Ratings for Spinal Conditions?

MarkP02

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Registered Member
Hello everyone! I'm wondering if anyone can tell me by recent experience or medical knowledge what percentage ratings folks are getting for serious spinal conditions these days? I've just been referred to an MEB and have 15 years in service.

The following conditions have been noted on my MRIs over the last few years. (Note - I recently had a double fusion surgery on C5-C7, so the C-spine issues are probably somewhat corrected now). I understand that a lot of the rating system has to do with range of motion, but are there additional considerations for documented spinal damage which has an effect on nerve pain?

At L1/L2, there is a moderate disc bulge which is asymmetric to the right lateral recess/foramina zone with adjacent disc extrusion. This results in moderate narrowing of the central spinal canal and mild mass effect on the ventral right lateral aspect of the traversing conus without subjacent cord signal abnormality. There is additional a mild bilateral neural foramina narrowing.

At L5/S1, there is moderate disc height loss, disc desiccation, and a large posterior central annular tear/diffuse disc bulge results in mild effacement of the ventral thecal sac and mild to moderate narrowing of the lateral recess read abuts the traversing S1 nerve roots without significant displacement or compression. Mild a moderate bilateral neural foraminal narrowing is also present.

T10-T11: Large right paracentral disc protrusion causes severe stenosis of the right neural foramen and moderate stenosis of the central spinal canal.

At C6-7 there is mild disc height loss, moderate degenerative endplate changes with mild facet arthrosis and a moderate posterior disc osteophyte complex and severe bilateral uncovertebral joint hypertrophic changes. This results in mild central spinal canal stenosis and severe bilateral neural foramina narrowing without significant change from prior imaging. There is no evidence for underlying cord signal abnormality but there is mild mass effect on the left ventral aspect of the cord.

Thanks in advance for any help that anyone out there may be able to provide!
 
Hello everyone! I'm wondering if anyone can tell me by recent experience or medical knowledge what percentage ratings folks are getting for serious spinal conditions these days? I've just been referred to an MEB and have 15 years in service.

Welcome MarkPO2!

The answer to your question is by reference to the below rating criteria. Note that much of your post covered information that is medical and diagnostic in nature. That is fine information about the medical condition. However, understand that the disabilities are rated according to the VASRD criteria.

This is the relevant rating criteria:


"The Spine- Rating General Rating Formula for Diseases and Injuries of the Spine

(For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes):

With or without symptoms such as pain (whether or not it radiates), stiffness, or aching in
the area of the spine affected by residuals of injury or diseaseUnfavorable ankylosis of the entire spine 100

Unfavorable ankylosis of the entire thoracolumbar spine 50

Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine
30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine 40


Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical
spine 30

Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees;
or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or,
the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the
combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or
guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis,
reversed lordosis, or abnormal kyphosis 20

Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees;
or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or,
combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater
than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but
not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in
abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or
more of the height 10


Note (1): Evaluate any associated objective neurologic abnormalities, including, but not limited to,
bowel or bladder impairment, separately, under an appropriate diagnostic code.

Note (2): (See also Plate V.) For VA compensation purposes, normal forward flexion of the cervical
spine is zero to 45 degrees, extension is zero to 45 degrees, left and right lateral flexion are zero to 45
degrees, and left and right lateral rotation are zero to 80 degrees. Normal forward flexion of the
thoracolumbar spine is zero to 90 degrees, extension is zro to 30 degrees, left and right lateral
flexion are zero to 30 degrees, and left and right lateral rotation are zero to 30 degrees. The
combined range of motion refers to the sum of the range of forward flexion, extension, left and
right lateral flexion, and left and right rotation. The normal combined range of motion of the
cervical spine is 340 degrees and of the thoracolumbar spine is 240 degrees. The normal ranges
of motion for each component of spinal motion provided in this note are the maximum that can
be used for calculation of the combined range of motion.

Note (3): In exceptional cases, an examiner
may state that because of age, body habitus, neurologic disease, or other factors not the result of
disease or injury of the spine, the range of motion of the spine in a particular individual should be
considered normal for that individual, even though it does not conform to the normal range of
motion stated in Note (2). Provided that the examiner supplies an explanation, the examiner's
assessment that the range of motion is normal for that individual will be accepted.

Note (4):Round each range of motion measurement to the nearest five degrees.

Note (5): For VA compensation purposes, unfavorable ankylosis is a condition in which the entire cervical
spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis
results in one or more of the following: difficulty walking because of a limited line of vision; restricted
opening of the mouth and chewing; breathing limited to diaphragmatic respiration; gastrointestinal
symptoms due to pressure of the costal margin on the abdomen; dyspnea or dysphagia; atlantoaxial
or cervical subluxation or dislocation; or neurologic symptoms due to nerve root stretching. Fixation
of a spinal segment in neutral position (zero degrees) always represents favorable ankylosis.

Note (6): Separately evaluate disability of the thoracolumbar and cervical spine segments, except when
there is unfavorable ankylosis of both segments, which will be rated as a single disability."

I hope this helped! Best of luck to you!!
 
Hi Mark,

Any updates on your MEB? I've just discovered I have some back issues (mild/moderate degenerative disc disease shown by x-ray) and am doing some initial reading about other's conditions.

-----

Jason,

Thanks for the thorough break-down!
 
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