Spinal Orthoses

Abstract

Spinal orthoses are currently used in the treatment of a variety of conditions of the spine. Clinical indications for their use include spinal trauma, correction of deformity, chronic neck and back pain, and postoperative bracing following spinal surgery. Many types of spinal orthoses are available, grouped by the region of the spine they are designed to support or immobilize and by their degree of rigidity. However, despite the widespread use of these devices, evidence supporting their effectiveness is lacking. A good understanding of spinal mechanics is a prerequisite to the use of spinal orthoses. The clinician should also be familiar with the variety of orthoses on the market, the indications and contraindications for their use, and the various complications associated with these devices. An explanation or demonstration of the appropriate fit of an orthotic device remains essential to patient compliance and successful outcomes.

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