Breg Ascend® TLSO 456/457 Spinal Orthosis
The Breg Ascend® TLSO 456/457 is a thoracic lumbar spinal orthosis designed to provide reliable spinal support, improved circumferential stability, and comfortable recovery assistance. As part of the Ascend® family of spinal orthoses, it combines molded support panels, breathable materials, and universal sizing to support patient confidence during recovery.
Designed for post-operative support, fracture management, spinal stabilization, and degenerative spinal conditions, the Ascend® TLSO 456/457 provides controlled compression and adaptable thoracic support through a 3:1 mechanical advantage lacer system, dual-pull adjustment, and height-adjustable posterior thoracic extension.
Common Applications
The Ascend® TLSO 456/457 is commonly used when thoracic-lumbar stabilization, spinal support, or controlled trunk positioning is required during recovery or condition management.
Post-Operative and Procedural Support
- Post-operative support
- Fracture management
- Decompressive procedures
- Thoracic-lumbar stabilization
Spinal Alignment Conditions
- Kyphosis
- Kyphosis secondary to osteoporosis
- Scoliosis
- Spondylolisthesis
Degenerative and Disc Conditions
- Degenerative disc disease, DDD
- Bulging or herniated disc
- Severe degenerative joint disease, DJD
- Spondylosis
Spinal Narrowing and Trunk Support
- Spinal stenosis
- Deconditioned trunk musculature
- Controlled trunk support
- Recovery support requiring thoracic-lumbar immobilization
Product Features
Airmesh® Padding
Lightweight and breathable Airmesh® padding helps improve comfort during extended wear while reducing unnecessary heat buildup.
Universal Sizing
Universal sizing helps simplify fitting and allows the orthosis to accommodate a wide range of patients.
3:1 Mechanical Advantage Lacer System
The lacer system delivers consistent, controlled compression with reduced effort during adjustment.
Dual-Pull Lacer System
Independent top and bottom adjustment helps improve fit, compression control, and circumferential stability.
Ergonomic Pull Handles
Ergonomic pull handles make tightening and adjustment simple and intuitive for patients and caregivers.
Backpack-Style Straps
Repositionable attachment points help provide a secure, personalized fit across different patient anatomies.
Height-Adjustable Posterior Thoracic Extension
The posterior thoracic extension can be adjusted to better match individual patient anatomy and clinical support requirements.
Convertible Design
The orthosis can be converted to an LO 627 configuration, providing flexible treatment options when a different level of support is required.
Molded Support Panels
Molded panels help provide structured spinal support and improved stability during recovery or condition management.
Comfort-Focused Spinal Support
Designed to support spinal recovery while maintaining comfort, breathability, and practical daily usability.
Thoracic-Lumbar Support for Recovery
The Breg Ascend® TLSO 456/457 is a practical spinal orthosis for patients requiring post-operative support, thoracic-lumbar stabilization, fracture management, or support for degenerative and alignment-related spinal conditions. Its breathable padding, universal sizing, molded support panels, dual-pull lacer system, and adjustable thoracic extension help provide a balance of comfort, stability, and clinical flexibility.