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Yes / No / Unsure Primary Diagnosis: ....................................................................................... Patient aware? Yes /No ) /Pg 7 0 R /K [11] >> endobj 34 0 obj << /Type /StructElem /S /P /ActualText /Pg 7 0 R /K [23] >> endobj 35 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R >> endobj 36 0 obj << /Type /StructElem /S /H4 /T (Which spinal levels are affected?................................................................................................................................... If there is a fracture present? Yes / No / Unknown If yes, is the fracture stable? Yes / No / Unknown Spinal neoplastic instability score \(SINS score\) \(If applicable\)? ................................................................................ Do you require any spinal levels immobilising? Yes / No - If yes, please state which spinal levels require immobilising ................................................................................... - If no, what is the orthotic treatment aim? Pain relief Correct posture To remind the patient not to do excessive movements ) /E (Which spinal levels are affected?................................................................................................................................... If there is a fracture present? Yes / No / Unknown If yes, is the fracture stable? Yes / No / Unknown Spinal neoplastic instability score \(SINS score\) \(If applicable\)? ................................................................................ Do you require any spinal levels immobilising? Yes / No - If yes, please state which spinal levels require immobilising ................................................................................... - If no, what is the orthotic treatment aim? 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