Rigid orthoses are commonly custom fabricated and provide the most support to the area being treated. A body jacket or TLSO controls motion in all planes. Depending on the goals of the TLSO, design can be modified accordingly. A two piece front and back design is commonly used post operatively for ease of application while a front or back opening single piece design is commonly utilized when treating scoliosis. Velcro™ straps are most commonly used to fasten the closure on all orthoses today.
When indicated, orthotic management of the spine can be very successful. When orthotic care is needed, it is important that the health care professional providing these services is properly credentialed. An ABC certified orthotist has the highest minimum credentials in this specialized field. An ABC certified practitioner will use the prefix (CO) certified orthotist or (CPO) certified prosthetist/orthotist next to their name.