Secondary Condition Claim · VASRD 5249
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Spine Fracture Residuals (With or Without Cord Involvement) when it develops after Osteoporosis with Pathological Fractures.
Weakened bones break easily in the spine
Primary condition · VASRD 5016
Osteoporosis with Pathological Fractures
A disease causing bones to become weak and prone to breaking.
Secondary condition · VASRD 5249
Spine Fracture Residuals (With or Without Cord Involvement)
Spine fractures may cause lasting stiffness, pain, or nerve damage, even after healing.
The VA rates Spine Fracture Residuals (With or Without Cord Involvement) the same way whether it's claimed directly or as secondary to Osteoporosis with Pathological Fractures — severity of Spine Fracture Residuals (With or Without Cord Involvement) itself determines the percentage.
Example combined rating
30% Osteoporosis with Pathological Fractures + 30% Spine Fracture Residuals (With or Without Cord Involvement) = 51%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 30% combine to 51%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Osteoporosis with Pathological Fractures guide
Secondary condition
Full Spine Fracture Residuals (With or Without Cord Involvement) guide
See how Osteoporosis with Pathological Fractures and Spine Fracture Residuals (With or Without Cord Involvement) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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