VASRD 5239 · Musculoskeletal System – Spine

Spondylolisthesis or Segmental Instability at 40% VA Disability Rating

The whole neck is fused rigid in a poor position, the lower back bends forward only 30 degrees or less, or the whole mid and lower back is fused in a neutral position.

40%: single veteran, no dependents

$795.84

$9,550.08/year · tax-free · effective December 1, 2025

VA Rating Criteria for 40%

Unfavorable ankylosis of the entire cervical spine; or forward flexion of the thoracolumbar spine 30 degrees or less; or favorable ankylosis of the entire thoracolumbar spine.

40% Pay by Household (2026)

Monthly compensation amounts for Spondylolisthesis or Segmental Instability rated at 40%. Dependent additions apply at 30% and above.

Single (no dependents)$795.84
With spouse$882.84
With spouse + 1 child$947.84
With spouse + 2 children$990.84
Single + 1 child (no spouse)$853.84

Lower tier

30% Spondylolisthesis or Segmental Instability

$552.47 /mo single

Higher tier

50% Spondylolisthesis or Segmental Instability

$1,132.90 /mo single

Common questions about 40% for Spondylolisthesis or Segmental Instability

How much does a 40% VA rating for Spondylolisthesis or Segmental Instability pay?
A single veteran rated 40% for Spondylolisthesis or Segmental Instability receives $795.84 per month ($9,550.08/year) under the 2026 VA rates, effective December 1, 2025. VA disability compensation is tax-free. With a spouse and one child, the monthly amount is $947.84.
What does it take to get a 40% rating for Spondylolisthesis or Segmental Instability?
Unfavorable ankylosis of the entire cervical spine; or forward flexion of the thoracolumbar spine 30 degrees or less; or favorable ankylosis of the entire thoracolumbar spine.
What's the difference between 40% and 50% for Spondylolisthesis or Segmental Instability?
40%: The whole neck is fused rigid in a poor position, the lower back bends forward only 30 degrees or less, or the whole mid and lower back is fused in a neutral position. 50%: The whole mid and lower back is fused rigid in a poor position, though the neck still moves.
Can a secondary condition raise my rating above 40%?
Yes. If a condition like Radiculopathy is service-connected as secondary to Spondylolisthesis or Segmental Instability, the VA combines both ratings using the official combined-ratings formula (38 CFR 4.25), which can produce a combined rating higher than 40% alone.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5239)
  2. VA.gov — 2026 veteran disability compensation rates, effective December 1, 2025

Pay amounts on this page were last checked against VA.gov on August 16, 2026.

See all rating tiers and evidence guidance

Full VASRD criteria, best evidence, exam pitfalls, and secondary conditions for Spondylolisthesis or Segmental Instability are on the main condition page.

View full Spondylolisthesis or Segmental Instability guide
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