DeRoyal PROlign Lumbar Orthosis — Powered by the Boa Fit System | 15° & 25° Posterior Insert
The DeRoyal PROlign Lumbar Orthosis delivers clinical-grade low back support with the precision of the Boa Fit System — a patented dual dynamic closure that provides maximum compression and micro-adjustable fit at the turn of a dial. Built from hook-receivable material with a soft breathable liner, the PROlign is engineered for all-day wear, post-operative recovery, and chronic low back pain management. Available with 15° or 25° posterior inserts for clinician-prescribed lordosis control.
Key Features of the DeRoyal PROlign Lumbar Orthosis
- Boa Fit System — patented dual dynamic closure — dial-in maximum compression and micro-adjust fit with precision; no re-donning required
- Hook-receivable outer shell with breathable liner — wicks moisture away from skin during extended wear
- Rigid anterior insert — supports the intra-abdominal region, helping to unload the lumbar spine
- Posterior plastic inserts at 15° or 25° — choose the lordosis angle prescribed by your clinician
- Plastic D-rings — simplify donning and doffing for patients with limited hand strength
- FSA/HSA eligible
- HCPCS code: L0637
15° vs. 25° Posterior Insert — Which Do You Need?
| Insert | Lordosis Level | Typical Use |
|---|---|---|
| 15° | Moderate | Gentle postural support, conditions where aggressive extension is contraindicated |
| 25° | Greater | DDD, post-operative lumbar fusion, conditions requiring more aggressive spinal extension support |
Always follow your physician’s or orthotist’s prescription when selecting the insert angle.
Size Chart — DeRoyal PROlign Lumbar Orthosis
| Size | Part # (15°) | Part # (25°) |
|---|---|---|
| X-Small | 13501004 | 13500004 |
| Small | 13501005 | 13500005 |
| Medium | 13501006 | 13500006 |
| Large | 13501007 | 13500007 |
| X-Large | 13501008 | 13500008 |
| XX-Large | 13501009 | 13500009 |
Clinical Indications — Who Needs the PROlign?
- Post-operative lumbar immobilization
- Chronic low back pain
- Lumbar muscle weakness
- Lumbar strains and sprains
- Mechanical or discogenic disc disease
- Degenerative disc disease (DDD)
- IDET procedure
- Spinal blocks
- Postural support
Frequently Asked Questions — DeRoyal PROlign Lumbar Orthosis
What is a lumbar orthosis and how does it help low back pain?
A lumbar orthosis (LSO) is a rigid or semi-rigid back brace that supports and partially immobilizes the lumbar spine. It reduces mechanical load on the lumbar discs and muscles, limits painful motion, and promotes proper spinal alignment. The DeRoyal PROlign uses a rigid anterior insert to unload the lumbar spine and a Boa Fit System closure for precise, adjustable compression throughout the day.
What is the difference between the 15° and 25° posterior insert?
The 15° insert provides moderate lordosis correction for gentle postural support or where aggressive extension is contraindicated. The 25° insert promotes greater lordosis and is typically prescribed for degenerative disc disease, post-operative lumbar fusion, or conditions requiring more aggressive spinal extension support. Always follow your physician’s or orthotist’s prescription.
What is the Boa Fit System and why does it matter for a back brace?
The Boa Fit System is a patented dial-based closure system that allows you to micro-adjust compression with precision — tightening or loosening the brace without removing it. For lumbar orthoses, this is clinically significant because swelling, activity level, and comfort needs change throughout the day. The Boa system eliminates the need to re-don the brace for adjustments, improving compliance and therapeutic outcomes.
Can I wear the PROlign after lumbar fusion surgery?
Yes. The DeRoyal PROlign is commonly prescribed for post-operative lumbar immobilization following spinal fusion procedures. The 25° posterior insert is typically preferred post-fusion to promote lordosis and protect the fusion site. Your spine surgeon will specify the appropriate insert angle, wear schedule, and activity restrictions. Never modify your brace use without surgical clearance.
Is the DeRoyal PROlign FSA or HSA eligible?
Yes. The DeRoyal PROlign is a medical device and is generally FSA (Flexible Spending Account) and HSA (Health Savings Account) eligible. HCPCS code L0637 may apply — verify coverage with your insurance provider. OrthoTape does not bill insurance directly.
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Authorized DeRoyal dealer. FSA/HSA eligible. HCPCS L0637 may apply. All products are new and ship from our US warehouse. This product is intended for use under the guidance of a licensed healthcare professional. OrthoTape does not provide medical advice. Questions? Call: 800-580-9887 (M–F 9:30–5:00 EST)
