OPTEC possesses one of the largest spinal databases and physical libraries in the industry. We can manufacture your spinal orthosis utilizing the latest Cad/Cam technology which allows us to carve a mold nearly identical to your patient's measurement or scanned image* or by utilizing our extensive spinal library to secure a mold that can be modified to match your patient. Each individual orthosis is fabricated to the patient's unique measurements and your specifications, ensuring the very best fit, support, and comfort. The Custom TLSO Bivalve High Profile by OPTEC USA provides spinal support and immobilization created to your exact specifications. *Scanned images are accurate to within one millimeter. Available: Custom fabricated finished or unfinished Bivalve Opening: Anterior over posterior or posterior over anterior Overlap Options: Smooth, step (butted) or with tongues Anterior Designs: Flexion, neutral or pendulous Degree of Lordosis: Custom fabricated lordosis Material Options: LDPE, MPE, HDPE, Copolymer, Polypropylene, ABS or Kydex Liner: Unlined or hypoallergenic aliplast in 1/8, 3/16 or 1/4 Attachments & Accessories Bivalve opening closure kit with straps, chafes, loops & Chicago screws Pectoral Pad (PPK/ PPX) with straps, chafes, loops & screws Pneumatic lumbar bladder Polyethelene or foam tongues Shoulder or axilla straps with chafes, loops & Chicago screws Sternal Pad (SPK/SPX) with straps, chafes, loops & screws Options: Designer pattern applied to brace & straps, modified negative cast, relief buildup, ventilation & waist pads