Which condition besides scoliosis is the Boston TLSO used to treat, including spondylolisthesis and severe trunk weakness (e.g., muscular dystrophy)?

• A. Spondylolisthesis and severe trunk weakness (MD)
• B. Kyphosis
• C. Cervical radiculopathy
• D. Lumbar strain

Answer: (A)

The Boston TLSO is a rigid spinal brace that immobilizes the thoracic–lumbar–sacral region to control motion and provide strong trunk support. This makes it useful not only for scoliosis but also for conditions where spinal stability is needed or trunk strength is severely compromised. In spondylolisthesis, limiting movement at the slipping level helps reduce stress on the pars interarticularis and can slow or prevent progression of slippage, while in muscular dystrophy the brace supports a weak trunk, improves posture, and aids sitting and standing by supplying necessary stability. The other options don’t fit as well because cervical radiculopathy involves the neck region and nerve entrapment rather than thoracolumbar stability, lumbar strain is typically managed with rest and soft tissue care rather than a thoracolumbar orthosis, and kyphosis is not the specific scenario described for the Boston TLSO’s common uses.