Which TLSO brace limits flexion but encourages hyperextension (lordosis) and is used for compression fractures of the spine?

Which TLSO brace limits flexion but encourages hyperextension (lordosis) and is used for compression fractures of the spine?

• A. TLSO - Taylor brace
• B. TLSO - Jewett
• C. LSO Knight brace
• D. Cervical - Four-poster orthosis

Answer: (B)

Compression fractures heal best when the spine is held in a position that reduces forward bending and unloads the front of the vertebral body. A hyperextension TLSO accomplishes this by limiting flexion and encouraging extension (lordosis), which helps keep the fractured vertebrae aligned and reduces anterior compression during healing. The Jewett brace is specifically designed to push the spine into extension while restricting flexion, making it the ideal choice for compression fractures of the thoracolumbar area. Other options either target different regions or provide stabilization without promoting the purposeful extension needed for this injury. The cervical four-poster orthosis is for the neck, and the Knight LSO is a lumbar device not designed to encourage thoracic-l lumbar hyperextension. The Taylor brace is another TLSO but does not embody the same explicit hyperextension mechanism as the Jewett brace.

Compression fractures heal best when the spine is held in a position that reduces forward bending and unloads the front of the vertebral body. A hyperextension TLSO accomplishes this by limiting flexion and encouraging extension (lordosis), which helps keep the fractured vertebrae aligned and reduces anterior compression during healing. The Jewett brace is specifically designed to push the spine into extension while restricting flexion, making it the ideal choice for compression fractures of the thoracolumbar area.

Other options either target different regions or provide stabilization without promoting the purposeful extension needed for this injury. The cervical four-poster orthosis is for the neck, and the Knight LSO is a lumbar device not designed to encourage thoracic-l lumbar hyperextension. The Taylor brace is another TLSO but does not embody the same explicit hyperextension mechanism as the Jewett brace.