Three-plane correction for scoliosis and spinal deformity.
Manifest is a clinical partner for GOSS, the CAD-CAM spinal bracing system developed by Dr. Miguel Gómez, MD. We combine GOSS’s digital evaluation and asymmetrical brace design with hands-on fitting and follow-through in our Tampa lab.
A whole-body approach to spinal bracing.
GOSS treats the spine as part of an integrated whole, not just a curve to flatten. Its protocol focuses on alignment, equilibrium, and stability across all three anatomical planes (sagittal, coronal, transverse) to deliver more comprehensive correction than traditional bracing achieves.
Through this partnership, Manifest combines hands-on patient care, fitting expertise, and follow-through with GOSS’s digital evaluation, CAD-CAM technology, and asymmetrical brace design. Dr. Gómez serves as a Senior Advisor at Manifest, providing strategic guidance on complex spinal cases.
Schedule a GOSS evaluation →A modern, three-dimensional approach to spinal bracing.
Philosophy & Core Principles
Treats the spine as an integrated whole. Focuses on alignment, equilibrium, and stability, not just curve magnitude.
Clinical Evaluation Protocol
Photo documentation of posture, flexibility assessment, full-body measurements, and optional imaging/radiology.
3D Correction via CAD-CAM
Corrects deformities in sagittal, coronal, and transverse planes, beyond what conventional methods can achieve.
Rodin 4D® System
The GOSS lab uses a Rodin 4D scanner, software, and carver for precise brace fabrication.
Custom Asymmetrical Brace
Each brace is uniquely shaped from the patient’s 3D data and designed to apply corrective forces in multiple planes.
Conservative, Non-Invasive
A non-surgical option for spinal deformities, particularly idiopathic scoliosis.
Evidence-Based
The GOSS method has been presented in peer-reviewed literature, validating its framework.
Bridging Global & Local Care
Global lab expertise from Bogotá combined with local fitting and lifelong support at Manifest in Tampa.
The GOSS care pathway.
From the first evaluation to the final fit, the GOSS pathway combines digital precision with hands-on clinical judgment.
Initial Consultation & Assessment
Evaluation of patient history, posture, pain, flexibility, and treatment goals.
Photographic & Postural Documentation
Standardized photos in multiple planes to map alignment and imbalance.
Flexibility & Corrective Testing
Patients perform movements that reveal corrective potential in each plane.
Data Submission for CAD Design
Measurements and postural data generate a 3D brace model.
Manufacture in GOSS Lab
Fabricated using the Rodin 4D system for precision fitting.
Final Fitting & Adjustment
The brace is refined at Manifest in Tampa to ensure comfort and proper alignment.
Follow-Up & Monitoring
Regular check-ins and imaging to monitor progress and adjust as the patient grows or changes.
Advanced design. Local care. Evidence behind it.
- Whole-body correction, not just curves. Addresses malalignment, stability, and balance in all three planes.
- Precision through CAD-CAM. Asymmetrical brace design matched to individual biomechanics.
- Reduced guesswork, better fit. A data-driven pipeline minimizes iterative adjustments.
- Conservative, non-surgical option. An alternative to invasive interventions.
- Evidence-based approach. Supported by peer-reviewed publications.
- Bridging global innovation & local care. Designed in Bogotá, fit and supported in Tampa.
Need a spinal evaluation?
Free consultations. CAD-CAM design. Physician advisor on every complex case.
Schedule an Evaluation Call (813) 801-9110