1. Thoracic Impairments Stop saying, “Patient has residuals.”
Please…
Colossus only recognizes
“Impairments”
from the AMA Guides

2. Thoracic Spine 20-23% Impairment 2.5mm translation
Both flexion & extension
Added together
20-23% Impairment

4. 5% - 8% Impairment 15% - 18% Impairment Muscle guarding or spasm
Assymetric loss of ROM
Non-verifiable radiculopathy
NO AOMSI, or
Herniated disk w/ no symptoms
after non-surgical treatment.
15% - 18% Impairment
Ongoing neurologic impairment
of the lower extremity related to
thoracolumbar injury
documented loss of motor,
reflexes, or unilateral atrophy, or
Radiculopathy w/ +MRI that
resolved w/out surgery

5. 20% - 23% Impairment AOMSI or Bilateral or Multilevel radiculopathy
AOMSI is defined as:
>2.5mm translation of one
vertebra on another in both
flexion and extension
(added together)

6. No more “Residuals”
No more “Residuals”
No more “Residuals”
Only “Impairments”
Only “Impairments”
Only “Impairments”