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Musculoskeletal—The Spine
EVALUATION OF THE
SPINE
For
evaluation purposes, the
spine is divided into three
sections;
cervical,
thoracic,
and lumbosacral. Each
section must be evaluated individually
and then
combined,
using the Combined Values
Chart found in Section
15.
The
Specific Disorders of the
Spine Table serves as the basis upon
which, after a diagnosis has been
established, an impairment can be
formulated. The table serves as a basis
for numerous spinal disorders ranging from
fractures to herniated intervertebral
discs; soft tissue injuries to
spondylolisthesis.After
determination of the impairment from a
spinal disorder has been obtained that
value must be
combined
with the appropriate
value of residual objective signs for
ankylosis, and spinal cord and/or spinal
nerve injury.
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SPECIFIC DISORDERS OF
THE SPINE TABLE
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FRACTURES
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Disorder
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Impairment of the
Whole Person
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1.
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Compression of one
vertebral body
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1-25%.........................................
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C=4%T=2%L=5%
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26-50%.......................................
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C=6%T=3%L=7%
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51%+..........................................
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C=10%T=5%L=12%
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When two or more compression
fractures are present,
COMBINE.
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Pre-existing compression
fractures should be rated only
when there has been
aggravation by a new injury
shown by objective
radiological findings. These
values should be addressed in
the report as a preexisting
factor.
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2.
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Fracture of the Posterior
Elements of the Vertebra
(pedicles, laminae, or
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articular processes)
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Cervical.......................................
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4%
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Thoracic.......................................
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2%
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Lumbar
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5%
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This
may include nonunion or mal-union.
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