New laparoscopic surgical techniques and innovative rehabilitation programs are changing the orthopaedic management of spine disorders. Since these procedures have become less invasive and create less soft tissue disruption, there is a need for new orthotic management to complement the spinal treatment program. The Mid-Profile Orthosis provides stability and control only where it is indicated in order to reduce spinal muscle atrophy and deconditioning. This device can be upgraded to a TLSO using the California Ant Thoracic Extension.