - Kyphosis Orthosis - Right Lateral View - Kyphosis Orthosis - Posterior Aluminum Reinforcements - Kyphosis Orthosis with Front Channels - Kyphosis Orthosis with Channels- Right Lateral View ### Accessories - Torso Body Sock - With or without arm flaps Torso Body Sock --- # TLSO - Bivalve with Sternal Shield (Thoracic Lumbar Sacral Orthosis) Bivalve with Sternal Shield and Axilla Straps #### Overview The TLSO - Bivalve is a high profile orthosis that allows compression, expansion, and adjustability. The Sternal Pad attachment allows for height adjustment and to prevent unwanted spinal flexion. #### Spinal Indications - Spinal Indications - Kyphosis - Compression Fracture - Osteoporosis - Burst Fracture - Spinal Stenosis - Spinal Muscular Atrophy - Laminectomy - Spinal Trauma #### Features - Bivalve design maximizes anterior and posterior control - Multiple adjustable straps accommodate volume changes #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (Pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_-Bivalve-with-Sternal-Shield.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [TLSO Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - TLSO Bivalve with Sternal Shield - Anterior View - TLSO Bivalve with Sternal Shield - Lateral View - TLSO Bivalve with Sternal Shield - Posterior View - TLSO Bivalve with Sternal Shield - Anterior View - TLSO Bivalve with Sternal Shield - Lateral View - TLSO Bivalve with Sternal Shield - Posterior View ### Accessories - Spinous Process Relief - Plastic and Dacron Extended Chafes - Torso Body Sock - Spinous Process Relief - Plastic and Dacron Extended Chafes - With or without arm flaps Torso Body Sock --- # Unfinished - Prefabricated Scoliosis Stock Modules #### Overview We offer prefabricated Scoliosis stock modules. These modules in (rigid) plastic are available as unfinished, and based on standard torso shapes, sizes and trim lines. Prefabricated stock orthoses allows the practitioner to keep an inventory “in-house” and modify to a patients need. For **size chart** see "Product Options" or "Resources" below. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Unfinished - Prefabricated Scoliosis Stock Modules Size Chart](https://spinaltech.com/resources/unfinished-prefabricated-scoliosis-stock-orthoses-size-chart) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Scoliosis Stock Orthoses - Posterior Opening - Scoliosis Orthosis Pads & Straps - Scoliosis Stock Orthoses - Posterior Opening - Scoliosis Orthosis Pads & Straps ### Accessories - Strap Kits - Corrective Scoliosis Pads - Torso Body Sock - Strap Kits - **A.** Thoracic Pad 1/2" **B.** Lumbar Pad 1/2" **C.** Trochanter Pad 1/2" Available Soft or Firm Corrective Scoliosis Pads - With or without arm flaps Torso Body Sock --- # SpinaLoc® X1 Prefabricated - (OTS) Off-The-Shelf (Soft) #### Overview Our SpinaLoc® X1 Spinal Orthosis features comfort, stability and a variety of options. The single piece design makes for effective compression with easy donning and doffing. The Off-The-Shelf (OTS) orthosis has pre-molded anterior inserts that come neutral or pendulous and are pre-slotted to accommodate an anterior thoracic extension. The anterior insert pocket is adjustable providing correct positioning and accommodating a wider range of sizes. Pre-molded posterior inserts come in three degrees of lordosis 5º – 15º – 25º with a spinal relief cut out. The X1 orthosis is designed with two smooth cross-pull compression straps, with elastic tension ends as well as hand-pull tabs on all strap ends. #### Spinal Indications The SpinaLoc® X1 orthosis is suitable for a number of diagnoses and conditions, including spinal fractures, kyphosis control, osteoporosis and spinal stenosis. #### Features - Single piece design, comes with anterior & posterior pre-molded inserts. - Posterior insert comes with spinal relief cut out. - Anterior insert is pre-stamped to accommodate a sternal kit. - Two smooth cross-pull compression straps with elastic tension ends make for easy application and effective compression. - Hand-pull tabs on all ends. [Product Info PDF](https://spinaltech.com/uploaded/forms/ST-SpinaLocX-Brochure-260414-Digital.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Prefabricated SpinaLoc® X Series Specifications & Size Chart](https://spinaltech.com/resources/prefabricated-spinaloc-x-series-specifications-size-chart) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) ### Product Photos - SpinaLoc X Series - X1 - Anterior View - SpinaLoc X Series - X1 - Anterior View - SpinaLoc X Series - X1 - Anterior View - SpinaLoc X Series - X1 - Anterior View ### Accessories - Torso Body Sock - With or without arm flaps Torso Body Sock --- # S.T.O.P. Orthoses (Spinal Trauma Orthotic Positioning) - (OTS) Off-The-Shelf (Rigid) #### Overview The prefabricated S.T.O.P. (Spinal Trauma Orthotic Positioning) braces are made up of a series of modular components that offer a combination of trunk support and ease of fitting based on standard body proportions for both male and female patients. Each anterior and posterior section is made out of a (Rigid) polyethelene plastic lined with foam and have adjustable velcro straps. These are (OTS) Off-The-Shelf orthoses. There are four different styles of S.T.O.P. braces. For **size chart** see "Product Options" or "Resources" below. #### Spinal Indications The S.T.O.P. orthosis is suitable for a number of diagnoses and conditions, including spinal fractures, kyphosis control, osteoporosis and spinal stenosis. #### S.T.O.P. 1 & 2 - Features - The S.T.O.P. 1 & 2 have female anterior section with a breast cut out, (pictured). - The S.T.O.P. 1 & 2 are available in a bivalve open with tongues design. - The S.T.O.P. 2 orthosis is MRI compatible. - Anterior section with full abdominal available. - Posterior spinal relief. - Removable liner allows for ease of cleaning. - Rigid molded side panels for lateral stability. - Additional liners available. #### S.T.O.P. 3 - Features - The S.T.O.P. 3 is a bivalve open with tongues design. - Sternal shield with axilla straps or shoulder straps— allows extension control. - Posterior spinal relief. - Accommodates volume changes. - Removable liner allows for ease of cleaning and replacing. - Rigid molded side panels for lateral stability. - Additional liners available. #### S.T.O.P. 4 - Features - S.T.O.P. 4 is a bivalve open with tongues design. - Adjustable anterior sternal shield can be used with axilla and/or shoulder straps. - Posterior thoracic extension with shoulder straps. - Posterior spinal relief. - Maximum adjustability and thoracic stabilization. - Accommodates volume changes. - Removable liner allows for ease of cleaning. - Rigid molded side panels for lateral stability. - Additional liners available. **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Prefabricated S.T.O.P. Orthoses - Size Chart](https://spinaltech.com/resources/prefabricated-s-t-o-p-orthoses-size-chart) - ##### [S.T.O.P. Orthosis - Wear and Care Information](https://spinaltech.com/resources/stop-orthosis-donning-instructions) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [What is a STOP Brace?](https://spinaltech.com/resources/what-is-a-stop-brace) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - S.T.O.P. 1- Anterior View - Female - S.T.O.P. 1- Lateral View - Female - S.T.O.P. 1- Posterior View - Female - S.T.O.P. 1 - Anterior View - Male - S.T.O.P. 1 - Posterior View - Male - S.T.O.P. 3 - Anterior View with Sternal Shield - Female - S.T.O.P 3- Female Lateral - S.T.O.P. 3 - Posterior View with Sternal Shield - Female - S.T.O.P. 4 - Anterior View with Sternal Shield and shoulder straps- Female - S.T.O.P. 4 - Lateral View with Sternal Shield and shoulder straps- Female - S.T.O.P. 4 - Posterior View with Sternal Shield and shoulder straps- Female - S.T.O.P. 1- Anterior View - Female - S.T.O.P. 1- Lateral View - Female - S.T.O.P. 1- Posterior View - Female - S.T.O.P. 1 - Anterior View - Male - S.T.O.P. 1 - Posterior View - Male - S.T.O.P. 3 - Anterior View with Sternal Shield - Female - S.T.O.P 3- Female Lateral - S.T.O.P. 3 - Posterior View with Sternal Shield - Female - S.T.O.P. 4 - Anterior View with Sternal Shield and shoulder straps- Female - S.T.O.P. 4 - Lateral View with Sternal Shield and shoulder straps- Female - S.T.O.P. 4 - Posterior View with Sternal Shield and shoulder straps- Female ### Accessories - Torso Body Sock - With or without arm flaps Torso Body Sock --- # Finished / Unfinished - Prefabricated Orthoses Modules Rigid Plastic #### Overview We offer a variety of prefabricated stock LSO and TLSO modules. These modules in (rigid) plastic are available as finished or unfinished, based on standard torso shapes, sizes and trim lines. Prefabricated stock modules allows the practitioner to keep an inventory “in-house” and modify to a patients need. For **size chart** see "Product Options" or "Resources" below. **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Prefabricated TLSO/LSO Stock modules (Size Chart)](https://spinaltech.com/resources/prefabricated-tlso-lso-stock-size-chart) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Unfinished Lined Anterior Overlap - Unfinished Unlined Anterior Overlap - Unfinished Lined Bivalve - Finished TLSO Bivalve - Finished LSO Bivalve - Finished Lined Anterior Overlap - Finished Low Anterior / High Posterior Bivalve - Unfinished Lined Anterior Overlap - Unfinished Unlined Anterior Overlap - Unfinished Lined Bivalve - Finished TLSO Bivalve - Finished LSO Bivalve - Finished Lined Anterior Overlap - Finished Low Anterior / High Posterior Bivalve ### Accessories - Torso Body Sock - Strap Kits - With or without arm flaps Torso Body Sock - Strap Kits --- # Pectus Carinatum Orthosis #### Overview Our custom Pectus Carinatum brace features a low profile design with both anterior and posterior panels with a flexible surround that easily contours around the patient’s chest. These panels are designed to direct both an anterior and posterior force needed for compressive correction. The Pectus Carinatum panels are made of a hard plastic outside and lined with a softer foam that provides comfort and easily conforms against the chest. The surround has an adjustable plastic ratchet system on both sides for easy fit and adjustability. #### Spinal Indications - Protrusion of both the sternum (breast bone) and the cartilage portion of the ribs. - Bowed chest (Pigeon chest). - Abnormal chest shape. #### Features - Custom to measurements, cast or scan. - Provides anterior/posterior corrective compression over affected site. - Easy donning and doffing. - Adjustable compression achieved by ratchet mechanism. - Shoulder straps to maintain positioning. - Closed cell foam pads for ease of cleaning. [Order Form](https://spinaltech.com/uploaded/forms/Pectus_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/Custom_Pectus-Info.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Pectus Carinatum Wearing Protocol](https://spinaltech.com/resources/pectus-carinatum-wearing-protocol) - ##### [What is a Pectus Carinatum brace?](https://spinaltech.com/resources/what-is-a-pectus-carinatum-brace) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [Pectus Carinatum Orthosis (Article)](https://spinaltech.com/resources/o-p-edge-article-on-pectus-carinatum-orthosis) ### Product Photos - Female Pectus- Anterior View - Female Pectus- Side View - Pectus Carinatum - Posterior View - Pectus Carinatum - Side View - Pectus Carinatum - Anterior View - Female Pectus- Posterior View - Female Pectus -Side View - Custom Kyphosis-Pectus - Female Pectus- Anterior View - Female Pectus- Side View - Pectus Carinatum - Posterior View - Pectus Carinatum - Side View - Pectus Carinatum - Anterior View - Female Pectus- Posterior View - Female Pectus -Side View - Custom Kyphosis-Pectus ### Testimonials - > WOW! Just wow. I asked for a combo pectus/kyphosis TLSO. Boy did you deliver. > > P.R., CO, LO, OTR/L • Skokie, IL --- # Bivalve with Hip Joint and Thigh Cuff #### Overview Our Bivalve with Hip Joint and Thigh Cuff orthosis allows for greater adjustability while limiting motion. Adjustment bars are positioned on orthosis and thigh section for adjustability. A variety of joints are available. Cupped medial condyle. TLSO design is available. A sternal shield can be added to the LSO if thoracic support is needed. #### Spinal Indications - Immobilization of Lumbosacral joint - Pre and Post-operative spinal situations - Pre and Post-operative hip surgery - Spinal fusion #### Features - Adjustment bars. - Reinforced hip and thigh support. - Easy positioning of hip joint. - TLSO design available. #### Bivalve Opening Overlap & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Hip_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_Bivalve-Hip-Cuff.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [Bivalve with Hip Joint and Thigh Cuff Orthosis - Product Options](https://spinaltech.com/resources/bivalve-with-hip-joint-and-thigh-cuff-options) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - HIP Bivalve Brace with Thigh Cuff- Front View - HIP Bivalve with Thigh Cuff - Lateral View - HIP Bivalve with Thigh Cuff - Posterior View - HIP Bivalve Brace with Thigh Cuff- Front View - HIP Bivalve with Thigh Cuff - Lateral View - HIP Bivalve with Thigh Cuff - Posterior View ### Accessories - Hip Joints - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - Torso Body Sock - **A.** Becker Drop Lock - 5/8", 3/4", 1" **B.** Becker "T" 3/4" with Drop Lock (Available without "T") **C.** Becker Multi-Axis **D.** Becker Multi-Axis with "T" Other joints available upon request Hip Joints - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - With or without arm flaps Torso Body Sock --- # Single Opening with Hip Joint and Thigh Cuff #### Overview The orthosis design shown is a single opening LSO with a hip joint and thigh cuff. This style allows for greater adjustability while limiting motion. Adjustment bars are positioned on orthosis and thigh section for adjustability. #### Spinal Indications - Immobilization of Lumbosacral joint - Pre and Post-operative spinal situations - Pre and Post-operative hip surgery - Spinal fusion #### Features - Choice of three hip joints available. - Adjustment bars. - Reinforced hip and thigh support - Easy positioning of hip joint [Order Form](https://spinaltech.com/uploaded/forms/Custom_Hip_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/SO_Hip-Joint_thigh-Cuff.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Single Opening with Hip Joint and Thigh Cuff Orthosis - Product Options](https://spinaltech.com/resources/single-opening-with-hip-joint-and-thigh-cuff-product-options) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - Hip Single Opening with Thigh Cuff - Front - HIP Single Opening with Thigh Cuff - Lateral - HIP Single Opening with Thigh Cuff - Back - Hip Single Opening with Thigh Cuff - Front - HIP Single Opening with Thigh Cuff - Lateral - HIP Single Opening with Thigh Cuff - Back ### Accessories - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - Hip Joints - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - **A.** Becker Drop Lock - 5/8", 3/4", 1" **B.** Becker "T" 3/4" with Drop Lock (Available without "T") **C.** Becker Multi-Axis **D.** Becker Multi-Axis with "T" Other joints available upon request Hip Joints --- # SCT 3D Wilmington (Style) Scoliosis Brace Drag Image To Rotate #### Overview The SCT 3D Wilmington (style) brace is a custom TLSO that is designed using CAD/CAM technology. This orthosis provides a 3D brace design that corrects the spine based on three body planes, the Sagittal, Coronal and Transverse (SCT) and provides a precise combination of lateral and rotational forces that move the spine into a corrected position. This orthosis provides passive correction of scoliosis curve with apices at or below T7. This brace design maintains corrective forces at the curve apices, the iliac crests, greater trochanters, and symphysis pubis. Using CAD/CAM technology allows for precise fabrication to maximize spinal correction that can be measured to the exact millimeter. #### Spinal Indications - Idiopathic Scoliosis - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Provides the ability to control the angles of the sagittal plane regarding lumbar lordosis and thoracic kyphosis. - Treat apices at or below T7. - Computer enhanced modification via CAD/CAM technology. - Each design is customized to patient’s shape and curve pattern. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/SCT-3D_Wilmington_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SCT 3D Wilmington (Style) Orthosis - Product Options](https://spinaltech.com/resources/sct-wilmington-orthosis-product-options) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - SCT 3D Wilmington (Style) Scoliosis Orthosis - Anterior View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Right Lateral View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Posterior View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Left Lateral View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Anterior View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Right Lateral View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Posterior View - SCT 3D Wilmington (Style) Scoliosis Orthosis - Left Lateral View ### X-Ray Outcomes - ##### SCT 3D Wilmington (Style) Orthosis - 1 Original In-Brace - ##### SCT 3D Wilmington (Style) Orthosis - 2 Original In-Brace - ##### SCT 3D Wilmington (Style) Orthosis - 3 Original In-Brace - ##### SCT 3D Wilmington (Style) Orthosis - 4 Original In-Brace - ##### SCT 3D Wilmington (Style) Orthosis - 5 Original In-Brace - ##### SCT 3D Wilmington (Style) Orthosis - 6 Original In-Brace ### Accessories - Torso Body Sock - With or without arm flaps Torso Body Sock ### Testimonials - > I am thrilled with the Wilmington Scoliosis braces I've been getting from Spinal Tech and the correction of 50% to 70% that those braces are yielding. The 6 Neuro Docs that use me are in amazement of how much correction I'm getting from your braces. > > T.P. • Morgantown, WV --- # CTLSO Flex Foam® 1 - Bivalve (Cervical Thoracic Lumbar Sacral Orthosis) Smooth Overlap with Cervical Extension #### Overview This TLSO with the additional cervical component is offered in our patented Flex Foam® 1, with bivalve opening and tongues. This orthosis not only allows compression, expansion, and adjustability but secures the patient from the neck, down to the spine. #### Spinal Indications - Post-Operative Cervical Fusions - Anterior and Posterior Control of Cervical Spine - High Compression Fractures - Osteoporosis - Herniated Cervical Disc - Spinal Trauma #### Features - Cervical attachment easily contoured. - Tracheotomy access. - Mandible component easily molded to chin contour. - Removable frame for easy adjustment. - Height adjustable. - Lightweight. - The Flex Foam® design works well with both the geriatric and pediatric population. - Increased comfort for patients. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap, Step Overlap, With Tongues (pictured) **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/CTLSO_FF1_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [CTLSO Flex Foam® 1 Bivalve Orthosis - Product Options](https://spinaltech.com/resources/ctlso-flex-foam-bivalve-orthosis-product-options) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [Flex Foam® - Frame Design Options](https://spinaltech.com/resources/flex-foam-product-options) ### Product Photos - CTLSO Flex Foam 1 Bivalve with Cervical Extension - CTLSO Flex Foam 1 Bivalve Lateral View - Cervical Extension Lateral View - Cervical Extension Posterior View - CTLSO Flex Foam 1 Bivalve with Cervical Extension - CTLSO Flex Foam 1 Bivalve Lateral View - Cervical Extension Lateral View - Cervical Extension Posterior View ### Accessories - Standard Cervical Attachment - SOMI Cervical Attachment - Sternal Shield Attachment - Plastic and Dacron Extended Chafes - Corrugated Paraspinal Reinforcement - Torso Body Sock - Standard Cervical Attachment - SOMI Cervical Attachment - Sternal Shield Attachment - Plastic and Dacron Extended Chafes - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock ### Testimonials - > I wanted to thank everyone involved with the fabrication of this CTLSO. It was a difficult case as the patient is a tiny NICU baby, and you were spot on. Great job everyone! > > F.C., CPO • El Paso, TX - > I wanted to let you know that the family, the Doc and I couldn't have been more pleased with this very difficult custom Minerva Cervical Extension. The scan/order came in pretty late for such a tough case and you finished it same day nonetheless. Thank you to everyone involved. > > M.W., CPO • West Palm Beach, FL --- # CTLSO - Bivalve (Cervical Thoracic Lumbar Sacral Orthosis) Smooth Overlap with Cervical Extension #### Overview The CTLSO – Bivalve is a high profile orthosis with an adjustable cervical attachment. As with all of our bivalve designs, the anterior and posterior sections are joined on both sides with a set of three heavy duty hook and loop straps that can be adjusted for compression and expansion. #### Spinal Indications - Post-Operative Cervical Fusions - Anterior and Posterior Control of - Cervical Spine - High Compression Fractures - Osteoporosis - Herniated Cervical Disc - Spinal Trauma #### Features - Cervical attachment easily contoured. - Tracheotomy accessible. - Height adjustable. - Mandible component easily molded to chin contour. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/CTLSO_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [CTLSO Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-4) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) ### Product Photos - CTLSO - Bivalve Smooth Overlap with Cervical Extension - Cervical Extension Lateral View - Cervical Extension with Head Strap - Cervical Extension Posterior View - CTLSO - Bivalve Smooth Overlap with Cervical Extension - Cervical Extension Lateral View - Cervical Extension with Head Strap - Cervical Extension Posterior View ### Accessories - Standard Cervical Attachment - SOMI Cervical Attachment - Corrugated Paraspinal Reinforcement - Shoulder Straps - Plastic and Dacron Extended Chafes - Torso Body Sock - Standard Cervical Attachment - SOMI Cervical Attachment - Corrugated Paraspinal Reinforcement - Shoulder Straps - Plastic and Dacron Extended Chafes - With or without arm flaps Torso Body Sock --- # LSO Corset Front (Lumbar Sacral Orthosis) with Posterior Plastic Section #### Overview This LSO utilizes a soft corset for the patient’s comfort and ease. The anterior corset overlaps the posterior plastic brace. The plastic counterpart stabilizes the back of the torso, and the soft corset allows an easy adjustment with fasteners and straps. #### Spinal Indications - Herniated Disc - Low Back Pain - Lumbar Instability - Compression Fracture - Spondylolysis - Degenerative Disc Disease - Spinal Trauma #### Features - Acceptable for the patient who is unable to tolerate a solid plastic anterior panel. - Adjustable hook and loop closure straps. - Ease of donning and doffing. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_Corset_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Corset Front Orthosis - Product Options](https://spinaltech.com/resources/lso-corset-front-product-options-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - LSO Corset Front with Hard Plastic Posterior - LSO Corset Front with Fasteners and Straps - LSO Corset Front - Lateral View - LSO Corset Front - Hard Plastic Section - Posterior View - LSO Corset Front with Hard Plastic Posterior - LSO Corset Front with Fasteners and Straps - LSO Corset Front - Lateral View - LSO Corset Front - Hard Plastic Section - Posterior View ### Accessories - Spinous Process Relief - Corrugated Paraspinal Reinforcement - Torso Body Sock - Spinous Process Relief - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock --- # TLSO Corset Front (Thoracic Lumbar Sacral Orthosis) With Posterior Section and Axilla Straps #### Overview This TLSO is unique in that it utilizes a soft fabric corset which sits under the chest, supporting the front torso. The back consists of a high profile plastic panel. This combination brace is suitable for multiple diagnosis and is conveniently adjusted. Posterior Section with Axilla Straps (pictured). #### Spinal Indications - Herniated Disc - Low Back Pain - Lumbar Instability - Compression Fracture - Spondylolisthesis - Degenerative Disc Disease - Osteoporosis - Spinal Trauma #### Features - Suitable for patients unable to tolerate a solid plastic anterior panel. - Adjustable hook and loop closure straps. - Shoulder straps maintain extension. - Ease of donning and doffing. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_Corset_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [TLSO Corset Front Orthosis - Product Options](https://spinaltech.com/resources/tlso-corset-front-product-options) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - TLSO Corset Front with Axilla Straps - TLSO Corset Front - TLSO Corset Lateral View - TLSO Corset with Posterior Hard Plastic - TLSO Corset Front with Axilla Straps - TLSO Corset Front - TLSO Corset Lateral View - TLSO Corset with Posterior Hard Plastic ### Accessories - Spinous Process Relief - Axilla Straps - Corrugated Paraspinal Reinforcement - Torso Body Sock - Spinous Process Relief - Axilla Straps - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock --- # LSO Anterior Overlap (Lumbar Sacral Orthosis) #### Overview This LSO tightens in the front (anterior) and overlaps creating an additional tightening effect. This orthosis entails only one piece of plastic which wraps around the torso to provide the patient optimum support and tightening adjustability. #### Spinal Indications - Spondylolysis - Spondylolisthesis - Spinal Stenosis - Lumbar Fusion - Compression Fracture - Laminectomy - Degenerative Disc Disease - Sport Injury - Spinal Trauma #### Features - Accommodates volume changes. - Circumferential support. - Ability to create intra-abdominal compression. - Ease of donning and doffing. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_AO_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [LSO Anterior Overlap - Product Options](https://spinaltech.com/resources/lso-anterior-overlap-orthosis-product-options-1-1-5) - ##### [LSO- Anterior Opening Wearing Instructions](https://spinaltech.com/resources/lso-anterior-opening-wearing-instructions) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - LSO Anterior Overlap - Anterior View - LSO Anterior Overlap - Left Lateral View - LSO Anterior Overlap - Posterior View - LSO Anterior Overlap - Right Lateral View - LSO Anterior Overlap - Anterior View - LSO Anterior Overlap - Lateral View - LSO Anterior Overlap - Posterior View - LSO Anterior Overlap - Anterior View - LSO Anterior Overlap - Left Lateral View - LSO Anterior Overlap - Posterior View - LSO Anterior Overlap - Right Lateral View - LSO Anterior Overlap - Anterior View - LSO Anterior Overlap - Lateral View - LSO Anterior Overlap - Posterior View ### Accessories - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - Torso Body Sock - Corrugated Paraspinal Reinforcement - Posterior Steel Stays - With or without arm flaps Torso Body Sock --- # LSO Flex Foam® 2 (Lumbar Sacral Orthosis) Anterior Opening with Tongue #### Overview Our Flex Foam® 2 design is fabricated with the plastic frame sandwiched between a soft foam inner liner and firm foam outer liner. The inner frame can be fabricated with any desired plastic type and thickness for desired rigidity. There are multiple opening and frame designs available. #### Spinal Indications - Herniated Disc - Low Back Pain - Lumbar Instability - Compression Fracture - Spondylolysis - Spinal Stenosis - Degenerative Disc Disease - Spinal Trauma #### Features - Accommodates volume changes. - Increased comfort for wheelchair patients. - Lightweight - The Flex Foam® design works well with both the geriatric and pediatric population. #### Opening Options Anterior with Tongues (Pictured), Lateral (Right or Left), Anterior Overlap, Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_FF2_AO_wTongue_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Flex Foam® 2 Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-2-2-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [Flex Foam® - Frame Design Options](https://spinaltech.com/resources/flex-foam-product-options) ### Product Photos - Flex Foam 2 - Anterior Opening with Tongue - Anterior View - Flex Foam 2 - Single Opening - Left Lateral View - Flex Foam 2 - Single Opening - Posterior View - Flex Foam 2 - Single Opening - Right Lateral View - LSO Flex Foam® 2 - Lateral Opening - Anterior View - LSO Flex Foam® 2 - Lateral Opening - Lateral View - LSO Flex Foam® 2 - Lateral Opening - Posterior View - Flex Foam 2 - Anterior Opening with Tongue - Anterior View - Flex Foam 2 - Single Opening - Left Lateral View - Flex Foam 2 - Single Opening - Posterior View - Flex Foam 2 - Single Opening - Right Lateral View - LSO Flex Foam® 2 - Lateral Opening - Anterior View - LSO Flex Foam® 2 - Lateral Opening - Lateral View - LSO Flex Foam® 2 - Lateral Opening - Posterior View ### Accessories - Sternal Shield Attachment - Torso Body Sock - Sternal Shield Attachment - With or without arm flaps Torso Body Sock --- # LSO Flex Foam® 1 (Lumbar Sacral Orthosis) Anterior Opening with Tongue #### Overview The LSO Flex Foam® 1, anterior opening with tongue, is indicated for a number of maladies ranging from spinal stenosis to degenerative disc disease and spondylolisthesis. It’s efficient in trunk support for those patients who are restricted to wheelchair use. There are multiple opening and frame designs available. #### Spinal Indications - Herniated Disc - Low Back Pain - Lumbar Instability - Compression Fracture - Spondylolysis - Spondylolisthesis - Spinal Stenosis - Degenerative Disc Disease - Spinal Trauma #### Features - Patented Flex Foam® design. - Removable external frame allows for easy adjustment. - Ease of donning and doffing. - Lightweight. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_FF1_AO_wTongue_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Flex Foam® 1 Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-2-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Flex Foam® 1 - LSO - Anterior View - Flex Foam® 1 - LSO - Right Lateral View - Flex Foam® 1 - LSO - Posterior View - Flex Foam® 1 - LSO - Left Lateral View - LSO Flex Foam® 1 - Anterior Opening with Tongue front view - LSO Flex Foam® 1 - Anterior Opening with Tongue - Lateral View - LSO Flex Foam® 1 - Anterior Opening with Tongue - Posterior View - Flex Foam® 1 - LSO - Anterior View - Flex Foam® 1 - LSO - Right Lateral View - Flex Foam® 1 - LSO - Posterior View - Flex Foam® 1 - LSO - Left Lateral View - LSO Flex Foam® 1 - Anterior Opening with Tongue front view - LSO Flex Foam® 1 - Anterior Opening with Tongue - Lateral View - LSO Flex Foam® 1 - Anterior Opening with Tongue - Posterior View ### Accessories - Spinous Process Relief - Torso Body Sock - Spinous Process Relief - With or without arm flaps Torso Body Sock --- # LSO Anterior Opening with Tongue (Lumbar Sacral Orthosis) #### Overview This LSO utilizes a single opening. One piece of plastic is measured to wrap around the patient and tighten in the front (anterior), using three straps. An additional piece of plastic (tongue) is placed behind the straps. This brace is a good solution for patients that need total circumferential control. #### Spinal Indications - Post-Operative Lumbar Surgery - Degenerative Disc Disease - Spondylolysis - Spinal Stenosis - Compression Fracture - Herniated Disc - Low Back Pain - Spinal Trauma #### Features - More total circumferential control - Ease of donning and doffing #### Openings Available Anterior Opening with Tongue (Pictured), Posterior Opening, Lateral Opening (Right or Left) [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_AO_wTongue_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [LSO Anterior Opening with Tongue Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-2) - ##### [LSO- Anterior Opening Wearing Instructions](https://spinaltech.com/resources/lso-anterior-opening-wearing-instructions) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - LSO Anterior Opening - Anterior View - LSO Anterior Opening - Left Lateral View - LSO Anterior Opening - Posterior View - LSO Anterior Opening - Right Lateral View - LSO Single Opening Front - LSO Single Opening Lateral View - LSO Single Opening Back - LSO Anterior Opening - Anterior View - LSO Anterior Opening - Left Lateral View - LSO Anterior Opening - Posterior View - LSO Anterior Opening - Right Lateral View - LSO Single Opening Front - LSO Single Opening Lateral View - LSO Single Opening Back ### Accessories - Spinous Process Relief - Corrugated Paraspinal Reinforcement - Torso Body Sock - Spinous Process Relief - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock --- # TLSO Flex Foam® 2 & 3 (Thoracic Lumbar Sacral Orthosis) Anterior Opening with Tongue #### Overview The Flex Foam® 2 TLSO orthosis has the plastic frame internally, within the foam, instead of externally. This orthosis design is fabricated with the frame sandwiched between a soft foam inner liner and firm foam outer liner. The inner frame can be fabricated with any desired plastic type and thickness for desired rigidity. There are multiple opening and frame designs available. The Flex Foam® 3 TLSO design, is a soft but firm foam construction with no frame, for a lightweight less rigid support orthosis. #### Spinal Indications - Cerebral Palsy - Scoliotic Deformities - Osteoporosis - Muscular Dystrophy - Myelomeningocele - Cancer Patients - Spinal Muscle Atrophy - Spinal Trauma #### Features - The Flex Foam® design works well with both the geriatric and pediatric population. - Frame covered by foam. - Lightweight - Increased comfort for patients. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_FF23_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [TLSO Flex Foam® 2 Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-2-2) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - TLSO Flex Foam® 2 - Anterior Opening - TLSO Flex Foam® 2 - Anterior Opening - Right Lateral View - TLSO Flex Foam® 2 - Anterior Opening - Posterior View - TLSO Flex Foam® 2 - Anterior Opening - Left Lateral View - TLSO Flex Foam® 2 - Anterior Opening with Tongue - Lateral View - TLSO Flex Foam® 2 Posterior Opening with Tongue - Posterior View - TLSO Flex Foam® 2 - Anterior Opening with Tongue - Anterior View - TLSO Flex Foam® 3 - Anterior Opening - TLSO Flex Foam® 3 - Posterior View - TLSO Flex Foam® 3 - Lateral View - TLSO Flex Foam® 2 - Anterior Opening - TLSO Flex Foam® 2 - Anterior Opening - Right Lateral View - TLSO Flex Foam® 2 - Anterior Opening - Posterior View - TLSO Flex Foam® 2 - Anterior Opening - Left Lateral View - TLSO Flex Foam® 2 - Anterior Opening with Tongue - Lateral View - TLSO Flex Foam® 2 Posterior Opening with Tongue - Posterior View - TLSO Flex Foam® 2 - Anterior Opening with Tongue - Anterior View - TLSO Flex Foam® 3 - Anterior Opening - TLSO Flex Foam® 3 - Posterior View - TLSO Flex Foam® 3 - Lateral View ### Accessories - Spinous Process Relief - Shoulder Straps - Torso Body Sock - Spinous Process Relief - Shoulder Straps - With or without arm flaps Torso Body Sock ### Testimonials - > Thank you for a great fitting custom anterior opening brace. Zero adjustments were needed on a difficult shape. > > K.M. • Chatanooga, TN --- # TLSO Flex Foam® 1 (Thoracic Lumbar Sacral Orthosis) Anterior Opening with Tongue #### Overview This particular TLSO Flex Foam® 1 presents a single opening with a foam tongue for comfort and ease of donning. This orthosis allows compression, expansion, adjustability and is easily trimmed. It’s comprised of our patented foam and plastic frame structure with adjustable straps. Great comfort for all ages. There are multiple opening and frame designs available. #### Spinal Indications - Cerebral Palsy - Osteoporosis - Myelomeningocele - Scoliotic Deformities - Muscular Dystrophy - Cancer Patients - Spinal Trauma #### Features - Patented Flex Foam design maximizes comfort for all patients, especially geriatric and pediatric patients. - Lightweight - Ease of donning and doffing. - Removable external frame allows for easy adjustment. [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_FF1_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [TLSO Flex Foam® 1 Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-2) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - Flex Foam® 1 - TLSO - Anterior View - Flex Foam® 1 - TLSO - Right Lateral View - Flex Foam® 1 - TLSO - Posterior View - Flex Foam® 1 - TLSO - Left Lateral View - Flex Foam® 1 - TLSO - Anterior View - Flex Flex Foam® 1 - TLSO - Right Lateral View - Flex Foam® 1 - TLSO - Posterior View - Flex Foam® 1 - TLSO - Anterior View - Flex Foam® 1 - TLSO - Right Lateral View - Flex Foam® 1 - TLSO - Posterior View - Flex Foam® 1 - TLSO - Left Lateral View - Flex Foam® 1 - TLSO - Anterior View - Flex Flex Foam® 1 - TLSO - Right Lateral View - Flex Foam® 1 - TLSO - Posterior View ### Accessories - Spinous Process Relief - Shoulder Straps - Torso Body Sock - Spinous Process Relief - Shoulder Straps - With or without arm flaps Torso Body Sock --- # TLSO Anterior Opening with Tongue (Thoracic Lumbar Sacral Orthosis) #### Overview This TLSO utilizes a single anterior opening. One piece of plastic is measured to wrap around the patient and tighten in the front (anterior), using three straps. An additional piece of plastic (tongue) is placed behind the straps. #### Spinal Indications - Post-Operative Lumbar Surgery - Degenerative Disc Disease - Spondylolysis - Spondylolisthesis - Spinal Stenosis - Compression Fracture - Herniated Disc - Low Back Pain - Spinal Trauma #### Features - More total circumferential control. - Ease of donning and doffing. #### Opening Options Anterior Opening with Tongue (Pictured), Posterior, Lateral (Right or Left) [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_AO_wTongue_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [TLSO Anterior Opening with Tongue Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-2-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - TLSO Anterior Opening with Tongue - Anterior View - TLSO Anterior Opening with Tongue- Left Lateral View - TLSO Anterior Opening with Tongue- Posterior View - TLSO Anterior Opening with Tongue- Right Lateral View - TLSO Anterior Opening with Tongue - Anterior View - TLSO Anterior Opening with Tongue- Left Lateral View - TLSO Anterior Opening with Tongue- Posterior View - TLSO Anterior Opening with Tongue- Right Lateral View ### Accessories - Spinous Process Relief - Shoulder Straps - Corrugated Paraspinal Reinforcement - Torso Body Sock - Spinous Process Relief - Shoulder Straps - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock --- # LSO Flex Foam® 2 - Bivalve (Lumbar Sacral Orthosis) Smooth Overlap #### Overview The LSO Flex Foam® 2 - Bivalve is a low profile orthosis designed to support the lower spine. The brace inhibits movement within the lumbar and sacral area to progress healing of the spine and prevent further injury. The Flex Foam® 2 design is fabricated with the frame sandwiched between a soft foam inner liner and firm foam outer liner. #### Spinal Indications - Herniated Disc - Low Back Pain - Lumbar Instability - Compression Fracture - Spondylolysis - Spinal Stenosis - Degenerative Disc Disease - Spinal Trauma #### Features - The inner frame can be fabricated with any desired plastic type and thickness for desired rigidity. - Accommodates volume changes. - Lightweight - The Flex Foam® design works well with both the geriatric and pediatric population. - Increased comfort for wheelchair patients. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (Pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_FF2_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Flex Foam® 2 Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-1-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Flex Foam® 2 - LSO Bivalve - Anterior View - Flex Foam® 2 - LSO Bivalve - Right Lateral View - Flex Foam® 2 - LSO Bivalve - Posterior View - Flex Foam® 2 - LSO Bivalve - Left Lateral View - Flex Foam® 2 - LSO Bivalve - Anterior View - Flex Foam® 2 - LSO Bivalve - Right Lateral View - Flex Foam® 2 - LSO Bivalve - Posterior View - Flex Foam® 2 - LSO Bivalve - Left Lateral View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - With or without arm flaps Torso Body Sock --- # LSO Flex Foam® 1 - Bivalve (Lumbar Sacral Orthosis) Smooth Overlap #### Overview The LSO Flex Foam® 1 - Bivalve opening allows for tightening on both sides, connecting the anterior and posterior. The low profile orthosis allows compression, expansion, adjustability and good lateral control. #### Spinal Indications - Post-Operative Lumbar Surgery - Degenerative Disc Disease - Spondylolysis - Spondylolisthesis - Spinal Stenosis - Compression Fracture - Herniated Disc - Low Back Pain - Spinal Trauma #### Features - Bivalve design allows for maximum anterior and posterior control. - Accommodates volume changes. - Sternal shield can be added to control flexion or enhance an extension force. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (Pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_FF1_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Flex Foam® 1 Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - LSO Flex Foam® I Bivalve Smooth Overlap - Lateral View - LSO Flex Foam® I Bivalve Smooth Overlap - Posterior View - LSO Flex Foam® I Bivalve Smooth Overlap - Anterior View - LSO Flex Foam® I Bivalve Smooth Overlap - Lateral View - LSO Flex Foam® I Bivalve Smooth Overlap - Posterior View - LSO Flex Foam® I Bivalve Smooth Overlap - Anterior View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - With or without arm flaps Torso Body Sock --- # LSO - Bivalve (Lumbar Sacral Orthosis) Smooth Overlap #### Overview The LSO with a bivalve opening allows for tightening on both sides, connecting the anterior and posterior. The low profile orthosis allows compression, expansion, adjustability and good lateral control. #### Spinal Indications - Post-Operative Lumbar Surgery - Degenerative Disc Disease - Spondylolysis - Spinal Stenosis - Compression Fracture - Herniated Disc - Low Back Pain - Spinal Trauma #### Features - Bivalve design allows for maximum anterior and posterior control. - Accommodates volume changes. - Sternal shield can be added to control flexion or enhance an extension force. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/LSO_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [LSO Bivalve Orthosis - Product Options](https://spinaltech.com/resources/lso-bivalve-orthosis-product-options) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - LSO - Bivalve Smooth Overlap - Anterior View - LSO - Bivalve Smooth Overlap - Lateral View - LSO - Bivalve Smooth Overlap - Posterior View - LSO - Bivalve Smooth Overlap - Anterior View - LSO - Bivalve Smooth Overlap - Lateral View - LSO - Bivalve Smooth Overlap - Posterior View - LSO - Bivalve Smooth Overlap - Anterior View - LSO - Bivalve Smooth Overlap - Lateral View - LSO - Bivalve Smooth Overlap - Posterior View - LSO - Bivalve Smooth Overlap - Anterior View - LSO - Bivalve Smooth Overlap - Lateral View - LSO - Bivalve Smooth Overlap - Posterior View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Corrugated Paraspinal Reinforcement - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Corrugated Paraspinal Reinforcement - With or without arm flaps Torso Body Sock --- # TLSO Flex Foam® 2 - Bivalve (Thoracic Lumbar Sacral Orthosis) Smooth Overlap #### Overview The anterior and posterior sections of the high profile TLSO Flex Foam® 2 - Bivalve opening are connected by a set of three heavy-duty hook and loop straps on each side, allowing compression, expansion and adjustability, with good lateral control. The patented design of the Flex Foam® 2 sandwiches a plastic frame between a soft foam inner lining and a firm outer foam. Desired rigidity is achieved by fabricating the inner frame with optional plastic types and thicknesses. Multiple opening and frame designs are available to accommodate medical needs. #### Spinal Indications - Cerebral Palsy - Osteoporosis - Myelomeningocele - Scoliotic Deformities - Muscular Dystrophy - Cancer Patients - Spinal Trauma #### Features - Increased comfort for patients. - The inner frame can be fabricated with any desired plastic type and thickness for desired rigidity. - Lightweight - The Flex Foam® design works well with both the geriatric and pediatric population. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (Pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/Custom-Spinal-TLSO-Flex-Foam%C2%AE-2-Bivalve-Orthosis-1.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [TLSO Flex Foam® 2 Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1-1-1-4) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - Flex Foam® 2 - Bivalve - Anterior View - Flex Foam® 2 - Bivalve - Left Lateral View - Flex Foam® 2 - Bivalve - Posterior View - Flex Foam® 2 - Bivalve - Right Lateral View - Flex Foam® 2 - Bivalve - Anterior View - Flex Foam® 2 - Bivalve - Left Lateral View - Flex Foam® 2 - Bivalve - Posterior View - Flex Foam® 2 - Bivalve - Right Lateral View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - With or without arm flaps Torso Body Sock ### Testimonials - > My patient's molded Flexfoam II fit him perfectly, which was not easy to fabricate for a scoliosis curve greater than 150 degrees with much rotation. I know that it took many people at Spinal Tech to accomplish this. Thank you for all of your work to help resolve these challenging cases during what I know was an extremely busy week for you all. > > T.C., CPed, CO, FAAOP • Stoughton, MA --- # TLSO Flex Foam® 1 - Bivalve (Thoracic Lumbar Sacral Orthosis) Smooth Overlap #### Overview The anterior and posterior sections of the high profile TLSO Flex Foam® 1 - Bivalve opening are connected by a set of three heavy-duty hook and loop straps on each side, allowing compression, expansion and adjustability, with good lateral control. The patented frame is lined with soft foam, available in several thicknesses, to maximize comfort. Multiple opening and frame designs are available to accommodate medical needs. #### Spinal Indications - Cerebral Palsy - Osteoporosis - Myelomeningocele - Scoliotic Deformities - Muscular Dystrophy - Cancer Patients - Spinal Trauma #### Features - Patented Flex Foam® design. - Removable external frame allows easy adjustment. - Lightweight. - The Flex Foam® design works well with both the geriatric and pediatric population. - Increased comfort for patients. #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_FF1_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [TLSO Flex Foam® 1 Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options-1) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Anterior View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Right Lateral View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Posterior View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Left Lateral View - TLSO Flex Foam® 1 - Bivalve - Anterior View - TLSO Flex Foam® 1 - Bivalve - Lateral View - TLSO Flex Foam® 1 - Bivalve - Posterior View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Anterior View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Right Lateral View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Posterior View - TLSO Flex Foam® 1 - Bivalve Smooth Overlap - Left Lateral View - TLSO Flex Foam® 1 - Bivalve - Anterior View - TLSO Flex Foam® 1 - Bivalve - Lateral View - TLSO Flex Foam® 1 - Bivalve - Posterior View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - With or without arm flaps Torso Body Sock ### Testimonials - > Just wanted to let everyone know that this TLSO FlexFoam Bivalve brace was perfect! Great job to everyone involved. > > J.N. CPO • Rock Hill, SC - > Just wanted to pass along a hearty “thank you” to Matt specifically. This TLSO FlexFoam Bivalve was not an easy delivery and it made me want to dance with joy. Please pass along to the floor crew as well. Thank you. > > J.C. CP • Muskogee, OK - > I just fit a custom TLSO that was made from a scan. I had a few last minute changes to the order once it was submitted that changed the final design of the TLSO and you guys nailed it! Thank you so much for the excellent work. > > C.B. MSOP • Grand Rapids, MI - > TLSO came out amazing. Thank you guys for all you do. > > A.A., O.R. • New York, NY ### FAQ - A Spinal Orthosis that is lined with a soft foam that extends past the outer shell, available in several thicknesses, to maximize comfort. Multiple opening and frame designs are available to accommodate medical needs. It has a removable external frame that allows for easy adjustment. [Read more product info.](https://spinaltech.com/uploaded/forms/TLSO_FF1_Bivalve_Orthosis.pdf) - The Flex Foam® design works well with both the geriatric and pediatric population. It is lightweight and has increased comfort for patients. --- # TLSO - Bivalve (Thoracic Lumbar Sacral Orthosis) Smooth Overlap #### Overview The TLSO - Bivalve is a high profile orthosis that allows compression, expansion, and adjustability. This brace covers the entire torso and utilizes a set of three straps on both sides. #### Spinal Indications - Post-Operative Fusion - Kyphosis - Compression Fracture - Osteoporosis - Burst Fracture - Spinal Stenosis - Spinal Muscular Atrophy - Laminectomy - Spinal Trauma #### Features - Bivalve design maximizes anterior and posterior control - Multiple adjustable straps accommodate volume changes #### Bivalve Opening: Overlap Options & Configurations **Bivalve Opening Overlap Options:** Smooth Overlap (Pictured), Step Overlap, With Tongues **Bivalve Configurations:** Anterior over Posterior, Anterior into Posterior [Order Form](https://spinaltech.com/uploaded/forms/Custom_Spinal_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/TLSO_Bivalve_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Bivalve Spinal Brace - Wear and Care Information](https://spinaltech.com/resources/bivalve-orthosis-donning-instructions-spinal-orthosis-protocol) - ##### [TLSO Bivalve Orthosis - Product Options](https://spinaltech.com/resources/tlso-bivalve-orthosis-product-options) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - TLSO Bivalve Smooth Overlap - Anterior View - TLSO Bivalve Smooth Overlap - Right Lateral View - TLSO Bivalve Smooth Overlap - Posterior View - TLSO Bivalve Smooth Overlap - Left Lateral View - TLSO Bivalve - Anterior View - TLSO Bivalve - Posterior over Anterior Configuration - Lateral View - TLSO Bivalve - Posterior View - TLSO Bivalve with Sternal Shield and Axilla Straps - TLSO Bivalve with Sternal Shield and Axilla Straps - Lateral View - TLSO Bivalve with Sternal Shield- Posterior View - TLSO Bivalve Smooth Overlap - Anterior View - TLSO Bivalve Smooth Overlap - Right Lateral View - TLSO Bivalve Smooth Overlap - Posterior View - TLSO Bivalve Smooth Overlap - Left Lateral View - TLSO Bivalve - Anterior View - TLSO Bivalve - Posterior over Anterior Configuration - Lateral View - TLSO Bivalve - Posterior View - TLSO Bivalve with Sternal Shield and Axilla Straps - TLSO Bivalve with Sternal Shield and Axilla Straps - Lateral View - TLSO Bivalve with Sternal Shield- Posterior View ### Accessories - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - Torso Body Sock - Spinous Process Relief - Sternal Shield Attachment - Sub Clavicular Extension - Sternal Pads - Plastic and Dacron Extended Chafes - Shoulder Straps - With or without arm flaps Torso Body Sock --- # Boston (Style) Scoliosis Brace Drag Image To Rotate #### Overview The Boston (Style) scoliosis orthosis is a TLSO designed to slow the progression of scoliosis in growing spines. The brace has been clinically proven to control curve progression in the Lumbar, Thoracic, and Thoracolumbar spinal curves. This orthosis is effective for the treatment of (AIS) Adolescent Idiopathic Scoliosis. Using the patient's x-rays to define the spinal curve presented, the brace is fabricated custom to measurements, scan or cast taken and is customized to fit each individual patient. #### Spinal Indications - Idiopathic Scoliosis - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Custom to scan, measurement, or cast. - Pressure pads with relief opposite. - Finished to x-rays provided. - Can treat apices up to T-7. - Many design variations available. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/Full-Time_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Full Time Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/full-time-scoliosis-orthosis-wear-and-care) - ##### [Boston (Style) Scoliosis Orthosis - Product Options](https://spinaltech.com/resources/full-time-orthosis-product-options) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - Boston (Style) Scoliosis Orthosis - Anterior View - Boston (Style) Scoliosis Orthosis - Left Lateral View - Boston (Style) Scoliosis Orthosis - Posterior View - Boston (Style) Scoliosis Orthosis - Right Lateral View - Boston (Style) Scoliosis Orthosis - Anterior View - Boston (Style) Scoliosis Orthosis - Left Lateral View - Boston (Style) Scoliosis Orthosis - Posterior View - Boston (Style) Scoliosis Orthosis - Right Lateral View ### X-Ray Outcomes - ##### Full-Time Scoliosis Orthosis - 1 Original In-Brace - ##### Full-Time Scoliosis Orthosis - 2 Original In-Brace - ##### Full-Time Scoliosis Orthosis - 3 Original In-Brace - ##### Full-Time Scoliosis Orthosis - 4 Original In-Brace - ##### Full-Time Scoliosis Orthosis - 5 Original In-Brace - ##### Full-Time Scoliosis Orthosis - 6 Original In-Brace ### Accessories - Corrective Scoliosis Pads - Scoliosis Orthosis - Window Gusset - Torso Body Sock - **A.** Thoracic Pad 1/2" **B.** Lumbar Pad 1/2" **C.** Trochanter Pad 1/2" Available Soft or Firm Corrective Scoliosis Pads - Scoliosis Orthosis - Window Gusset - With or without arm flaps Torso Body Sock --- # SCT 3D Chêneau (Style) Scoliosis Brace Drag Image To Rotate #### Overview The SCT 3D Chêneau (Style) brace is a corrective TLSO uniquely constructed using CAD/CAM technology to bring the body and spine into the best possible postural and morphological 3D corrected alignment by using a combination of forces applied to the body surface by specifically designed pads, facilitated by expansion or relief spaces. Expansion areas are also essential for tissue migration, growth, and breathing movements. Corrective forces are located, shaped, and oriented in a highly specific manner to push on selected regions of the trunk to bring the patient into the best possible 3D correction, while the remaining areas are not touched by the brace (i.e., areas of expansion or relief spaces). The corrective reaction of the body depends on the level, shape, and orientation of the pads. Based on the patient's X-rays, the observed spinal curve pattern determines the specific design of the pads and expansion spaces. The brace is fabricated custom to scan or cast and is custom fit for each individual patient. The SCT 3D Chêneau (Style) brace is a 3D corrective orthosis able to provide excellent in-brace correction as well as radiological and cosmetic end results. #### Spinal Indications - Idiopathic Scoliosis - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Computer enhanced modification via CAD/CAM technology. - Each design is customized to patient’s shape and curve pattern. - Void/Relief options. - Unlined orthosis. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/SCT-3D_Cheneau_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [SCT 3D Chêneau (Style) Orthosis - Product Options](https://spinaltech.com/resources/sct-cheneau-orthosis-product-options) - ##### [What is the Chêneau (Style) brace?](https://spinaltech.com/resources/what-is-the-cheneau-style-brace) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - SCT Chêneau (Style) Orthosis - Anterior View - SCT Chêneau (Style) Orthosis - Right Lateral View - SCT Chêneau (Style) Orthosis - Posterior View - SCT Chêneau (Style) Orthosis - Left Lateral View - SCT Chêneau (Style) Orthosis - Anterior View - SCT Chêneau (Style) Orthosis - Right Lateral View - SCT Chêneau (Style) Orthosis - Posterior View - SCT Chêneau (Style) Orthosis - Left Lateral View ### X-Ray Outcomes - ##### SCT 3D Chêneau (Style) Orthosis - 1 Original In-Brace - ##### SCT 3D Chêneau (Style) Orthosis - 2 Original In-Brace - ##### SCT 3D Chêneau (Style) Orthosis - 3 Original In-Brace - ##### SCT 3D Chêneau (Style) Orthosis - 4 Original In-Brace - ##### SCT 3D Chêneau (Style) Orthosis - 5 Original In-Brace - ##### SCT 3D Chêneau (Style) Orthosis - 6 Original In-Brace ### Accessories - Torso Body Sock - With or without arm flaps Torso Body Sock --- # SCT 3D Boston (Style) Scoliosis Brace Drag Image To Rotate #### Overview Our SCT 3D Boston (Style) Scoliosis Orthosis is designed using CAD/CAM technology. This orthosis provides a brace design that corrects the spine in three planes, Sagittal, Coronal and Transverse (SCT). It provides a precise combination of lateral and de-rotational forces that move the spine into a corrected position. Using CAD/CAM technology allows for precise fabrication to maximize spinal correction. #### Spinal Indications - Idiopathic Scoliosis - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Computer enhanced modification via CAD/CAM technology. - Each design is customized to patient’s shape and curve pattern. - Provides the ability to control the angles of the Sagittal plane regarding lumbar lordosis. - Two relief window sizes available. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/SCT-3D_Full-Time_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [Full Time Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/full-time-scoliosis-orthosis-wear-and-care) - ##### [SCT 3D Boston (Style) Orthosis - Product Options](https://spinaltech.com/resources/sct-boston-3d-orthosis-product-options) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) - ##### [Body Contours](https://spinaltech.com/resources/body-contours) ### Product Photos - SCT 3D Boston (Style) Scoliosis Orthosis - Anterior View - SCT 3D Boston (Style) Scoliosis Orthosis - Right Lateral View - SCT 3D Boston (Style) Scoliosis Orthosis - Posterior View - SCT 3D Boston (Style) Scoliosis Orthosis - 1. Full plastic with void area - SCT 3D Boston (Style) Scoliosis Orthosis - 2. Medium size window with void area - SCT 3D Boston (Style) Scoliosis Orthosis - 3. Full size window - SCT 3D Boston (Style) Scoliosis Orthosis - Anterior View - SCT 3D Boston (Style) Scoliosis Orthosis - Right Lateral View - SCT 3D Boston (Style) Scoliosis Orthosis - Posterior View - SCT 3D Boston (Style) Scoliosis Orthosis - 1. Full plastic with void area - SCT 3D Boston (Style) Scoliosis Orthosis - 2. Medium size window with void area - SCT 3D Boston (Style) Scoliosis Orthosis - 3. Full size window ### Accessories - Corrective Scoliosis Pads - Scoliosis Orthosis - Window Gusset - Scoliosis Orthosis - Reinforcement Bar - Torso Body Sock - **A.** Thoracic Pad 1/2" **B.** Lumbar Pad 1/2" **C.** Trochanter Pad 1/2" Available Soft or Firm Corrective Scoliosis Pads - Scoliosis Orthosis - Window Gusset - Scoliosis Orthosis - Reinforcement Bar - With or without arm flaps Torso Body Sock --- # Providence Nocturnal Scoliosis® Orthosis Drag Image To Rotate #### Product Overview The Providence Nocturnal Scoliosis® System has been successful in treating all curve types: lumbar, thoracic, double major, and thoracolumbar. The Providence Nocturnal Scoliosis® Orthosis is an effective nighttime brace for the treatment of Adolescent Idiopathic Scoliosis (AIS). This orthosis is also suited for neurologically involved patients, juvenile scoliosis patients and offers significant advantages for patients with high BMI. Because of the nocturnal design, it is able to address an apex of T6, which is higher than can be treated by a full-time scoliosis orthosis. Apices above T6 can be treated with a neck extension attached to the orthosis. The Providence® brace is designed to be worn at nighttime with the patient supine. Current x-rays are necessary to confirm and provide a positive outcome. Because of the nocturnal use of the orthosis, the curves can be treated more aggressively and better patient compliance is achieved. allows for control of pad placement and corrective pressures. If the patient is unable to be measured using the Providence® board, or if a board is not available, a cast or scan of the patient is required. The Providence® brace has demonstrated greater compliance rates in scoliosis bracing. *Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis® Orthosis.* #### Spinal Indications - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Brace is fabricated using the patented Providence® measuring board and CAD/CAM technology. The combination of the two ensures consistent and precise fabrication of this orthosis. - Hyper-correction. - Increased patient compliance. - Nighttime Orthosis. [Order Form](https://spinaltech.com/uploaded/forms/ST-ProvidenceOrderForm-Sept23.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/Providence%C2%AE_Orthosis.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Patient & Parent Quick Links** - [Parent Resources](https://spinaltech.com/resources/for-parents-patients) - [More Providence Info](https://spinaltech.com/resources/tag/providence) - [Frequently Asked Questions](#faq) **Practitioner Quick Links** - [Practitioner Resources](https://spinaltech.com/resources/for-practitioners) - [More Providence Info](https://spinaltech.com/resources/tag/providence) ### Resources - ##### [Providence® Scoliosis Orthosis - Wear and Care](https://spinaltech.com/resources/providence-scoliosis-orthosis-wear-and-care) - ##### [Providence® Orthosis - Product Options](https://spinaltech.com/resources/providence-orthosis-product-options) - ##### [What is a Providence® Brace?](https://spinaltech.com/resources/what-is-a-providence-brace) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [Seven Steps for Successful 3D Scanning](https://spinaltech.com/resources/seven-scanning-steps) - ##### [Advantages of the Providence Nocturnal Scoliosis® System](https://spinaltech.com/resources/advantages-of-the-providence-nocturnal-scoliosis-system) - ##### [The Providence® Nocturnal Orthosis - Overview for Parents & Patients](https://spinaltech.com/resources/providence-overview-for-parents-patients) - ##### [Providence Nocturnal Scoliosis® Orthosis Protocol: A Suggestion for Best Practices](https://spinaltech.com/resources/providence-nocturnal-scoliosis-orthosis-protocol) - ##### [Providence® Orthosis Casting Procedure](https://spinaltech.com/resources/providence-orthosis-casting-procedure) ### Product Photos - Providence® Double Curve Orthosis - Anterior View - Providence® Double Curve Orthosis - Left Lateral View - Providence® Double Curve Orthosis - Posterior View - Providence® Double Curve Orthosis - Right Lateral View - Providence® Double Curve Orthosis (worn supine) - Providence® Thoracolumbar Curve Orthosis (worn supine) - Providence® Lumbar Curve Orthosis (worn supine) - Providence® Board with Patient - Providence® Double Curve Orthosis - Anterior View - Providence® Double Curve Orthosis - Left Lateral View - Providence® Double Curve Orthosis - Posterior View - Providence® Double Curve Orthosis - Right Lateral View - Providence® Double Curve Orthosis (worn supine) - Providence® Thoracolumbar Curve Orthosis (worn supine) - Providence® Lumbar Curve Orthosis (worn supine) - Providence® Board with Patient ### X-Ray Outcomes - ##### Providence® Orthosis - 1 Original On Board (Supine) In-Brace (Supine) - ##### Providence® Orthosis - 2 Original On Board (Supine) In-Brace (Supine) - ##### Providence® Orthosis - 3 Original On Board (Supine) In-Brace (Supine) - ##### Providence® Orthosis - 4 Original On Board (Supine) In-Brace (Supine) - ##### Providence® Orthosis - 5 Original On Board (Supine) In-Brace (Supine) - ##### Providence® Orthosis - 6 Original On Board (Supine) In-Brace (Supine) ### FAQ - The **Providence Nocturnal Scoliosis System** distinguishes itself through the use of high-end CAD/CAM technology and a unique "hyper-corrective" biomechanical approach. Unlike many other nighttime braces, the Providence system is engineered to apply aggressive corrective forces while the patient is in a supine position, allowing for greater over-correction than is possible in a weight-bearing, full-time brace. It utilizes a patented measuring board and computer-aided design to establish the exact centers of the curves, applying three-point pressure and rotational forces to treat apexes as high as T6. This level of precision allows it to effectively manage not just single curves, but also double major and large curves that were previously thought to be outside the scope of nocturnal bracing. - Clinical evidence supports the use of the Providence brace as a primary treatment for AIS. A significant 2001 study, *"Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis,"* found that nocturnal bracing produced success rates comparable to those reported for full-time wear (TLSO) braces. The system is particularly effective because it can provide "over-correction." By shifting the patient’s trunk toward the midline or beyond, the brace addresses the curve more aggressively during sleep, when most adolescent growth occurs. [Read the full study here.](https://spinaltech.com/uploaded/forms/Nighttime-Bracing-with-the-Providence-2001.pdf) - Current best practices for nocturnal bracing center on maximizing corrective forces while the patient is supine (lying down). Because gravity is eliminated in this position, the **Providence Nocturnal Scoliosis System** can apply aggressive, hyper-corrective forces that would be difficult to tolerate while standing. Best practices include: - **Nighttime-Only Wear:** The brace is worn only while sleeping, usually for 8 to 10 hours. - **Precise Fitting:** Utilizing CAD/CAM technology to ensure the hyper-corrective pads are perfectly aligned with the patient's specific curve. - **Compliance Monitoring:** Using systems like the stWear® Compliance Monitoring System to ensure the patient is meeting the prescribed nocturnal wear time to achieve the best possible results. [Read more here.](https://spinaltech.com/uploaded/uploads/Advantages-of-Nocturnal-Bracing_Practitioners-Guide.pdf) - Yes. The Providence Nocturnal Scoliosis System is specifically designed as a sleep-only orthosis, enabling patients to achieve effective outcomes with significantly shorter daily wear time (typically 8–10 hours) than with traditional full-time braces. Research and clinical data indicate that this nocturnal protocol is effective in treating adolescent idiopathic scoliosis (AIS), particularly for patients who may struggle with the social or physical challenges of wearing a brace for 20+ hours a day. - The primary appeal of the night-time strategy, specifically the **Providence Nocturnal Scoliosis System**, is that it allows teens to be "brace-free" during the day. This addresses the significant psychosocial challenges of scoliosis treatment by eliminating the need to wear a brace at school, during sports, or in social settings, thereby reducing the social stigma associated with full-time bracing. For parents, this strategy offers higher compliance rates, as the bracing period is easily monitored at home while the child sleeps. Biomechanically, the night-time strategy is appealing because it utilizes supine hyper-correction, applying aggressive corrective forces while the patient is lying down and gravity is minimized, which has been shown to be highly effective for many curve types. --- # ST Infant™ Scoliosis Orthosis Drag Image To Rotate #### Product Overview The ST Infant™ Scoliosis Orthosis is designed to be used in conjunction with Mehta casting in treating all scoliosis curve types: lumbar, thoracic, double major, and thoracolumbar. The ST Infant™ Scoliosis Orthosis represents a sophisticated, technology-driven approach to treating infantile idiopathic scoliosis. This orthosis is suited for infantile, congenital and neuromuscular scoliosis patients. Its combination of advanced design principles, custom manufacturing, and comprehensive treatment integration makes it a specialized tool for managing complex spinal conditions in the most vulnerable patient population. The primary use is among infants upon the completion of Mehta casting protocol, and up to age 4 with spinal curves between 20–45 degrees. The emphasis on breathing mechanics, comfort, and precise corrective forces demonstrates the careful consideration given to the unique needs of infants and toddlers requiring spinal orthotic intervention. It includes a foam lining for additional support and comfort. Current x-rays are necessary to confirm and provide a positive outcome. Measurements can be sent by hand, cast, or, if you would like 3D modifications, please send a 3D scan. *Spinal Technology is the exclusive manufacturer of the ST Infant™ Scoliosis Orthosis.* #### Spinal Indications - Lumbar Curves - Thoracic Curves - Double Major Curves - Thoracolumbar Curves #### Features - Brace is fabricated using either hand measurements alone, or a combination with a 3D scan or cast. - Posterior opening for easy donning. - Made with foam lining for extra comfort. - Custom to growing child’s needs. [Order Form](https://spinaltech.com/uploaded/forms/ScoliosisKyphosis_Orthometry_Form.pdf) [Product Info PDF](https://spinaltech.com/uploaded/forms/ST-InfantTM-Scoliosis-Orthosis-Product-Info.pdf) [Design Your Brace](https://spinaltech.com/design-your-orthosis) **Looking for HCPCS Codes?** To learn more about the recommended HCPCS L Codes for our products, please call Customer Service. **Not a customer yet?** [Download our credit application](https://spinaltech.com/uploaded/forms/ST_Credit-Application-04.2025_fillable.pdf) to get started or call us at 800-253-7868 to open your account. ### Resources - ##### [What is the ST Infant™ Scoliosis Brace?](https://spinaltech.com/resources/what-is-the-st-infant-scoliosis-brace) - ##### [The stWear® Compliance Monitoring System](https://spinaltech.com/resources/stwear-compliance-monitor) - ##### [Download our Practitioner Resources](https://spinaltech.com/resources/download-our-scoliosis-resources) - ##### [SpinalTech3D™ Scan App](https://spinaltech.com/resources/spinaltech3d-scan-app) ### Product Photos - ST Infant Anterior View - Anterior Right Lateral View with open abdominal window - Posterior Lateral View - ST Infant™ Posterior View - Left Lateral View - ST Infant Anterior View - Anterior Right Lateral View with open abdominal window - Posterior Lateral View - ST Infant™ Posterior View - Left Lateral View ### FAQ - The primary use is among infants upon the completion of Mehta casting protocol, and up to age 4 years old with spinal curves between 20–45 degrees. --- # Scoliosis Braces #### [Providence Nocturnal Scoliosis® Orthosis](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/providence-nocturnal-scoliosis-orthosis) #### [SCT 3D Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/sct-3d-full-time-scoliosis-orthosis) #### [SCT 3D Chêneau (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/sct-3d-cheneau-style-scoliosis-orthosis) #### [Boston (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/full-time-scoliosis-orthosis) #### [ST Infant™ Scoliosis Orthosis](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/st-infant-scoliosis-orthosis) #### [SCT 3D Wilmington (Style) Scoliosis Brace](https://spinaltech.com/scoliosis-braces/sct-3d-wilmington-style-scoliosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/sct-3d-wilmington-style-scoliosis-orthosis) #### [Kyphosis Brace](https://spinaltech.com/scoliosis-braces/kyphosis-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/kyphosis-orthosis) #### [Kyphologic Brace](https://spinaltech.com/scoliosis-braces/kyphologic-brace) [Product Details](https://spinaltech.com/scoliosis-braces/kyphologic-brace) #### [Low Profile Milwaukee Brace](https://spinaltech.com/scoliosis-braces/milwaukee-orthosis) [Product Details](https://spinaltech.com/scoliosis-braces/milwaukee-orthosis) --- # Custom Spinal Braces #### [TLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap) #### [TLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-smooth-overlap-flex-foam) #### [TLSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/tlso-flex-foam-2-bivalve) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-flex-foam-2-bivalve) #### [LSO - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap) #### [LSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-i) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-i) #### [LSO Flex Foam® 2 - Bivalve](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-ii) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-bivalve-smooth-overlap-flex-foam-ii) #### [TLSO Anterior Opening with Tongue](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue) #### [TLSO Flex Foam® 1](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-i) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-i) #### [LSO Anterior Opening with Tongue](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue) #### [TLSO Flex Foam® 2 & 3](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-ii) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-anterior-opening-with-tongue-flex-foam-ii) #### [LSO Flex Foam® 1](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-i) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-i) #### [LSO Flex Foam® 2](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-ii) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-anterior-opening-with-tongue-flex-foam-ii) #### [LSO Anterior Overlap](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-anterior-overlap) #### [TLSO Corset Front](https://spinaltech.com/custom-spinal-braces/tlso-posterior-section-with-corset-front) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-posterior-section-with-corset-front) #### [LSO Corset Front](https://spinaltech.com/custom-spinal-braces/lso-posterior-section-with-corset-front) [Product Details](https://spinaltech.com/custom-spinal-braces/lso-posterior-section-with-corset-front) #### [CTLSO - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-with-cervical-extension) [Product Details](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-with-cervical-extension) #### [CTLSO Flex Foam® 1 - Bivalve](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-flex-foam-i-with-cervical-extension) [Product Details](https://spinaltech.com/custom-spinal-braces/ctlso-bivalve-smooth-overlap-flex-foam-i-with-cervical-extension) #### [TLSO - Bivalve with Sternal Shield](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-with-sternal-shield) [Product Details](https://spinaltech.com/custom-spinal-braces/tlso-bivalve-with-sternal-shield) --- # Related Items Torso Body Sock Posterior Steel Stays Providence® - Corrective and Stabilizing Pads Axilla Straps Shoulder Straps Plastic and Dacron Extended Chafes ST Tape Measure ML Stick - Measuring Device Cobb Ruler & Goniometer Hip Joints Corrective Scoliosis Pads The Providence® Measuring Board and Pads Strap Kits Elastic Abdominal Binder Scoliosis Orthosis - Reinforcement Bar Scoliosis Orthosis - Window Gusset Corrugated Paraspinal Reinforcement Orthosis Ventilation Holes Spinous Process Relief Removeable Relief Pad Milwaukee Neck Ring - Low Profile SOMI Cervical Attachment Standard Cervical Attachment Sub Clavicular Extension Sternal Pads Sternal Shield Attachment - Torso Body Sock With or without arm flaps - Posterior Steel Stays - Providence® - Corrective and Stabilizing Pads **A.** Axilla Stabilizing Pad, **B.** Trochanter Stabilizing Pad **C.** Thoracic Corrective Pad, **D.** Lumbar Corrective Pad - Axilla Straps - Shoulder Straps - Plastic and Dacron Extended Chafes - ST Tape Measure - ML Stick - Measuring Device - Cobb Ruler & Goniometer **A.** ST Cobb Ruler **B.** ST Goniometer - Hip Joints **A.** Becker Drop Lock - 5/8", 3/4", 1" **B.** Becker "T" 3/4" with Drop Lock (Available without "T") **C.** Becker Multi-Axis **D.** Becker Multi-Axis with "T" Other joints available upon request - Corrective Scoliosis Pads **A.** Thoracic Pad 1/2" **B.** Lumbar Pad 1/2" **C.** Trochanter Pad 1/2" Available Soft or Firm - The Providence® Measuring Board and Pads Providence® Measuring Board with Alphabetic Columns and Numbered Rows Corrective and Stabilizing Pads - Strap Kits - Elastic Abdominal Binder - Scoliosis Orthosis - Reinforcement Bar - Scoliosis Orthosis - Window Gusset - Corrugated Paraspinal Reinforcement - Orthosis Ventilation Holes - Spinous Process Relief - Removeable Relief Pad - Milwaukee Neck Ring - Low Profile - SOMI Cervical Attachment - Standard Cervical Attachment - Sub Clavicular Extension - Sternal Pads - Sternal Shield Attachment --- # Custom Hip Braces #### [Single Opening with Hip Joint and Thigh Cuff](https://spinaltech.com/custom-hip-braces/single-opening-with-hip-joint-and-thigh-cuff) [Product Details](https://spinaltech.com/custom-hip-braces/single-opening-with-hip-joint-and-thigh-cuff) #### [Bivalve with Hip Joint and Thigh Cuff](https://spinaltech.com/custom-hip-braces/bivalve-with-hip-joint-and-thigh-cuff) [Product Details](https://spinaltech.com/custom-hip-braces/bivalve-with-hip-joint-and-thigh-cuff) --- # Pre-Fabricated #### [S.T.O.P. Orthoses](https://spinaltech.com/s-t-o-p-orthosis) [Product Details](https://spinaltech.com/s-t-o-p-orthosis) #### [SpinaLoc® X1](https://spinaltech.com/spinaloc-x-series) [Product Details](https://spinaltech.com/spinaloc-x-series) #### [Finished / Unfinished - Prefabricated Orthoses Modules](https://spinaltech.com/finished-prefabricated) [Product Details](https://spinaltech.com/finished-prefabricated) #### [Unfinished - Prefabricated Scoliosis Stock Modules](https://spinaltech.com/prefabricated-scoliosis-stock) [Product Details](https://spinaltech.com/prefabricated-scoliosis-stock) --- [For Practitioners](https://spinaltech.com/resources/for-practitioners) [For Parents](https://spinaltech.com/resources/for-parents-patients) --- [Practitioners/Physicians](https://spinaltech.com/resources/stwear-compliance-monitor) [Need Support?](https://forms.monday.com/forms/846d06b780592a5b8fc0f2535f4c663f?r=use1) [Parents](https://spinaltech.com/resources/parents-guide-to-stwear-compliance-monitor) --- # International Partners We've got your back worldwide. Loading map... Our custom spinal and scoliosis braces are available outside of the United States from the following distributors and health care practitioners. For more information or to connect with them, click on their web link. Scandinavia Egypt Netherlands South Africa Middle East Mexico Europe Spain Paris - Scandinavia - Egypt - Netherlands - South Africa - Middle East - Mexico - Europe - Spain - Paris --- ## Notes See the complete information in the llms-full.txt file.