Vertebral Motion Analysis TM. Cervical VMA Report

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1 Vertebral Motion Analysis TM Cervical VMA Report Patient Name: Sample, Susan Testing Date: 08/12/2015 Patient ID: DOB: 11/14/1979 Prescribed By: Sample, Doctor Accession Number: Institution Name: Ortho Kinematics Warning: Inadequate tracking of the vertebral bodies across radiographic images can lead to erroneous results Image data and template placement must be reviewed prior to accepting any measurement results. If any templates are found to be incorrectly placed on the vertebral bodies, any associated measurements should not be utilized in clinical decision making. These images are provided in the front section of the printed report, prior to the quantitative data. Warning: When being viewed on a computer, a diagnostic-quality image review workstation should be used. o rt h o lliiilll KINEMATICS revolutionizing spine motion analysis \MA SW-2 \krsion: Report created on: 12-.Aug :16 PM PST

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7 VMA TM Report Cervical Angulation (ROM): Flexion/Extension Patient Name: Sample, Susan Study Date: 08/12/2015 Patient ID: DOB: 11/14/1979 Accession #: Prescribing Physician: Sample, Doctor Institution Name: Ortho Kinematics Level C0/ /C2 C2/ / / / / Overall Mobility 5 ROM 1 : Uncontrolled Bending n/r C2 R:II.B ROM 2 : Controlled Bending C2 R:II.B R:II.B INSTRUMENTED LEVELS: Max Confirmable Angulation Controlled Flexion +45 LEGEND Pain Scores 4 (VAS) Arms / Shoulders / Back Pain Scores Neck (above shoulders) Pain Scores Controlled Extension +45 Pain Scores 4 (VAS) KEY NCM = no motion can be confirmed = Not Applicable n/r = No Measurement Result or No Data 1. Degrees of Intervertebral Range of Motion (angulation) observed between flexion and extension, taken from uncontrolled patient cervical bending. Values are only returned for non instrumented levels. 2. Degrees of Intervertebral Range of Motion (angulation) observed between flexion and extension, taken from controlled, device assisted cervical bending. Values are only returned for non instrumented levels. 3. For instrumented levels, this is the maximum degrees of intrervertebral angulation across the device assisted dending directions. "" is returned for all non instrumnented levels. 4. Visual Analog Scale (VAS) Pain Scores were collected from the patient during testing. Separate scores were collected for neck (above the shoulders) vs. arm/shoulder/back pain 5. This is the sum of the cervical region motion, measured between the two end ranges (full flexion to full extension). Values are only provided if there are measurements at each level. The subscript refers to the range of intervertebral levels being reported. Note that the sum of each level s angulation may be greater than the overall mobility, as overall mobility is measured between the two end ranges, while segmental mobility is measured as the maximum value observed at any point during the bend. VMA SW 2 Version: Report created on: 12 Aug :17 PM PST 7

VMA TM Report Cervical Translation Summary Patient Name: Sample, Susan Study Date: 08/12/2015 DOB: 11/14/1979 Patient ID: 123456 Prescribing Physician: Sample, Doctor Institution Name: Ortho

Bending Neutral Flexion Extension / 1.6 mm CE ( %) 2.1 mm CE UF (13%) 1.6 mm ( %) 0.5 mm (3%) 1.6 mm ( %) 0.3 mm (2%) 1.6 mm ( %) / 2.2 mm CE ( 14%) 3.5 mm CF CE (21%) R:II.A 0.7 mm ( 5%) 0.

8 VMA TM Report Cervical Translation Summary Patient Name: Sample, Susan Study Date: 08/12/2015 DOB: 11/14/1979 Patient ID: Prescribing Physician: Sample, Doctor Institution Name: Ortho Kinematics Accession Number: Level In Any View Max Translation 1 Change Between Views 2 Translation 1 During Uncontrolled Bending Neutral Flexion Extension Translation 1 During Controlled Bending Neutral Flexion Extension / 1.6 mm CE ( %) 2.1 mm CE UF (13%) 1.6 mm ( %) 0.5 mm (3%) 1.6 mm ( %) 0.3 mm (2%) 1.6 mm ( %) / 2.2 mm CE ( 14%) 3.5 mm CF CE (21%) R:II.A 0.7 mm ( 5%) 0.5 mm (3%) 0.9 mm ( 6%) 1.3 mm (8%) 2.2 mm ( 14%) / 2.2 mm CE ( 13%) 3.2 mm CF CE (19%) 0.5 mm ( 3%) 0.9 mm (5%) 2.2 mm ( 13%) / 1.4 mm UE ( 8%) 0.9 mm CF UE (6%) 0.6 mm ( 3%) 0.7 mm ( 4%) 1.4 mm ( 8%) 1.1 mm ( 6%) 0.5 mm ( 3%) 1.0 mm ( 6%) KEY: C = Controlled U = Uncontrolled F = Flexion N = Neutral E = Extension NCM = no motion can be confirmed = Not Applicable n/r = No Measurement Result or No Data 1. Translation is measured using the Myerding method, and provided in millimeter units (if possible). Translation is also provided as a percent of the inferior vertebral body sagittal plane depth. Negative values refer to retrolisthesis, positive values refer to spondylolisthesis. Values are only returned for non instrumented levels. 2. This value is taken as the absolute value of the maximum difference in intervertebral translation between any two views from among the following six views: UF, UN, UE, CF, CN, CE VMA SW 2 Version: Report created on: 12 Aug :17 PM PST 8

9 Physician Alert Thresholds No Evidence Moderate to High Risk Clear Evidence Thresholds Set By: Sample, Doctor (green) (yellow) (red) Anomaly Category Anomaly Description Thresholds Thresholds Thresholds General Mobility I.A) Overall reduced mobility (Alert Disabled) / 1.5 mm 8.5% 1.5 mm 3.5 mm 8.5% 20% 3.5 mm 20% II.A) Instability (excessive translation) / / 1.5 mm 8.5% 1.5 mm 8.5% 1.5 mm 3.5 mm 8.5% 20% 1.5 mm 3.5 mm 8.5% 20% 3.5 mm 20% 3.5 mm 20% / 1.5 mm 8.5% 1.5 mm 3.5 mm 8.5% 20% 3.5 mm 20% Non instrumented levels C0/ /C2 II.B) Instability (excessive angulation) (when a cervical level s measured angulation exceeds that of an adjacent level by more than certain threshold.) C2/ / / / / Instrumented levels: Fusion III.A) Residual motion at a fusion level ROM = NCM or n/r in all bending modes ROM > NCM for at least one bending mode REQUIRES VISUAL CONFIRMATION Instrumented levels: Motion Preserving IV.A) Motion preserving implant with NCM ROM > NCM for at least one bending mode ROM = NCM or n/r in all bending modes REQUIRES VISUAL CONFIRMATION 9

Vertebral Motion Analysis TM. Lumbar VMA Report

Vertebral Motion Analysis TM. Lumbar VMA Report Vertebral Motion Analysis TM Lumbar VMA Report Patient Name: Sample, David Testing Date: 11/30/014 Patient ID: 45789 DOB: 05/1/47 Prescribed By: Sample, Doctor Accession Number: 4578901 Institution Name: