Figure 6

TLSO-type brace with low axilla, thoracic and lumbar pads which causes scoliosis progression. a: The clinical presentation of the patient with a right thoracic curve of 22-degree Cobb angle and a left lumbar curve of 22-degree Cobb angle. b: The in-brace X-ray showed a scoliosis which was worse in-brace compared to out-of-brace; TLSO-type in-brace was thoracic 22-Cobb and lumbar 25-degree Cobb angles. This was the direct result of firstly, the axilla extension being too low (A), which caused the buckling effect (B), and secondly, the low thoracic pad (C) blocking the lumbar correction (D). Furthermore, it was causing lumbar curve progression in the brace.