Key FeaturesIntegrated Pulley Tightening System: The lumbar section uses a cable-and-pulley adjustment layout with blue tension tabs/buttons to create fast, even compression across the lower back, allowing the brace to be tightened with less effort than traditional pull straps.Full-Length Rigid TLSO Back Shell: A tall molded posterior plastic frame extends from the upper thoracic area down through the lumbar region to provide firmer trunk control and help limit excessive bending or slouching.Synchronous Shoulder Gear Linkage: The upper strap connection uses a gear-style synchronized mechanism so both shoulder straps tension more evenly, helping maintain symmetrical postural correction across the upper back.Removable Perforated Shoulder Pads: Detachable padded shoulder liners with breathable perforations reduce strap pressure on the shoulders and collar area, which is especially helpful during longer wear sessions.Wraparound Elastic Waist Compression Belt: The brace combines the rigid shell with a broad abdominal/waist wrap that anchors the orthosis securely around the torso and supports the lumbar spine during walking, standing, and sitting.Perforated Ventilation Panels: The side and lumbar support zones feature vented perforations that improve airflow and reduce heat buildup compared with fully closed plastic or foam-backed braces.Breathable Velvet and Suede Contact Surfaces: The inner contact materials are described as soft, skin-friendly velvet and suede fabric with perforated cushioning, helping reduce stiffness and irritation during daily use.One-Hand Adjustment Design: The pulley handle can be tightened with one hand, making the brace more manageable for older adults or users with reduced hand strength during self-adjustment.Suitable ForCompression fracture support in the thoracic spine and lumbar spineOsteoporosis-related spinal weakness or vertebral support needsKyphosis or hunchback posture correction and posture retrainingRecovery support after thoracolumbar injury or spinal fracturePost-laminectomy support when recommended by a healthcare professionalThoracic and lumbar herniated disc supportSpinal stenosis and chronic mid-back or low-back instabilityElderly users needing structured posture and trunk supportDesk work, walking, driving, and light household activity with added spinal stabilizationDaily support for users with upper-back rounding and worsening postural collapseSize GuidePlease measure carefully before ordering.SizeMeasurement AreaMeasurement RangeSWaist at belly button level21.5″ – 27.5″MWaist at belly button level27.5″ – 33.5″LWaist at belly button level33.5″ – 39.5″XLWaist at belly button level39.5″ – 45.5″2XLWaist at belly button level45.5″ – 51.5″Sizing Tips:Use a soft measuring tape for the most accurate result.Measure the recommended body area according to the size chart.If you are between sizes, use your waist measurement at belly button level and consider whether you will wear the brace over light clothing.Do not choose a smaller size for stronger compression, as this may cause discomfort or restrict circulation.Product SpecificationsItemDetailsProduct NameTLSO Back Brace for Compression Fractures, Osteoporosis, Upper Spine InjuriesCategoryBack BraceSuitable Body PartThoracic and lumbar spine, upper and lower backMaterialBreathable velvet, suede fabric, perforated cushioning, and rigid plastic support panelsColourBlackSize OptionsS / M / L / XL / 2XLClosure TypeHook-and-loop straps with pulley tightening systemAdjustableYesSupport LevelFirmRecommended UseDaily Support / Recovery Support / Posture Support / Mobility SupportPackage IncludesOber CO-25 TLSO Back BracePackage IncludesOber CO-25 TLSO Back Brace × 1Removable shoulder pads × 1User manual × 1Integrated pulley adjustment system × 1Important NotesPlease check the size chart carefully before purchasing.Do not overtighten the brace, as this may affect circulation.This product should feel supportive but not painful.Stop using the product if you experience numbness, skin irritation, swelling, or increased discomfort.For post-operative use or serious injuries, please consult a healthcare professional before use.Actual product color may vary slightly due to lighting and screen settings.Manual measurement may result in slight size differences.