Which brace is indicated for cervico-thoracic-lumbar spine affection?

• A. Philadelphia Collar Brace
• B. Jewette Brace
• C. Scottish Rite
• D. Forester Brace

Answer: (D)

Immobilization needs to cover all the involved spine segments. When the problem spans from the neck through the thoracic and into the lumbar region, a brace that provides support across the cervico-thoracic-lumbar area (a CTLO/CTLSO style) is indicated.

The Forester brace is designed to immobilize the entire cervico-thoracic-lumbar region, making it suitable for pathologies affecting that whole spine segment. In contrast, a Philadelphia collar only limits the neck, a Jewett brace primarily covers the thoracic and lumbar region, and a Scottish Rite brace is a scoliosis jacket typically spanning thoracic to lumbar areas but not providing the neck stabilization needed for involvement that includes the cervical region.