Conditions/Musculoskeletal

Spinal Fusion

Diagnostic Code 5241Musculoskeletal

Surgical procedure joining two or more vertebrae to eliminate motion, typically for degenerative disc disease, spondylolisthesis, or instability. Uses bone grafts and hardware (rods, screws, cages). Eliminates pain from abnormal motion but reduces spine flexibility. Complications include adjacent segment disease, hardware failure, nonunion, and chronic pain.

VA Rating Criteria (38 CFR)
60%

Extensive multi-level fusion with severe ongoing pain, marked functional impairment, or multiple failed fusions

50%

Multi-level fusion with significant ongoing pain and functional limitation, or failed fusion (pseudoarthrosis) with instability

40%

Multi-level fusion (3+ levels) with moderate symptoms, or single/two-level with significant residual pain and limitation

30%

Single level fusion with moderate residual symptoms, or two-level fusion with good result

20%

Single level fusion with minimal symptoms and full return to activities

Evidence You'll Need

Medical Evidence

Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history

Service Connection

Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)

Personal Statement

Your detailed account of how spinal fusion affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for spinal fusion, examiners will assess your symptoms against the rating criteria above.

Be specific: Describe your worst day, not your average day

Document everything: Bring copies of all medical records and evidence

Functional impact: Explain how symptoms affect work, sleep, and daily activities

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