CONSENT FOR SPINAL SURGERY-Combined anterior thoracoabdominal - virginia 2025

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Surgical treatment is often recommended for patients whose curves are greater than 45 while still growing, or are continuing to progress greater than 45 when growth stopped. Fusion surgical treatment today uses metal implants that are attached to the spine, and then connected to a single rod or two rods.
The degree of rotatory asymmetry in the Adams position relative to the horizontal position can be measured with a scoliometer. A measurement of 7 degrees is generally used as the cut-off point for referral for evaluation of scoliosis. A 7 degree measurement by scoliometer correlates with a Cobb angle of 20 degrees.
This formula is mostly based on the range of motion of the spine. In addition to range of motion, the VA considers your level of pain while in motion and how your back condition impacts your life. Possible VA ratings for spinal fusion can be 10%, 20%, 30%, 40%, 50%, or 100% disabling.
Treatment and Referral Guidelines for Patients with Scoliosis Cobb angle (degrees)RadiographyTreatment 20 to 29 Every six months with Risser grading Refer for consideration of bracing and physical therapy, especially at Risser grade 0 or 1* 30 to 39 Refer for bracing and/or physical therapy 40 Refer for surgery1 more row Jan 1, 2020
The States has the lowest surgical threshold with surgeons most often recommending spinal-fusion surgery for severe cases with curvatures of 40-plus degrees or where progression is rapid. In Canada, that threshold is higher at approximately 55 degrees and Europe is at the highest with approximately 60 degrees.
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Anterior spinal exposure, discectomy, and arthrodesis at the lumbar level are reported by CPT code 22558 and by CPT code 22556 at the thoracic level.
On the posterior spine, the more common procedures include the posterolateral fusion (22612) and the interbody fusion (22630). The additional level code for posterolateral fusion is 22614, while the additional level code for the interbody fusion is 22632. 3. Spinal instrumentation.

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