No appropriate clinical management for spondylolysis or spondylolisthesis
Spondylolisthesis and spondylolysis - No appropriate clinical management for spondylolysis or spondylolisthesis Factor
In most cases treatment of spondylolisthesis and spondylolysis will be conservative, will be directed at symptom relief, and will not influence disease progress. Such treatment includes decrease in activities, muscle strengthening exercises, medication and periodic monitoring of symptoms and slippage.
Therefore, in most cases, failure to obtain appropriate clinical management will not result in permanent worsening of the conditions. However in the following cases a lack of treatment could have serious consequences:
- acute traumatic spondylolisthesis or spondylolysis is defined by the RMA to mean 'spondylolisthesis or spondylolysis arising as the direct result of a severe, high energy trauma to the spine'. In such cases the required treatment is a combination of traction and cervical supports [where affecting the cervical spine] or surgical reduction of the slip [in cases affecting the lumbar spine];
- neurological manifestations, such as nerve root entrapment, where surgery is the required treatment, and
- severe progressive symptoms warranting surgical intervention.
The SOP limits the application of the 'inability to obtain appropriate clinical management' factor to these three situations.
Inability to obtain appropriate clinical management
Last reviewed for CCPS 16 September 2011.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | No appropriate clinical management for spondylolysis or spondylolisthesis |
Preliminary questions [24398]
24410 the condition under consideration is a type of spondylolisthesis or spondylolysis that may be aggravated by an inability to obtain appropriate clinical management for spondylolisthesis or spondylolysis.
24395 the condition under consideration is acute traumatic spondylolisthesis or spondylolysis.
or
24396 the condition under consideration resulted in neurological manifestations.
or
24397 the condition under consideration resulted in severe progressive symptoms warranting surgical intervention.
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
7378 the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.
11234 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or
11236 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
Clinical worsening and operational service [11235]
7384 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.
21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.
7387 the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7390 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Clinical worsening and eligible service [11236]
7385 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.
7386 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.
7388 the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7391 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/spondylolisthesis-and-spondylolysis-n039-m430m431q7621q7622/rulebase-spondylolisthesis-and-spondylolysis/no-appropriate-clinical-management-spondylolysis-or-spondylolisthesis