The orthotics division of De La Torre Orthotics and Prosthetics specializes in customized bracing and innovative design. We strive to fit every patient we meet, no matter how challenging their pathology or physique. We continuously research the latest ideas, technology, and design to manufacture and deliver the best orthotic devices available.
Our lab facility team is geared to meet these needs in an environment that fosters creativity of design.
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Wound Window:
– An opening at the lumbar spine provides visibility to the site of incision while applying no pressure to the wound- SlickTrack Rotating Wheel Tightening System:
– Provides effective compression for superior patient outcomes, regardless of patient strength - Sure Slot System:
– Allows one product to comfortably fit waists ranging from 26″ – 60″, without compromising effectiveness and without the need for tools - Height Adjustment Technology:
– Without the use of tools, the Vista 464 TLSO thoracic bar height adjusts from 13.7″ to 21.5″ to accommodate varying patient anatomies - Easily Stepped Down:
– As the patient improves, the product is easily downgraded to the Vista 637 LSO, Vista 631 LSO Lo Pro and the Vista 627 Lumbar
- SlickTrack Rotating Wheel Tightening System:
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- Features double elastic v-shaped pull for easy application with contoured front for optimal patient comfort; also includes plastic and optional aluminum stays for flexible
or firm support - Indicated for moderate low back pain, lumbar muscle weakness, lumbar sprains/strains
- Manufactured from premium
- Features double elastic v-shaped pull for easy application with contoured front for optimal patient comfort; also includes plastic and optional aluminum stays for flexible
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- Low Profile Lumbar Support
- Abdominal Compression for trunk stability
- One Size fits waists 24-70 inches with extension panel
- Post Surgical and Injury
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- Lower Lumbar Support
- Anterior and posterior motion restriction
- Can be stepped down to a lower profile brace
- One size fits waists 24-70 inches with an extension panel
- Post-surgical and injury
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- Thoracolumbar and Lumbar spine support
- Compression fractures and Hyperkyphosis
- One size fits waists 24-70 inches with an extension panel
- Can be stepped down to a lower profile brace
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- Effective Motion Restriction of Cervical Spine by vertebral level
- Can be “stepped down” from a 4 post CTO, to a 2 post CTO and then finally a stand alone collar..
- Brace is MRI safe
- Pediatric Sizing available
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Purpose of the Device
- Provides rigid support of the lumbosacral spinal region in the posterior sagittal plane
Indications
- Instability of spinal levels L2 – L5
- Osteoarthritis
- Low back pain
- Post-operative support required
- Disk herniation
- Spinal fracture
- Spodylolisthesis
- Degenerative disc disease
- Spinal stenosis
Common Additions
- Sheepskin lining on posterior plastic shell for prominent bony structures such as oncology patients may exhibit
Special Considerations
- Severe obesity may be best handled by this type of LSO, allowing for encapsulation of the abdomen
- Less likely to have superior migration problems
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Details
Purpose of the Device
- Provides rigid support of the lumbosacral region in all three planes
Indications
- Instability of spinal levels L2 – L5
- Spinal fracture
- Disc herniation
- Low back pain
- Spondylolisthesis
Special Considerations
- Good choice for the athlete who wants to continue to play and has physician’s permission as long as the affected area is properly supported and protected
- Lightweight and minimal thickness of materials
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Details
Purpose of the Device
- Provides rigid support of the lumbosacral region in all three planes
Indications
- Instability of spinal levels L2 – S1
- Osteoarthritis
- Low back pain
- Spinal stenosis
- Post-operative stability required
- Spinal fracture
- Spondylolisthesis
- Degenerative disc disease
- Disc herniation
Common Additions
- Drop lock, to lock hip in extension
- Range of motion (ROM), to limit motion at the hip joint
Special Considerations
- Offers increased control and relieves stress at the L5/S1 spinal level
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Details
Purpose of the Device
- Provides rigid support of the lumbosacral spinal region in all three planes
Indications
- Instability of spinal levels L2- L5
- Osteoarthitis
- Low back pain
- Spinal stenosis
- Disk herniation
- Spinal fracture
- Spodylolisthesis
- Degenerative disc disease
- Post-operative support required
Special Considerations
- Good design for patients whose body weight tends to fluctuate
- One-piece design offers greater adjustability over the two-piece design
- This design does not accommodate a hip spica
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Details
Purpose of the Device
- Provides rigid support of the lumbosacral region in all three planes
Indications
- Instability of spinal levels L2 – L5
- Osteoarthritis
- Low back pain
- Spinal stenosis
- Disc herniation
- Spinal fracture
- Spondylolisthesis
- Degenerative disc disease
- Post-operative support required
Common Additions
- Thigh extension, with hip joint and drop lock
- Pantaloon design (no joint added – solid plastic piece is part of the posterior section), to limit pelvic motions
Special Considerations
- For L5 and S1 involvement, add a thigh cuff for increased control
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Details
Purpose of the Device
- Provides rigid support of the thoracolumbar spinal region in the posterior sagittal plane
- Provides moderate coronal support
- Provides mild resistance to flexion in the sagittal plane
Indications
- Instability of spinal levels T5 – L5
- Osteoarthritis
- Kyphosis as a result of osteoporosis
- Ankylosing spondylitis
- Spinal stenosis
- Spinal fracture
- Rheumatoid arthritis
- Degenerative disc disease
- Post-operative support required
Common Additions
- Sheepskin on posterior shell for prominent bony structures such as oncology patients may exhibit
Special Considerations
- Optimally recommended for elderly patients where tolerance is an issue
- Can be made for male or female patients
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Details
Purpose of the Device
- Provides rigid support of the thoraco lumbar spinal region in the anterior/sagittal plane
- Provides three-point pressure support
Indications
- Anterior vertebral body fracture at spinal levels T5 through L5
- Degenerative joint disease
- Ankylosing spondylitis
- Kyphosis as a result of osteoporosis
- Rheumatic arthritis
- Scheuerman’s kyphosis
Common Additions
- Superior pad may be changed to a dual pad resting in the subclavicular fossa
Special Considerations
- Severe obesity may require use of a jewett to accommodate pendulous abdomen
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Details
Purpose of the Device
- Provides rigid support of the thoracolumbar spine in all three planes
Indications
- Instability
- Degenerative disc disease
- Spinal stenosis
- Spinal fracture
- Low back pain
- Disk herniation
- Osteoarthritis
- Post-operative stability
- Mild kyphosis
Common Additions
- Cervical attachment, for supported T5-T1
- Halo superstructure, for added cervical stability
Special Considerations
- Severe respiratory problems may require a soft TLSO or TLSO with corset front, or TLSO with window cutouts in chest or abdomen
- Severe obesity may require an additional abdominal binder for tissue containment
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Purpose of the Device
- Semi-rigid support of the thoraco lumbar spinal region in all three planes
- Most commonly used for patients that cannot tolerate a rigid TLSO
Indications
- Instability of spinal levels T5 through L5
- Spinal fractures
- Osteoarthritis
- Degenerative disc disease
- Low back pain
- Postoperative support
Common Additions
- Not very adaptable to additions
Special Considerations
- Allows for cut-outs in soft foam area for patient access
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Details
Purpose of the Device
- Supports the thoracolumbar spinal region in all three planes
- Used for patients who cannot tolerate a rigid TLSO or to accommodate patients anatomy
Indications
- Instability of spinal levels T5 through L5
- Osteoarthritis
- Low back pain
- Minimal scoliosis support required
- Spinal fracture
- Degenerative disc disease
- Post-operative
Common Additions
- Not very adaptable to additions
Special Considerations
- Allows for cutouts in soft foam area for patient access
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Purpose of the Device
- With its innovative height adjustment technology, the Vista
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Purpose of the Device
- Limits cervical motion in all three planes
- Mechanically restricts forward flexion and extension and, to a lesser degree, lateral flexion and extension
Indications
- Minor cervical instability
- Degenerative disc disease
- Post-operative stability is required
Common Additions
- Thoracic extension can be applied
- Can be attached to custom-molded TLSO to increase control of upper thoracic and cervical spine
Special Considerations
- Comes in various sizes and can be easily modified to fit the vast majority of patients
- Extra set of soft, washable liners for hygiene purposes
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Purpose of the Device
- Rigidly fixates head with respect to thorax
- Rigidly fixates head with respect to thorax of the head on the cervical spine
Indications
- Maximum control of cervical spine
- Trauma
- Post-operative stabilization
Common Additions
- Can be attached to TLSO
Special Considerations
- Easily adjustable
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Purpose of the Device
- Controls the cervical, thoracic and lumbar spine in all three planes
- Rigidly fixates, and provides distraction force that reduces the load on the cervical spine while stabilizing the thoracic spine
Indications
- Combination of cervical fracture with thoracic and/or lumbar fracture or instability
Common Additions
- Lower limb attachments, if necessary
Special Considerations
- Sheepskin liner is usually installed due to length of time in brace without removal
- Synthetic liners are available for patients allergic to wool
