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Table 6.7: Assessing spinal impairment – DRE category

Injured person’s condition

I

II

III

IV

V

Low back pain, neck pain, back pain or symptoms

I

    

Vertebral body compression < 25%

 

II

   

Low back pain or neck pain with guarding or
non-verifiable radicular complaints or non-uniform range of motion (dysmetria)

 

II

   

Posterior element fracture, healed, stable, no dislocation or radiculopathy

 

II

   

Transverse or spinous process fracture with displacement of fragment, healed, stable

 

II

   

Low back or neck pain with radiculopathy

  

III

  

Vertebral body compression fracture 25–50%

  

III

  

Posterior element fracture with spinal canal deformity or radiculopathy, stable, healed

  

III

  

Radiculopathy

  

III

  

Vertebral body compression > 50%

   

IV

V

Multilevel structural compromise

   

IV

V

Spondylolysis with radiculopathy

  

III

IV

V

Spondylolisthesis without radiculopathy

I

II

   

Spondylolisthesis with radiculopathy

  

III

IV

V

Vertebral body fracture without radiculopathy

 

II

III

IV

 

Vertebral body fracture with radiculopathy

  

III

IV

V

Vertebral body dislocation without radiculopathy

 

II

III

IV

 

Vertebral body dislocation with radiculopathy

  

III

IV

V

Previous spine operation without radiculopathy

 

II

III

IV

 

Previous spine operation with radiculopathy

  

III

IV

V

Stenosis, facet arthrosis or disease

I

II

   

Stenosis, facet arthrosis or disease with radiculopathy

  

III