Boston Brace Definition

The Boston Brace is a plastic body jacket used in the treatment of adolescents with idiopathic scoliosis. The Boston brace, also referred to as a Thoraco-Lumbo-Sacral Orthosis (TLSO) brace, wraps under the arms and around the rib cage, lower back, and hips in order to cast the spine into a straighter position.

Bracing treatment is typically prescribed for patients when the spine’s curvature is between 25 and 40 degrees, and it has shown to be an effective means in stopping the progression of scoliotic curves.

The Boston Brace is most effective for curves in the middle and lower back. The brace is typically worn full-time (18 to 23 hours per day) to minimize the risk of curve progression.