Major Trauma
The following information provided is to assist you on discharge with your spinal brace. Please see additional patient leaflet for information on spinal fractures.
![](https://www.southtees.nhs.uk/wp-content/uploads/2024/01/TLSO.jpg)
What is a thoracic lumbar sacral orthosis (TLSO)?
The TLSO has a fabric body belt and an aluminium back plate. Velcro abdominal and shoulder straps help to maintain the position, fit, and support.
Why have I been given a TLSO?
TLSOs are provided for lots of different reasons, including:
- To help stabilise fractures caused by trauma or osteoporosis
- To reduce pain
- To reduce movement after surgery
- Shell clean with soap and water.
The TLSO will reduce your forward and backwards movement and remind you to limit your sideways movement.
How do I wear the TLSO?
The orthotist or physiotherapist will adjust the TLSO for you and advise the best way to fit it. Try not to alter it after the orthotist or physiotherapist has adjusted it.
You should wear the TLSO over a close-fitting T-shirt or vest to protect the skin. Protect any open wounds so they are not directly in contact with the brace. With the body belt Velcro fastening open, place each arm through the shoulder straps as if you are putting on a rucksack. Close the body belt using the hand loops, fastening the Velcro flap at the front. Make sure the belt is fitted below the waist and without any creases. Tighten the additional strap by pulling it forward and attaching it onto the body belt with the Velcro. Tighten the shoulder straps by pulling the ends forwards and downwards and attaching them flat onto the front of the body belt with the Velcro.
When should I wear the TLSO?
This depends on your condition. You may have to wear it temporarily or long-term.
The person prescribing the TLSO may have advised you when to wear it, otherwise the orthotist will provide you with a wearing schedule. You are normally advised to wear it when you are not in bed or when doing specific activities.
How do I look after the TLSO?
The fabric parts can be washed by hand, using water and a mild detergent. Wipe the plastic and metal surfaces with a damp cloth. Do not machine wash. In the case of severe soiling, replacement parts are available.
Please speak to the ward you were discharged from to obtain replacement parts.
If you experience any rubbing, pressure or increasing discomfort after wearing the brace please contact the Orthotic department. The TLSO supplied is considered the most appropriate for you and your condition.
Contact us
In a medical emergency you should contact 999
If you believe your condition is serious then please return to your local emergency department, bringing all discharge documentation you have been given.
For information and advice on your discharge and recovery please contact Ward 36 to speak with the nursing staff.
- Major Trauma coordinators at The James Cook University Hospital
Telephone: 01642 854226, Extension: 55918 - Ward 36: Telephone: 01642 854536 (Available 24 hours a day)
- Major Trauma coordinators: Telephone 07442 790 011
Email: [email protected]
Patient experience
South Tees Hospitals NHS Foundation Trust would like your feedback. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how best to do this.
This service is based at The James Cook University Hospital but also covers the Friarage Hospital in Northallerton, our community hospitals and community health services.
To ensure we meet your communication needs please inform the Patient Experience Department of any special requirements, for example; braille or large print.
T: 01642 835964
E: [email protected]