DeRoyal MAXAlign LSO & TLSO — Powered by the Boa Fit System
The DeRoyal MAXAlign LSO and TLSO are rigid spinal orthoses powered by the Boa Fit System for maximum lumbar and thoracolumbar support. Designed for post-operative recovery, spinal fractures, and instability, the MAXAlign delivers clinical-grade immobilization with the precision and ease of Boa's patented dial closure system. Available in LSO (lumbar) and TLSO (thoracolumbar) configurations.
Key Features
- Boa Fit System — patented dial closure for secure, micro-adjustable fit
- Rigid construction — maximum spinal immobilization
- LSO and TLSO configurations — lumbar-only or thoracolumbar coverage
- Belt adjustment range: 24"–59" — fits most adult body sizes
- Breathable materials — comfortable for extended wear
Clinical Indications
- Post-operative lumbar and thoracolumbar immobilization
- Spinal fractures
- Spinal instability
- Degenerative disc disease
- Chronic low back pain requiring rigid support
Product Family & Size Chart
| Description | Belt Adjustment Length | Product # | Price |
|---|---|---|---|
| MAXAlign TLSO-S (w/ Sternal Pad Kit) | 24"–59" | MTS33-15 | $439.99 |
| MAXAlign TLSO-D (w/ Dorsal Lumbar Extension) | 24"–59" | MTD33-15 | $384.99 |
| MAXAlign LSO | 24"–59" | MLP30-15 | $305.99 |
| MAXAlign TLSO-S, Short | 24"–59" | MTS33-15-S | $439.99 |
How to Apply the MAXAlign Brace
Watch the official DeRoyal application video below, then follow these steps:
- Open the brace — Turn Boa dials counterclockwise until laces release. Open front panels fully.
- Position the brace — Wrap the posterior shell around the lower back, centering over the lumbar or thoracolumbar region as prescribed.
- Secure the abdominal panel — Bring the front panel into position and fasten the belt straps for a snug, comfortable fit.
- Engage the Boa dials — Turn dials clockwise to tighten. Micro-adjust until even, firm compression is achieved across both dials.
- Verify fit — Confirm the brace sits level, does not shift during movement, and provides the prescribed immobilization. Consult your clinician if adjustments are needed.
HCPCS Billing Codes
| Model | Product # | HCPCS Code(s) |
|---|---|---|
| MAXAlign LSO | MLP30-15 | L0650 or L0637 |
| MAXAlign TLSO-D | MTD33-15 | L0457 or L0456 |
| MAXAlign TLSO-S / TLSO-S Short | MTS33-15 / MTS33-15-S | L0464 |
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Authorized DeRoyal dealer. Questions? Call: 800-580-9887 (M–F 9:30–5:00 EST)
Frequently Asked Questions
What is the difference between the MAXAlign LSO and TLSO?
The LSO (Lumbar Spinal Orthosis) — model MLP30-15 — covers the lumbar region only and is indicated for lower back conditions. The TLSO (Thoracolumbar Spinal Orthosis) extends coverage up into the thoracic spine and is available in two configurations: TLSO-D (MTD33-15) with a dorsal lumbar extension, and TLSO-S (MTS33-15 / MTS33-15-S) with a sternal pad kit for anterior thoracic support. Your clinician will prescribe the appropriate configuration based on your diagnosis.
What is the Boa Fit System on the MAXAlign brace?
The Boa Fit System is a patented dial-and-lace closure technology integrated into the MAXAlign brace. Turning the dial clockwise tightens the brace with micro-adjustable precision, delivering even compression across the lumbar or thoracolumbar region. To release, simply pull the dial upward. This eliminates the need to re-don the brace for fit adjustments and ensures consistent, repeatable immobilization.
What HCPCS codes apply to the DeRoyal MAXAlign?
HCPCS billing codes for the MAXAlign family are: LSO (MLP30-15): L0650 or L0637. TLSO with Dorsal Lumbar Extension (MTD33-15): L0457 or L0456. TLSO with Sternal Pad Kit (MTS33-15 / MTS33-15-S): L0464. Always verify coding with your billing department or clinician, as coverage and applicable codes may vary by payer.
What size is the DeRoyal MAXAlign and how does the belt adjustment work?
All MAXAlign models — TLSO-S (MTS33-15), TLSO-D (MTD33-15), LSO (MLP30-15), and TLSO-S Short (MTS33-15-S) — accommodate a belt adjustment length of 24" to 59". This wide range allows the brace to fit most adult body sizes without requiring multiple size SKUs. Measure around the widest part of the abdomen to confirm fit within this range.
