Cervical-Thoracolumbosacral Orthosis (CTLSO) in New Mexico
At PrimeCare Orthotics & Prosthetics, our CTLSO braces are designed with comfort, effectiveness, and patient mobility in mind to ensure that each individual receives personalized, high-quality orthopedic care. If you or a loved one needs spinal support, our experienced and friendly team is here to guide you through the best treatment options available.

What Is a CTLSO?
A CTLSO brace is a comprehensive spinal orthosis that extends from the pelvis to the cervical spine. This custom-fitted device combines a pelvic girdle with thoracic extensions and a neck ring to precisely control and support the entire spine. Unlike standard spinal braces, a CTLSO features an adjustable cervical component with a chin piece that helps maintain proper head and neck alignment while limiting harmful movements during the healing process.

A Milwaukee brace is a specific type of CTLSO primarily used in children and adolescents with scoliosis or Scheuermann’s disease. It is most effective when prescribed during the growth spurt to prevent spinal curve progression. A CTLSO brace isn’t recommended for adults or those who have completed their skeletal growth.
How a CTLSO Brace Works
Conditions That CTLSO Braces Treat
At PrimeCare, our CTLSO braces provide essential support for a variety of spinal conditions, offering stability, correction, and protection during critical recovery and growth phases:
- Adolescent Idiopathic Scoliosis (AIS): Particularly effective when the Cobb angle is between 20° and 40° and helps to slow or prevent progression.
- Post-Operative Cervical Fusion Stabilization: Ensures proper healing and alignment after spinal surgery.
- High Thoracic Compression Fractures: Provides stability and pain relief for vertebral fractures in the upper back.
- Cervical Spine Trauma & Injuries: Offers immobilization and protection after accidents, falls, or impact injuries affecting the neck and upper spine.
- Kyphosis Correction & Management: Helps maintain spinal alignment and posture in conditions like Scheuermann’s disease or age-related kyphosis.
- Spinal Deformity Prevention in Growing Children: Helps prevent worsening curvature during rapid growth spurts.
- Osteoporotic Fracture Support: Provides crucial stability for fragile bones due to osteoporosis, reducing pain and risk of further injury.
- Complex Cervical-Thoracic Injuries: Manages instability caused by multiple fractures, trauma, or post-surgical recovery.
- Conservative Treatment for Spinal Instabilities: A non-invasive alternative to surgery for managing conditions like spinal stenosis, spondylosis, and disc herniation.
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Wearing Schedule Guidelines
How to Put On Your Cervical-Thoracolumbosacral Orthosis
It’s essential that you properly apply your orthosis so it’s effective. The process should be performed while you’re lying flat to ensure you’re in the correct position:
- Start with a clean, dry undershirt to protect your skin.
- While lying flat, have your helper position the back section centrally along your spine.
- Ensure the pelvic girdle sits just above the hip bones.
- Position the neck ring component with the occipital support aligned with the base of your skull.
- Roll onto your back carefully while maintaining alignment.
- Apply the front section and align the chin piece properly.
- Systematically tighten straps from bottom to top, ensuring even pressure.
- Verify that the chin piece provides comfortable support without causing excessive pressure.
- Double-check all alignments and strap tensions before you stand up.
Safely Removing Your Brace
To remove your CTLSO:
- Lie flat on your back.
- Loosen all straps systematically.
- Remove the front section first.
- Roll carefully to your side.
- Have a helper remove the back section.
- Maintain spinal alignment throughout the process.
- Inspect your skin for any areas of irritation.
PrimeCare’s Comprehensive Custom CTLSO Care Process

- Initial Consultation
The process begins with a comprehensive evaluation of your condition. Our specialists carefully review your medical history, imaging, and spinal measurements to gain a full understanding of your needs. We also discuss your lifestyle, daily activities, and goals to ensure your CTLSO brace offers the necessary support while allowing for as much mobility as possible.
- Custom Fitting
Once we’ve gathered all the necessary information, we move forward with the custom fitting process. Using precise body measurements and advanced scanning technology, we create a detailed molding pattern that serves as the foundation for your brace. We select materials to provide the right balance of durability, comfort, and support. Before finalizing the brace, we conduct an initial prototype fitting to make any needed refinements and ensure it fits you optimally.
- Adjustment & Training
When your custom CTLSO brace is ready, we will fine-tune its components to ensure it is both comfortable and effective. You’ll receive a personalized wearing schedule to help your body adjust gradually. Rest assured that our team provides detailed care instructions so you know how to properly wear, clean, and maintain your brace. If needed, an occupational therapist will guide you through movement training to help you confidently and easily go about your daily activities.
- Follow-Up Care
Your care doesn’t stop once you receive your brace as we’re passionate about offering ongoing support. We schedule regular follow-ups to track your progress, make any necessary adjustments, and ensure your skin remains healthy while wearing the brace. Over time, your body may change, and we’ll update your treatment plan accordingly to maintain the best possible support and functionality.
Why PrimeCare Is the Right Choice for Your CTLSO Brace
Custom Fit for Maximum Comfort
Ongoing Support and Adjustments
Cutting-Edge Technology for Better Mobility
Patient Success Stories









Insurance and Financing
Before we begin crafting your custom CTLSO brace, we provide a detailed cost breakdown so you know what to expect. If you have a high deductible or limited coverage, we offer flexible monthly payment options to ensure you receive the essential spinal support you need — without financial stress.
Get Advanced CTLSO Support in Las Cruces
PrimeCare provides advanced spinal bracing solutions tailored to your needs. Our experienced orthotists proudly serve Las Cruces, El Paso, and the surrounding communities to guarantee a precise, comfortable CTLSO fit for optimal support and mobility.
Mon-Fri: 9:00am-5:00pm
Sat-Sun: Closed