Dragonfly TLSO System

Code Verified L-0456

Dragonfly TLSO is the first release in our TherAlign™ brand of code-verified orthotic systems. It combines ‘warm-and-form’ spinal bracing with the wearable therapy of a TheraTogs undergarment in a customized, integrated orthosis.

Promotes superior torso stability throughout the core

Dragonfly TLSO supports the spine and trunk with a lightweight, rigid panel – forming a custom spinal support anchored on the pelvis for superior torso core stability while training the neuromotor system into more functional alignment using a TheraTogs undergarment.

Lightweight, comfortable, and easy to wear

  • Provides abdominal support without restricting breathing
  • Facilitates long-term neuromotor improvements that address the causes of postural and spinal issues
  • Live-in orthotic solution that does much more than simply immobilize the spine
  • No complicated tightening devices
  • Weighs less than one pound for most adult sizes, and pediatric sizes weigh a few ounces
  • Customized postural support is worn discreetly, under loose clothing

How the Dragonfly TLSO works

A clinician first warms the Dragonfly brace using a low temperature(165°-180° F). Warming takes 8 – 14 minutes , depending on the heat source and the size of the Dragonfly.  Meanwhile, a TheraTogs undergarment is applied to the wearer’s hips and torso, which is cozy, breathable and delivers somatosensory input, flexible stability, and attachment sites for muscle-assist strapping. Once warmed, the Dragonfly is then applied to support the spine with a lightweight but rigid panel, custom-formed to the iliac crests and upper trunk, to anchor spinal alignment support on the pelvis.

Dragonfly TLSO FAQs

Product Information Sheet (PDF)

Product Video

Dragonfly TLSO Algorithm

Product Specifics

TLSO is designed to address many of the most common trunk and posture indications, including:

  • Truncal hypotonia
  • Forward head
  • Flexible kyphosis
  • Flexible lordosis
  • Excessive pelvic tilt
  • Trunk muscle weakness
  • Post-laminectomy flexible kyphosis
  • Osteoporosis
  • Shoulder protraction or scapular winging that improves with spinal extension
  • Mild, functional scoliosis that can be corrected without force
  • All those with spinal alignment concerns can use fewer straps with the Dragonfly

You can also download the Client Selection Guidelines for Clinicians here.

The Dragonfly system’s unique (and patent pending) double-wing design anchors on the pelvis to deliver optimal stability, comfort, and torso support, with minimum weight and bulk. The warm-and-form materials allow the clinician to create a truly custom truncal orthosis in minutes – and later adjustments for fit and comfort can be made with a heat gun.
The Dragonfly can influence these outcomes:

  • Improved trunk strength
  • Improved balance
  • Increased lung capacity

Pfeifer M, Kohlwey L, Begerow B, Minne HW. 2011. Effects of two newly developed spinal orthoses on trunk muscle strength, posture, and quality-of-life in women with postmenopausal osteoporosis: a randomized trial. Am J Phys Med Rehabil. 90(10):805-15.

Pfeifer M, Begerow B, Minne HW. Effects of a new spinal orthosis on posture, trunk strength, and quality of life in women with postmenopausal osteoporosis: a randomized trial. Am J Phys Med Rehabil. 2004 Mar;83(3):177-86.

Available in infant-to-adult sizes, the Dragonfly TLSO has been code-verified by PDAC for HCPCS Code L-0456 and L-0457.


As a reimbursement-ready, code-verified product, the Dragonfly TLSO system is primarily available through O&P providers who have authorized billing relationships with payor agencies. Contact your therapist for a referral, or see our Provider Locator map to find a provider near you who is experienced with TheraTogs. You can also contact Customer Service for assistance: info@theratogs.com or 888-634-0495, option 1.

TherAlign™ systems are FDA Class I medical devices intended to be issued by and applied under the supervision of a licensed healthcare practitioner engaged in neuromotor or sensorimotor retraining.

The TherAlign Dragonfly spinal support unit is comprised of GoldTone fabric, a thermoplastic core, and a polyester foam layer. TheraTogs and TherAlign components are not made with natural rubber latex.

TheraTogs and the TherAlign Dragonfly TLSO are protected by US Patents # 8,007,457 and.8,535,256 B2, and Canadian patent #2495769. The Dragonfly TLSO is patent pending in the US. Additional US patents pending.TheraTogs™, TherAlign™, Dragonfly TLSO™, GoldTone™ and TogRite™ are trademarks of TheraTogs, Inc. All Rights Reserved.

For more information about the new TherAlign brand of code-verified products contact our Customer Service team at info@theratogs.com  |  888-634-0495.

Some clinical objectives may be better addressed with a different TheraTogs system:

If you need… See also…
To address gait or lower extremity alignment issues in addition to reimbursable trunk alignment and postural/spinal support Replacement Parts process for ordering an additional Limb Accessory Kit
Trunk alignment support, postural correction, and lower extremity alignment correction without rigid spinal support or code verification Full Body System
Trunk alignment support and postural correction for an infant or small child too small for a Dragonfly Wunzi Infant System
TheraTogs systems are FDA Class I medical devices intended to be issued by, and applied under the supervision of, a licensed healthcare practitioner engaged in neuromotor training. TheraTogs systems are made of GoldTone – a proprietary composite fabric with foam backing made of an aqueous-based elastomeric urethane. TogRite strapping is elastomeric strapping with an inert, silicone-based grip surface. All materials and components of TheraTogs™ orthotic garment systems are latex-free in their manufacture and packaging.
TheraTogs™, Therapy You Wear™, TogRite™ and Wunzi™ are trademarks of TheraTogs, Inc. TheraTogs systems are protected by US Patents # 8,007,457 and 8,535,256 B2, and Canadian patent #2495769. Additional US and foreign patents pending.

Enjoy custom-fit comfort and easy, supported movement