1. CALIFORNIA SOFT SPINAL SYSTEM™

2. CALIFORNIA™ SOFT SPINAL SYSTEM TO TREAT: HBACK PAIN HDISCOGENIC DISEASE HPOST OPERATIVE SPINAL FUSIONS HLAMINECTOMIES HSPONDYLOLISTHESIS HSPONDYLOLYSIS

3. CALIFORNIA™ SOFT SPINAL SYSTEM FEATURES: HTotally modular, interchangeable componentry HCompound pull closure system HSoft, hypoallergenic, breathable fabric HRemovable anterior & posterior panels HConverts from: H LSO-- Lumbo Sacral Orthosis H TLSO-- Thoraco Lumbo Sacral Orthosis

4. CALIFORNIA™ SOFT SPINAL SYSTEM HThree styles of TLSO Components HATE- anterior thoracic extension HPTE- posterior thoracic extension HT-bar

5. CALIFORNIA™ SOFT SPINAL SYSTEM HRigid, Semi-Rigid or “Soft” Control HLateral control panels (optional) H10 Sizes (5 Female, 5 Male)

6. Available Custom-to-Measurements Hphone Hfaxed Hmodem

7. CALIFORNIA™ SOFT SPINAL SYSTEM FITTING: HTake required measurements: H Chest Circumference at Xyphoid Process H Waist Circumference H Hip Circumference HChoose LSO or TLSO design HFor TLSO measure: H Pubic Symphysis to Sternal notch

8. CALIFORNIA™ Soft Spinal System FITTING (continued) HChoose TLSO components H Anterior Thoracic Extension (ATE) or H Posterior Thoracic Extension (PTE)or H T-bar HChoose Front and Back Panels H Front Panel- Flat or Pendulous H Back Panel- 0  or 15  Lordosis H Choose lateral support panels HAssemble componentry

9. CALIFORNIA™ Soft Spinal System Hremoldable and removable ABS plastic panel Heasy side closure with dual straps

10. CALIFORNIA™ Soft Spinal System HEasy to attach side closure HEasy to apply and remove

11. CALIFORNIA™ Soft Spinal System HPTE Attachment H provides thoracic support H promotes thoracic extension H Straps go under arms and crisscross in back

12. CALIFORNIA™ Soft Spinal System HPTE Attachment H padded anterior component pushes patient into extension H predrilled adjustment holes

13. CALIFORNIA™ Soft Spinal System HAlign Spinal System on Patient. H Open the velcro straps on one side of the front of the brace. H Logroll the patient to his side and center the posterior section under the patient’s low back. H Roll patient to his back and reattach the velcro to close the brace. HAdjust straps for maximum support H Reach back and pull both bottom straps from the side closure forward simultaneously. H Reach back and pull both top straps forward simultaneously to tighten. H Readjust for maximum comfort

14. CALIFORNIA™ Soft Spinal System HWith patient laying supine, slide the posterior section under the patient. “Logroll” the patient carefully if required

15. CALIFORNIA™ Soft Spinal System HBe sure back portion of brace is aligned properly.

16. CALIFORNIA™ Soft Spinal System HPlace front panel on abdomen with top of panel at approximately the xyphoid process.

17. CALIFORNIA™ Soft Spinal System HReattach the velcro at the side to close the brace.

18. CALIFORNIA™ Soft Spinal System HAdjust straps by pulling both bottom straps forward simultaneously. HRepeat with both top straps.

19. CALIFORNIA™ Soft Spinal System KEY BENEFITS HBoth front and back panels are made of ABS plastic and can be heated and modified with a heat gun. H Panels are easy to trim. H Heat panel with heat gun H Cut with strong scissors HPanels can be removed, H Creates a more flexible system H Allows patient’s muscles to work more H Easier to tolerate for elderly patients

20. CALIFORNIA™ Soft Spinal System HKEY BENEFITS H Back and Front panel inserts are predrilled for ease of attaching/retrofitting TLSO components. H Modular lateral components attach to anterior portion with Velcro® tabs. H Optional Posterior air bladder is also available. H With back and front panel inserts and straps removed, brace can be hand washed

21. KEY BENEFITS Models available for men and women H Female version is more pear shaped than male, with greater widths at the hips than the male version. H Front panels are not as high on the female version, reducing the chance of breast irritation

22. CALIFORNIA™ Soft Spinal System HCARE: H Remove plastic inserts. H Hand wash coolfoam pads in the sink with mild detergent H Rinse thorougly H Pads should be line dried H Replacement pads are available H California™ Soft Spinal is also available custom to measurement.  contact customer service for measurement requirements.

23. NEW FOR OCTOBER 2000! TWO NEW DESIGNS California Compression Orthosis California Low Profile

24. California Compression Orthosis HExtremely low profile design H available in 8” and 10” posterior heights H incomparable compression H universal right/left pull tab

25. California Compression Orthosis Indications: Indicated for pain caused by specific activity: work related activity heavy lifting golf gardening twisting/repetitive activities

26. California Compression

27. California Low Profile Orthosis HUses compound closure for easy one handed compression HAvailable with either ABS posterior panel or Coolfoam pad

28. California Low Profile H6” Anterior panel H supports the abdomen H reduces respiratory compression H prevents the orthosis from “riding up”

29. California Low Profile Orthosis Low back pain: obese patients patients in late pregnancy patients with a short stature patients who can not tolerate xiphoid height orthoses