Which brace is used for scoliosis with affection of T9 and below?

• A. Philadelphia Collar Brace
• B. Yamamoto Brace
• C. Scottish Rite
• D. Milwaukee Brace

Answer: (D)

The key idea is choosing a brace that can provide long, skeletal correction for a spine deformity whose apex lies in the lower thoracic region or below. For curves that extend to T9 and lower, you want a brace that anchors from the skull down to the pelvis so corrective forces can be applied along the entire spine. The Milwaukee brace does exactly this: it’s a cervico-thoraco-lumbo-sacral orthosis with a neck ring and long vertical components that run from the head to the pelvis. That setup creates a long lever arm and allows cranial traction to translate into derotation and lateral correction all the way through the thoracic and lumbar spine. This makes it particularly effective for long, lower thoracic curves, where shorter braces might not maintain adequate control or deliver sufficient corrective forces. While other braces exist, they don’t provide the same combination of upper-spine anchorage and full-length corrective traction needed for curves reaching down to T9 and below.