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7. Spinal Region—When Two or More Ranges of Motion Are Involved
a. Calculate separately and record impairment contributed by ankylosis in each position of the spinal region.
b. The largest ankylosis impairment value is the impairment of the whole person contributed by spinal region.
  Impairment of the Whole Person  
Example: Cervical Region ankylosed at:
20 degrees FLEXION = 33%
10 degrees RIGHT ROTATION = 27%
The largest ankylosis impairment value is 33%; therefore, the whole person is 33% impaired by ankylosed cervical region.

Table 6—Impairment of Cervical, Thoracic and
Lumbar Regions Due to Ankylosis, Determined by
Radiographic Methods
Favorable %Impairment Unfavorable %Impairment
neutral Position
of Whole Person Position Of Whole Person
Any 2 cervical 2 Any 2 cervical 4
Any 3 cervical 5 Any 3 cervical 10
Any 4 cervical 7 Any 4 cervical 14
Any 5 cervical 9 Any 5 cervical 18
Any 6 cervical 12 Any 6 cervical 24
Any 7 cervical 14 Any 7 cervical 28
C7andT1 2 C7andT1 4
Any 2 thoracic 1 Any 2 thoracic 2
Any 3 thoracic 2 Any 3 thoracic 4
Any 4 thoracic 3 Any 4 thoracic 5
Any 5 thoracic 4 Any 5 thoracic 7
Any 6 thoracic 5 Any 6 thoracic 9
Any 7 thoracic 5 Any 7 thoracic 11
Any 8 thoracic 6 Any 8 thoracic 13
Any 9 thoracic 7 Any 9 thoracic 15
Any 10 thoracic 8 Any 10 thoracic 16
Any 11 thoracic 9 Any 11 thoracic 18
Any 12 thoracic 12 Any l2 thoracic 20
T12 and L1 3 T12 and L1 6
Any 2 lumbar 3 Any 2 lumbar 6
Any 3 lumbar 6 Any 3 lumbar 12
Any 4 lumbar 9 Any 4 lumbar 18
Any 5 lumbar 12 Any 5 lumbar 24
C1-C7 14 C1-C7 28
T1-T12 10 Tl-T12 20
Li-L5 12 Li-IS 24
C1-T12 23 C1-T12 28
11-1.5 21 Ti-IS 39
Cl-IS 32 C1-L5 56
This table should not be used if there are specific disorders of the spine that already have been used to determine an impairment.

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