VA Disability Rating for Spondylolisthesis or Segmental Instability

Diagnostic Code 5239 · 38 CFR §4.71a

What Is It?

Spondylolisthesis is a condition where one vertebra slips forward over the one below it. This slippage can compress nerves and cause back pain, leg pain, and stiffness. The condition ranges from mild slipping to severe displacement. It can result from a stress fracture in the vertebra called spondylolysis, from degenerative changes in the spine, or from traumatic injury. Segmental instability means abnormal movement between vertebrae that causes pain and dysfunction. Veterans commonly develop these conditions from repetitive heavy lifting, parachute landings, vehicle accidents, or the cumulative stress of military physical activity.

Rating Criteria

RatingCriteria
100%
50%
40%
20%
10%

Evidence Needed

Standing X-rays showing vertebral slippage and its grade, Flexion and extension X-rays if segmental instability is claimed, MRI showing nerve compression from the slippage, Spinal range of motion measurements, Neurological examination for associated nerve symptoms

Frequently Asked Questions