sch.14-sec.85Serious cervical spine injury

sch.14-sec.85 Serious cervical spine injury

Comment 16 to 40 The injury will cause serious upper extremity impairment or serious permanent impairment of the cervical spine. The injury may involve— a change of motion segment integrity; or bilateral or multilevel nerve root compression or damage. Examples of the injury loss of motion in a motion segment because of a surgical or post-traumatic fusion a fracture involving more than 25% compression of 1 vertebral body an injury showing objective signs of nerve root damage after surgery Comment about appropriate level of ISV An ISV at or near the bottom of the range will be appropriate if— the injured worker has had surgery and symptoms persist; or there is a fracture involving 25% compression of 1 vertebral body. An ISV in the middle of the range will be appropriate if there is a fracture involving about 50% compression of a vertebral body, with ongoing pain. An ISV at or near the top of the range will be appropriate if— the injured worker has had a fusion of vertebral bodies that has failed, leaving objective signs of significant residual nerve root damage and ongoing pain, affecting 1 side of the body; and there is a DPI of about 28%.