The Extension Compression Orthosis was developed to comfortably extend the thoracic spine and unweight the wedged vertebral body in order to promote healing and pain relief. The ECO stabilizes the pelvis and lumbar spine to ease pain. Effective for individuals with Osteoporosis, vertebral compression fractures, thoracic strains, and debilitating Kyphosis. The ECO is as simple to apply as a backpack or jacket, with easy-to-reach self-adjusting and padded shoulder straps. The metal spinal frame can be easily contoured to the patients thoracic and lumbar spine.