--- title: "Product Highlight: Elite 456/457 TLSO" description: Product highlights from Elite Medical Supply will provide educational information on the recommended usages for each product that we carry. Today on the blog, we are featuring the Elite 637/650 LSO. The Elite 637/650 LSO is designed to provide spinal support. Support and control is provided by a posterior panel which extends from the Sacrococcygeal Junction to T9 vertebra along with rigid anterior and lateral panels. A lightweight and breathable design helps to ensure patient compliance and avoid further injury. --- [Blog | Elite Medical Supply | Medicare Back, Knee and Extremity Bracing ](https://blog.elitemedicalsupply.com) # [Product Highlight: Elite 456/457 TLSO](https://blog.elitemedicalsupply.com/product-highlight-elite-456/457-tlso) Written by [Elite Medical Supply of NY](https://blog.elitemedicalsupply.com/author/elite-medical-supply) | Aug 19, 2025 7:30:00 AM Product highlights from [Elite Medical Supply of NY](https://www.elitemedicalsupply.com/?hsLang=en) will provide educational information on the recommended usages for each product that we carry. Today on the blog, we are featuring the [Elite 456/457 TLSO](https://www.elitemedicalsupply.com/back-braces/elite-456_457-tlso?hsLang=en). The Elite 456/457 TLSO is a Thoracic Lumbar Sacral Orthosis designed to provide spinal support of the thoracic, lumbar, and sacral regions. Support and control is provided by a posterior panel which extends from the Sacrococcygeal Junction and terminates just inferior to the scapular spine along with rigid anterior panels. A lightweight and breathable design helps to ensure patient compliance and avoid further injury. The Elite 456/457 TLSO from Elite Medical Supply of NY is a versatile TLSO that adjusts to fit waists from 26” to 70” (fits waist up to 82” with optional extender). Two sizes are available, the Standard model fits 26” - 55” waists and the Extended model fits 40” - 70” waists, simplifying the fitting process and reducing inventory.  The Elite 456/457 TLSO design provides step-down support that is simple to change throughout therapy with easily removable anterior panels. You will have a TLSO that supports the spine throughout the entire recovery process with a posterior panel and pulley assembly that conforms to the lordotic curve, plus the benefits of removable anterior panels.    ## Features The Elite 456/457 TLSO is designed to help control and support the thoracic, lumbar, and sacral regions of the spine, reduce lumbar pain, and promote healing when used pre or post-surgical and as a conservative treatment option for various spinal conditions.   ### Lightweight Design A lightweight and breathable design helps to ensure patient compliance and avoid further injury. ### Two Sizes Simplify Inventory & Fitting - Standard size: 26” to 55” - Extended size: 40” to 70” - Optional Belt Extensions increase width up to 12” - Generous 15” overlap between sizes   ### Step-Down Design The step-down design adapts to patient needs during recovery with simple to remove anterior panels.   ### Comfortable Materials Padded posterior and ergonomically designed anterior panels for comfort. ### Double Pulley String System The double pulley string system requires less force to achieve the desired compression making it easier when donning the TLSO. ### Wide Velcro Closure The wide Velcro closure design increases adjustability when donning. ### Warranty 3 year product warranty. ### HCPCS Coding [L0456 / L0457](https://blog.elitemedicalsupply.com/hubfs/PDAC%20Letters/Elite%20456_457%20TLSO%20PDAC%20Determination%20Letter%202-15-2025.pdf)   ## Indications For Use The Elite 456/457 TLSO can be used to treat the following conditions. - Spinal instability - Post-op stabilization & support - [Chronic/Non-specific lower back pain](https://blog.elitemedicalsupply.com/all-you-need-to-know-about-the-use-of-a-back-brace-for-alternative-back-pain-treatment) - Lumbar muscle & ligament strain - [Degenerative spinal conditions](https://blog.elitemedicalsupply.com/how-to-find-the-right-back-brace-to-manage-degenerative-disc-disease) - Facet syndrome - [Herniated discs ](https://blog.elitemedicalsupply.com/use-the-right-back-brace-to-manage-or-maintain-a-herniated-disc) - Radiculopathy - Spinal osteoarthritis - [Spinal stenosis](https://blog.elitemedicalsupply.com/lumbar-spinal-stenosis) - [Spondylolisthesis](https://blog.elitemedicalsupply.com/understanding-spondylolysis_symptoms_causes_treatment) - [SI dysfunction](https://blog.elitemedicalsupply.com/understanding-si-joint-dysfunction) Many of the conditions listed above have been discussed in [blog articles](https://blog.elitemedicalsupply.com/) on this site. Click on the links above in the indications for use list to read more about the condition.   ## Precautions READ ALL INSTRUCTIONS BEFORE USE. The instructions are for use by a qualified professional. The user should receive thorough training before use. Proper fit is essential to effective use of the brace. Injury may result if improper use occurs or if the treatment plan from a medical professional is not followed.   ## Additional Product Info Instructional videos from Elite Medical Supply of NY shows users how to apply the Elite 456/457 TLSO and offer other helpful information. Elite 456/457 TLSO Sizing   Elite 456/457 TLSO Application & Removal   Elite 456/457 TLSO Panel, Chest Strap Removal & Install   Elite LSO & TLSO Belt Extension Install   Spanish version videos are available on the product page. View them by clicking [here](https://www.elitemedicalsupply.com/back-braces/elite-456_457-tlso). The Elite 456/457 TLSO Manual can be viewed by clicking [here ](https://blog.elitemedicalsupply.com/hubfs/Imported%20product%20manuals/Elite%20456_457%20TLSO%20Manual%20rev1.pdf)and expanding the Manual tab.   ## We're Here to Help The team of experts at Elite Medical Supply are here to help identify the right brace for your condition. We offer a wide selection of braces to help alleviate and treat your painful condition. Our braces can be viewed by clicking [here](https://www.elitemedicalsupply.com/back-braces). When you're ready to order a brace or need assistance making a choice we're here to help. You can reach us at 866-712-0881, send us an [email](mailto:order@elitemedicalsupply.com), or fill out a [contact form](https://www.elitemedicalsupply.com/contact). 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