Boston Brace 3D®

The Boston Brace 3D® is the latest innovation in the non-operative treatment of idiopathic scoliosis since the Boston Brace Original. With almost a decade of evidenced base outcomes that have shaped the core design and principles, we are proud to provide families and physicians a world class option in the non-operative treatment of idiopathic scoliosis.

Key Benefits

  • Custom fabricated from scan – each brace is custom matched the patient
  • Sagittal plan balance
  • Unique shift/push combination of forces that move the spine into a corrected position
  • Most patients achieve greater than 60% in brace correction of primary curve

This brace is indicated for patients diagnosed with Idiopathic scoliosis or congenital scoliosis. Most often, curve size ranges from 25-45 degrees.

Features

Designed for Lung Expansion

Relief spaces are built into the CAD design to allow for natural trunk movement and full lung expansion. Corrective forces in the transverse plane are paired with additional space opposite each force to allow for effective rotational correction.

Multi-Plane Offloading for Optimal Correction

Each push and shift is countered with an offload in multiple planes to obtain the best possible in-brace correction.

Asymmetrical Brace Design

Every orthosis is custom-shaped to match the patient’s specific curve, rather than starting from a symmetrical form.

Evidence

 Initial OOB X-ray | In-brace X-ray after 3 months in brace | Discharge from Bracing after 2 years

Most children achieve greater than 60% correction of the primary curve when wearing the Boston Brace 3D®.

94% of our surveyed patients who adhered to their brace wearing schedule, accompanied by Physical Therapy, successfully avoid surgery.

Additional Information

This brace is indicated for patients diagnosed with Idiopathic scoliosis or congenital scoliosis. Most often, curve size ranges from 25-45 degrees.

  • Early Brace Treatment for Idiopathic Scoliosis-Zapata KA, Virostek D, Davis K, Johnson ME, Jo CH, Owen M, Sucato DJ. Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves. Spine Deform. 2023 Nov;11(6):1381-1388. doi: 10.1007/s43390-023-00726-6. Epub 2023 Jul 10. PMID: 37428431.
  • 2020 SRS SOSORT Practice Guidelines-Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O’Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. PMID: 29435499; PMCID: PMC5795289.
  • 2020 – Short-Term Outcomes of the Boston Brace 3D Program Based on SRS and SOSORT Criteria: A Retrospective Study – Wynne, J.H.; Houle, L.R. Short-Term Outcomes of the Boston Brace 3D Program Based on SRS and SOSORT Criteria: A Retrospective Study. Children 2022, 9, 842. https://doi.org/10.3390/children9060842. 2020 3D Modeling and Simulation of Scoliosis

Frequently Asked Questions

The Boston Brace 3D® is the next innovation in the non-operative treatment of idiopathic scoliosis. Our clinical experts have combined knowledge of the three-dimensional scoliosis curvature with the latest in shape capture and CAD/CAM technologies to create a brace that delivers superior patient outcomes.

The Boston Brace 3D® is made from a scan of the patient. Rather than being fabricated over a symmetrical model, it is fabricated over an asymmetrical model. Specific coronal shifts and pushes are built in along with larger relief areas creating a more intimate fit and tailored correction to the patients curve pattern.

The Boston Brace 3D® is more aggressive in the transverse plane. By incorporating a selective push/shift combination we are seeing improved corrections. We have found that patients can tolerate more shift/push pressure—we are not flattening their abdomen nor are we adjusting their sagittal profile. In addition, the corrective forces are created in conjunction with open/void areas that allow for easier breathing mechanics.

All curve patterns and patient presentations are candidates. For mild curves, we may not shift or include as aggressive a push, so the custom fabricated symmetrical Boston Brace Original would work. For out of balance curve patterns, which are typically larger curves, we recommend the Boston Brace 3D.

Product Resources

How to Take a Standing Scan for a TLSO Brace

Which Scoliosis Brace is Right For You?

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