There are several spinal measurement forms available on the internet. They all might very slightly but they all consist of three types of measurements: lengths, M/Ls’, and circumferences. I would highly suggest that you memorize these as you may or may not be provided with a spinal orthometry form during the examination. It’s also very helpful to develop a pattern as how you will measure. Either start with circumferences and end with M/Ls’.

Just make sure that you are not having the patient log roll more than necessary (one time). Before ever delivering a TLSO make sure to double check the final measurements. Is everything in the correct location, iliac crest pads? Are the proper modifications made: spinal reliefs (if necessary, abdominal reliefs, and breast reliefs? Make sure to double check all of these during the examination process and real life.


Chest, xyphoid, waist, ASIS, trochanter or 1” below, and breast circumference if required.


Chest, xyphoid, waist, ASIS, and trochanter (or 1” below).


Starting proximally to waist: Sternal notch, nipple line, xyphoid, superior (spine of) scapula, inferior scapula, and axilla.

From waist to inferior: ASIS, symphysis pubis, trochanter, coccyx, and gluteal fold.


When measuring lumbar lordosis place the goniometer half way between T11/T12 and S1/S2. The amount of lumbar lordosis or difference is not able to be read on the dial. Unlike most ROM measurements it is not necessary to be concerned on where the stationery and mobile arms are to be place as long as they either begin or end at T11/T12  and S1/S2.