Document ID: chunk:federal_register_of_legislation:F2023L00223:clause:1_8
Version: federal_register_of_legislation:F2023L00223
Segment Type: clause
Provision Reference: sch 1 cl 8
Character Range: 282325–284254

8      Clinically significant radiculopathy and objectively demonstrated disc herniation consistent with the radiculopathy (improved following non-operative treatment).
       or
       Fractures:
             * Compression fracture of one vertebral body of less than 25%; or
             * Posterior element fracture without dislocation – healed without loss of structural integrity or radiculopathy; or
             * Spinous or transverse process fracture with displacement.
       Significant signs of radiculopathy, such as pain and/or sensory loss in a dermatomal distribution, loss or alteration of relevant reflex(es), loss of muscle strength, or unilateral atrophy compared with the unaffected side, measured at the same distance above or below the elbow. The neurological impairment may be verified by electrodiagnostic findings.
       or
       Clinically significant radiculopathy and objectively verified disc herniation consistent with the radiculopathy, or with improved radiculopathy following surgery.
10–18  or
       Fractures:
             * Compression fracture of one vertebral body of 25% to 50% – healed without loss of structural integrity, with or without radiculopathy; or
             * Posterior element fracture with displacement disrupting the spinal canal – healed without loss of structural integrity, with or without radiculopathy.
       Note: In the case of fractures, differentiation from a congenital or developmental condition should be accomplished, if possible, by examining pre-injury roentgenograms, if available, or by a bone scan performed after the onset of the condition.
       Alteration of motion segment integrity (at least 3.5mm of translation of one vertebra on another or angular motion of more than 11° greater than at each adjacent level).
       or
       Bilateral or multilevel radiculopathy with objectively verified disc herniation consistent with the radiculopathy.