Sch 14, s 91

Moderate thoracic or lumbar spine injury—fracture, disc prolapse or nerve root compression or damage

Current

		Comment about appropriate level of ISV	5 to 15
		• An ISV at or near the top of the range will be appropriate if—
		(a) there is a disc prolapse for which there is radiological evidence at an anatomically correct level; and
		(b) there are symptoms of pain and 3 or more of the following objective signs, that are anatomically localised to an appropriate spinal nerve root distribution—
		(i) sensory loss;
		(ii) loss of muscle strength;
		(iii) loss of reflexes;
		(iv) unilateral atrophy; and
		(c) the impairment has not improved after non-operative treatment.
		• An ISV of about 10 will be appropriate if there is a fracture of a vertebral body with up to 25% compression, and ongoing pain.
		• An ISV at or near the bottom of the range will be appropriate for an uncomplicated fracture of a posterior element of 1 or more of the vertebral segments, for example, spinous or transverse processes, without neurological impairment.

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