At what apex of a scoliotic curve is a Milwaukee CTLSO indicated?

A Milwaukee CTLSO (Cervico-Thoraco-Lumbo-Sacral Orthosis) is indicated for managing scoliotic curves that have an apex at T7 and higher. This type of orthosis is particularly effective for curves that involve the thoracic spine, especially those that are significant enough to warrant correction through external bracing. The Milwaukee brace's design strategically provides support and corrective force to the thoracic and cervical regions, which is crucial when the apex of the curve is situated in the upper thoracic area.

In cases where the apex is at T7 or above, the Milwaukee CTLSO can help control the progression of scoliosis and promote spinal alignment. This is fundamental in adolescent patients whose spinal growth is still occurring, making intervention through such bracing approaches more likely to yield positive outcomes in terms of curve progression and overall posture.

When the apex is lower, the effectiveness of the Milwaukee brace diminishes, as the design is not tailored to address lower lumbar or sacral curves as effectively. Therefore, bracing strategies may vary significantly depending on the apex location of the scoliotic curve, emphasizing the importance of appropriate orthotic selection based on the specific characteristics of the curve.