Impact of Modified TLSO on Pneumatic pressure distribution in Idiopathic Kyphoscoliosis- A Case Report

This study aimed to design and fabricate a cost-effective Modified Thoracolumbosacral Orthosis (TLSO) integrated with a pneumatic pressure system for the management of idiopathic kyphoscoliosis. The orthosis incorporates adjustable auxiliary sliding bars and a pneumatic air bladder to apply controlled corrective forces, allowing progressive spinal realignment in a patient-friendly manner. A case study was conducted on a patient with kyphoscoliosis, with initial and follow-up X-rays used to assess outcomes. The brace was customized based on spinal curvature, with pressure pads strategically placed at the apex of the deformity. The system effectively reduced the Cobb’s angle to 5 degrees within three months, indicating significant spinal correction. The pneumatic mechanism provided targeted pressure without causing sudden stress to the spine and rib hump, while the adjustable features ensured comfort, improved posture, and reduced pain. Additionally, the orthosis was designed to be easily donned and doffed, helping to prevent muscle atrophy associated with prolonged brace usage. The results support the use of this Modified TLSO as an effective orthotic solution for managing flexible spinal deformities such as kyphoscoliosis.