QUESTION: My question pertains to the rating of impairment for reported facet arthropathy with callus formation and whether this would meet the criteria for alteration of motion segment integrity. A colleague of mine saw a patient at the request of the patient's attorney and opined that bone formation at the C5-C6 facet was an “inherent attempt at arthrodesis” and therefore, per the AMA Guides, Fifth Edition, it would be rated as “alteration of motion segment integrity,” ie, diagnosis-related estimate (DRE) category IV at 25% to 28% whole person impairment (WPI). He suggested the patient met the criteria in Table 15-5, Criteria for Rating Impairment Due to Cervical Disorders (5th ed, 392), “due to a developmental fusion or successful or unsuccessful attempt at surgical arthrodesis.” Three months following the patient's evaluation, a cervical magnetic resonance image (MRI) revealed normal...
Q&A: Cervical Facet Arthropathy
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Charles N. Brooks, Christopher R. Brigham, Marjorie Eskay-Auerbach, James B. Talmage; Q&A: Cervical Facet Arthropathy. Guides Newsletter 1 July 2020; 25 (4): 12–13. doi: https://doi.org/10.1001/amaguidesnewsletters.2020.JulAug03
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