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Based upon the SSA medical listing of 14.09C1, it states (in part):
C. Ankylosing spondylitis or other spondyloarthropathies, with:
1. Ankylosis (fixation) of the dorsolumbar or cervical spine as shown by appropriate medically acceptable imaging and measured on physical examination at 45° or more of flexion from the vertical position (zero degrees); or
For the sake of argument, a claimant can show x-rays (and radiology reports) of SI joint fusion in addition to multiple areas of fusion throughout the spine. A thoracic kyphosis is measured at "approximately 42°". If the claim comes down to a decision solely based upon a step 3 evaluation, would "approx 42°" be credited for 14.09C1? In my research, I have many documents stating there is a medically accepted tolerance of 5°.Would the SSA consider 42° as meeting this listing, or would they make an issue out of an "approximate" measurement of only 3° difference? Would the SSA consider medical research pertaining to medically accepted values of human error when it comes to these types of measurements? Does anyone have a different definition of what this listing criteria means? Some people think the 45° measurement means how much a claimant can "bend". I'm not sure there is any ONE interpretation of how this listing criteria is defined.