Thoracolumbosacral Orthosis Brace

A thoracolumbosacral orthosis (TLSO) brace can be worn for different purposes. A TLSO brace can be worn to support the back. Your back may need more support if you had a broken bone in your back (fractured vertebrae), back surgery, or you cannot move (paralysis) your torso muscles. A TLSO brace can also be worn by a child to help prevent curving back problems from getting worse as the child grows. TLSO braces are used to limit bending and twisting. The braces are made from a hard plastic. They are custom fit for each wearer. The TLSO brace covers both the front and back of the torso. On the back, the brace reaches from just above the tailbone to just below the shoulder blades. On the front, the brace covers the ribs and often reaches past the waist and over the hips. The brace can be worn under clothing.


  • Ask your caregiver if you can remove your brace when showering or sleeping.

  • Follow your caregiver's instructions for putting on your brace.

  • Follow your caregiver's instructions about how much weight you can lift.

  • Always wear a T-shirt under the brace.

  • Make sure the brace is always well-aligned and fits you closely.

  • Check your skin daily for sores and redness caused by rubbing or pressure.

  • If you feel unsteady, use a cane or walker for support until you feel more steady.

  • Sit in high, firm chairs. It may be difficult to stand up from low, soft chairs.

  • Keep all follow-up appointments as directed by your caregiver.


  • You have a fever.

  • You have shortness of breath.

  • You have chest pain.

  • You have numbness, tingling, or pain.

Developed in conjunction with the University Orthopaedic Surgeons at University of Tennessee Medical Center.