Chapter 17: The Spine and Pelvis

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Summary of Updates to AMA Guides Sixth Edition 2021

  • Content update provides clarification and updated terminology around mental and behavioral health concepts to improve interrater reliability. Overview of updates to Mental and Behavioral Health Content:
    • Change from DSM IV to DSM 5 terminology and methodology 
    • Newer editions of Assessment Tools and Tests
    • Descriptions of Malingering and Motivation 
    • Removal of summaries of psychiatric diagnoses and conditions from the Glossary to mitigate discrepancies in a forensic setting
  • Removal of GAF results in more accurate mental and behavioral health impairment ratings
  • Minor editorial corrections to Lower Extremities and Spine and Pelvis content

Minor Editorial Enhancements

Editorial clarifications that have no substantiative impact on content, supporting evidence used, or impairment ratings. 

Spine and Pelvis (Chapter 17)

  • Table 17-3: ‘Soft tissue and nonspecific conditions’ subheading added to the top of table 17-3.
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