Paralytic Scoliosis Bracing

Paralytic scoliosis is defined as the increased lateral curvature of the spine due to paralysis of spinal muscles. The Milwaukee brace, also known as a cervico-thoraco-lumbo-sacral orthosis or CTLSO, is a back brace used in the treatment of spinal curvatures (such as scoliosis or kyphosis) in children. It is a full-torso brace that extends from the pelvis to the base of the skull. It was originally designed by Blount and Schmidt in 1946 for postoperative care when surgery required long periods of immobilization. Milwaukee braces are often custom-made over a mold of the patient’s torso, but in some cases, it can be made from prefabricated parts. Three bars—two posterior and one anterior—are attached to a pelvic girdle made of leather or plastic, as well as a neck ring. The ring has an anterior throat mold and two posterior occipital pads, which fit behind the patient’s head. Lateral pads are strapped to the bars; adjustment of these straps holds the spine in alignment. This brace is no