1. Milwaukee Brace
Indications
Fitting Parameters

2. Curve Pattern
Double Thoracic Curve

3. Positive T1 Tilt
Elevated Shoulder
Rotational Prominence

4. Apex T6-7
Raised shoulder
Decompensated

5. 39/21

6. No T1 Tilt
No raised shoulder
No significant prominence

7. Curve Pattern
Cervicothoracic Curve

11. Infantile/Juvenile Easily adjustable for growth
Greater Curve Correction
Open Design
Compliance not an issue
Sagittal alignment – hypokyphosis
Ability to adjust pads
Need only pelvic section replaced

15. Infantile Under 12 months of Age Minimal or no head control
Not enough room for neck ring
Progressive or large curve

16. Kalibus

18. Kalibus with head piece

21. Curve Size
Larger Curves
Excessive Decompensation

22. 51
T11

23. Scheuermann’s Kyphosis
Thoracic Hyperkyphosis
Patient evaluation Critical
Flexibility of lumbar lordosis
Follow Up

24. T 7 78

25. 43 64

26. Design Criteria
Neck Ring
Standard
Low Profile
Custom Plastic

27. Contour of Uprights Smallest Bars Contour as close as possible
Not inhibiting breathing
Not inducing thoracic lordosis
Ability to set neck ring posteriorly or anteriorly

28. Custom Molded Modify in lumbar correction and troch extension
Ability to determine lordosis
Determine abdominal shape
Anterior to ASIS modification
Base of support
Depth of waist

30. Choice of Plastic Plastic Neck Ring – 3/16” Copoly
Kalibus – 1/8” Copoly pelvic and shoulder Ring
Pelvic Section – 1/8”, 5/32”, 3/16” Copoly
Custom Pads – 1/8” Surlyn or Polyethylene

31. Pads

33. CUSTOMIZE FIT

34. Trimlines determine angle and thickness

36. Curve Pattern Curve Size Age Other Etiologies
SUMMARY
Curve Pattern
Curve Size
Age
Other Etiologies

37. It Can be Done