Scoliosis is more than just a sideways curve in the spine. It is a three-dimensional change in the shape and alignment of the spine, which can include curvature, rotation, and changes in the spine’s position from front to back and side to side. These changes can create a “C” or “S” shaped curve when viewed from behind.
For children who are still growing, early evaluation and appropriate treatment can be important in managing scoliosis. Bracing is a well-established treatment option that can help slow or prevent progression of the spinal curve during growth.
Our goal is to provide each child with a brace that is thoughtfully designed around their unique curve, anatomy, and needs—helping them stay active, comfortable, and confident throughout treatment.

Full-time back brace for young children. Metha casting technique.

Full-time back brace(18+ hrs)

Full-time back brace(18+ hrs)

Night time brace (8-10 hrs)

Full-time Braces (18+ hrs)
Full-time back brace that is used in early onset scoliosis in young children. It is designed to be a natural transition to bracing following the popular Metha casting technique.

Full-time Braces (18+ hrs)
Full-time back brace, most commonly used brace in the USA for adolescent idiopathic scoliosis.

Full-time Braces (18+ hrs)
Full-time back brace, this European style brace has made a large presence in the USA in recent years, it focuses on targeted pressure areas and expansion zones.

Night time Brace (8-10 hrs)
Nocturnal brace, on occasion a curve type may only require 8-10 hours of treatment, this brace is a great solution when this is an option.
One of key components of creating a custom brace and holding the spine in a corrected state starts here. The Risser table is used in Dr. Metha’s casting process, TOPS uses it as often as possible for each full time back brace. The Risser table assists in reducing the scoliotic deformity by elongation, derotation, and lateral correction of the spine.



TOPS provides custom bracing for many neuromuscular and orthopedic conditions, we are motivated to provide the proper brace to meet an individual’s needs. Providing a stable foundation while we walk is essential for improved mobility!
TOPS is focused on providing high quality prostheses that allow individuals to get back to participating in activities that they love. Creative solutions are needed for each prosthesis because each individual using a prosthesis has different goals and preferences. We have experience treating the full spectrum of complex limb loss, from partial foot to hemipelvectomy, below knee and above knee. TOPS has exceptional experience specifically with Syme level, PFFD, and Van Nes Rotationplasty prostheses

Typically a gel or foam liner designed to improve comfort of the socket around the limb

How will the prosthesis attach to the limb? Pin lock, lanyard, suction, anatomic self-suspension.

The most important part of the prosthesis, getting the socket comfortable is key in keeping active each day!

How the socket attaches to the knee and foot

Each knee has unique characteristics during stance and swing phases as we walk. Attributes include Single axis vs polycentric designs, friction, hydraulic & microprocessor controlled.

Typically made of a composite material to provide a dynamic response while walking. Your daily activities and hobbies are considered to make sure this prosthesis is custom to your lifestyle!