What type of orthosis is recommended for a patient diagnosed with Scheuermann's kyphosis at the apex of T9?

A custom TLSO, or thoraco-lumbo-sacral orthosis, is the recommended orthosis for a patient diagnosed with Scheuermann's kyphosis at the apex of T9. This condition involves abnormal curvature of the spine, typically characterized by a forward rounding of the back, which can cause pain and structural issues in the thoracic region.

The cervical, thoracic, and lumbar regions are all areas affected by this type of kyphosis, and a TLSO provides support to the thoracic spine while limiting excessive kyphotic curvature. By stabilizing the spine from the thoracic region down to the sacrum, the TLSO can help redistribute forces along the spine and promote proper posture. Additionally, it can aid in pain relief and prevent further progression of the deformity, making it particularly beneficial for adolescents whose spines are still developing.

In contrast, a custom AFO (ankle-foot orthosis) primarily supports the lower extremities and would not address the issues associated with thoracic kyphosis. A custom LSO (lumbo-sacral orthosis) provides support only to the lower back and does not encompass the thoracic region, which is critical for a condition affecting T9. A custom HO (hip orth