Forward slippage of one vertebra over another (spondylolisthesis) or abnormal movement between vertebrae (segmental instability). Graded I-IV based on degree of slippage. Causes back pain, leg pain, neurological symptoms, and postural changes. May be degenerative, traumatic, or congenital. Can compress nerve roots causing radiculopathy.
Severe spondylolisthesis with incapacitating pain, significant neurological impairment, or failed surgical fusion with ongoing symptoms
Grade III-IV spondylolisthesis with severe pain and neurological deficits, or requiring surgical fusion
Grade II-III spondylolisthesis with significant pain and neurological symptoms, or segmental instability requiring bracing
Grade I-II spondylolisthesis with moderate symptoms, frequent pain affecting activities
Grade I spondylolisthesis with minimal symptoms
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 spondylolisthesis or segmental instability affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for spondylolisthesis or segmental instability, 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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