|
5.
|
Surgically treated disc lesion with or without objective finding** neurological
|
|
|
|
Cervical.....................................................
|
6%
|
|
|
Thoracic.....................................................
|
5%
|
|
|
Lumbar .....................................................
|
7%
|
|
|
*Medically documented: e.g., records which shall include history, physical
|
|
|
|
exam findings, and appropriate diagnostic studies.
|
|
|
**If there are no residuals, there are no values to be combined with these
|
|
|
|
numbers. With objective neurologic findings the neurologic impairment must
|
|
|
|
be rated in accordance with Section 5 of this Guide.
|
|
|
Patient should not be evaluated for permanency until the patient has reached MMI. “Objective clinical findings” as used in these guides means examination results which are reproducible and consistent. Examples of objective clinical findings are involuntary muscle spasms, consistent postural abnormalities, and changes in deep tendon reflexes. “Postural abnormality” means a deviation from normal posture caused by injury as found on anterior/posterior or lateral x-rays that involves the spine and pelvis or segments of the spine or pelvis, such as kyphosis, lordosis, or scoliosis.
|
|
6.
|
Multiple levels of disc involvement with or without operation and with or
|
|
without objective residual signs of injury
|
Add 1% level
|
7. Multiple operations with or without residual signs of injury
|
|
A.
|
Second operation.....................................................
|
Add 2%
|
|
|
B.
|
Third or subsequent operation..................................
|
Add 2%/operation
|
|
8.
|
With surgically treated disc lesion including a surgical spinal fusion, increase the impairment by 1% per vertebral level fused.
|
|
SPONDYLOLYSIS AND SPONDYLOLISTHESIS, UNOPERATED
|
|
Disorder
|
|
Impairment of the Whole Person
|
|
1. Spondylolysis or Grade 1(1 %—25% slippage), or Grade II (26%—50% slippage) Spondylolisthesis, accompanied by objective studies documenting injury
|
|
|
Cervical
|
.....................................................
|
7%
|
|
|
Thoracic
|
.....................................................
|
4%
|
|
.
|
Lumbar
|
.....................................................
|
8%
|
|
2. Grade III (51%—75% slippage) or Grade IV (76%—lOO% slippage) Spondylolisthesis, accompanied by objective studies documenting injury
|
|
|
Cervical.
|
.....................................................
|
9%
|
|
.
|
Thoracic
|
.....................................................
|
5%
|
|
|
Lumbar
|
.....................................................
|
10%
|
|
|
