The proper use of spinal orthoses requires understanding of the pathology and
physiology of the disorder. Even if the symptoms are obvious it can be difficult to
do a complete analysis of the spine due to the complexity of the anatomy of the
spine (modified from CSPO manual).
An accurate assessment and understanding of the effects and function of the
orthosis, both positive and negative is required.
Like almost all orthoses, a spinal orthosis can have different functions, such as:
• Correction/ prevention of deformity
• Restriction of movement
• Assistance with Stability/ Support
• Reduction of load on the spine
Spinal orthoses can cover all or part of the spinal region, from the cervical (neck)
region down to the sacral (pelvic) region. The function of a spinal orthosis should
be determined by the functional losses the patient presents with, coupled with the
goals of the patient and members of the clinical team.
This manual is designed as an introduction to the area of spinal orthotics. The
following chapters will look at the structure of the spine, what can go wrong with
the spine, and how it can be treated using an orthosis.