The DonJoy LSO with Chairback combines the DonJoy LSO Low Profile brace with a rigid chairback frame to provide extended spinal support from T9 - S1 in a modular step-down design.
Indication: Low back pain; Low back sprains/strains; Lumbar disc displacement; Osteoporosis; Disc herniation and Degeneration; Post-operative laminectomy; Post-operative disectomy; IDET procedure; Spondylolisthesis; Post-operative fusion; Spinal stenosis
PDAC Assigned Code: L0650 (OTS) or L0637 (CST)
Part Number | Description | Waist Measurement | Size |
---|---|---|---|
11-1562-2 | Range of Spinal Support T9 - S1 | 25" - 30" (63 - 76 cm) | S |
11-1562-3 | Range of Spinal Support T9 - S1 | 30" - 35" (76 - 89 cm) | M |
11-1562-4 | Range of Spinal Support T9 - S1 | 35" - 40" (89 - 102 cm) | L |
11-1562-5 | Range of Spinal Support T9 - S1 | 40" - 45" (102 - 114 cm) | XL |
11-1562-6 | Range of Spinal Support T9 - S1 | 44" - 50" (114 - 127 cm) | XXL |
11-1562-7 | Range of Spinal Support T9 - S1 | 50" - 55" (127 - 140 cm) | XXXL |
Part Number | Description | Size |
---|---|---|
11-1563-x | Standard Chairback | S - XL |
11-1564-x | Short Chairback* | S - XL |
Waist Measurement
Size | Measurement |
---|---|
x = 2 = S | 25" - 30" (60 - 75 cm) |
x = 3 = M | 30" - 35" (75 - 89 cm) |
x = 4 = L | 35" - 40" (89 - 102 cm) |
x = 5 = XL | 40" - 45" (102 - 114 cm) |
x = 6 = XXL | 45" - 50" (114 - 127 cm) |
x = 7 = XXXL | 50" - 55" (127 - 140 cm) |
Individual results may vary.
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