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PENN STATE
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College of Meuicine
University Hospital' Children's Hospital
The Miltlln S, Hershey Me~ical Cenler
Uepurhmnl IIr Orthnpaedlc' and Rehnhllllntllln
May 6. 1996
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William D, Sehruck, 111, Esquire
124 West Harrisburg Strcet
PO Box 310
Dillsburg. PA 17019-0310
RE:
Christina Miller
HMC# 694601
Dear Mr, Schrack:
Christina Miller is a patient of mine who has been treated for an L2 flexion
distraction injury, She sustaincd the injury on September 17, 1995, as a
restrained passenger involved in a motor vehicle accident. She was initially
taken to Polyclinic Hospital and subsequently transferred to Hershey Medical
Center, There was ecchymosis noted over the abdominal region; she
complained of some back pain. Radiographs revealed a flexion distraction
injury of the 1.2 vertebrae, Her molor examinalion was enlirely normal, 515
molor strength for all muscle groups of the upper anu lower extremities, There
was a question of having decreased sensation to light touch and pin prick over
the right and left anlerior medial thigh uermatomes, She was placed into a
hyperextension body cast to allow for possible osseous healing of the spinal
fracture, Good alignment of lhe vertebral column was achieved with lhe
hyperextension castalld she was discharged to home on September 21. 1995,
She was seen in Pediatric Orthopaedic Clinic on October 7, 1995, She had been
tolertlling her cast quite well. She was seen again on November 21, 1995. for
follow.up and x-rays revealed no uefinite evidence for healing. She was taken
out of her cast and placed into un overlap bruce, She hud 18 degrees of
kyphosis meusured from Ll to L3. She had pain to palpution over lhe kyphotic
area of the lumbar spine, She noted a pulling sensalion in lhe area of her back
during physicul therupy, At this time, I felt thaI shc was a candidule for
openHi ve intervention, There was no definite evidence of healing on
rudiographs to suggest that with continued conservulive treatment her spine
injury would heal. She also had progressive kyphosis noteu radiographically
EXHIBIT "B"
,\11 blll.ll 01'IIU11111111> l'rH\...r'll~
Prepared for:
Claim number:
Proposal number:
JESSICA MILLER
38-7115-081
04
Requested by:
Office name:
Location code:
Date prepared:
CWOLF
HARRISBU
114
12-06-96
PROPOSAL NOT VALID AFTER 01-31-97
Schedule of Annuity Payments Total Cost
Payments
Seqrnent 1
A SINGLE PAYMENT OF $11,476.72 $11,476.72 $6,000.00
ON APRIL 3, 2008.
Annuity Total ~11,476.72 ~6,000.OO
previous Amount Paid $2,500.00 $2,500.00
Grand Total $13,976.72 $8,500.00
EXHIBIT "A"
PENN STATE
..
College of Medicine
University Hospital' Children's Hospital
The Milton S, Hershey Medical Center
Dellurlmenl or O'lhol'ueul(5 nnu Itehuhllllutlon
May 6, 1996
P.O. 110' H50
Ikr~Ill.:Y, PCl1nsylvill1i:t 170~J.0850
i'h'OIC: (717) 5.1I..15IKI
1'",,(17)531.7553
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SporL1 Clinic: 11171 5J1.Mln7'
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Fut 11l115JI.l1Ul
William D, Schrack, III, Esquire
124 West Harrisburg Street
PO Box 310
Dillsburg, PA 17019,0310
RE:
Christina Miller
HMC# 694601
Dear Mr, Schrack: ,
Christina Miller is a patient of mine who has been treated for an L2 flexion
distraction injury, She sustained the injury on September 17, 1995, as a
restrained passenger involved in a motor vehicle accident, She was initially
taken to Polyclinic Hospital and subsequently transferred to Hershey Medical
Center, There was ecchymosis noted over the abdominal region; she
complained of some back pain, Radiographs revealed a flexion distraction
injury of the L2 vertebrae, Hcr motor examination was entirely normal, 5/5
motor strength for all muscle groups of the upper and lower extremities, There
was a question of having decreased sensation to light touch and pin prick over
the right and left anterior medial thigh dermatomcs, She was placed into a
hyperextension body cast to allow for possible osseous healing of the spinal
fracture, Good alignment of the vertebral column was achieved with the
hyperextension cast and she was discharged to home on Septcmber 21, 1995,
She was seen in Pediatric Orthopaedic Clinic on October 7, 1995, She had been
tolerating her cast quite well, She was seen again on November 21, 1995, for
follow-up ~nd x-rays revealed no definite evidence for healing, She was taken
out of her cast and placed into an overlap brace, She had 18 degrees of
kyphosis measured from Lito L3, She had pain to palpation over the kyphotic
area of the lumbar spine, She noted a pulling sensation in the area of her back
during physical therapy, At this time, I fclt that she was a candidate for
operative intervention, There was no definite evidence of healing' on
radiographs to suggest that with continued conservative treatment her spine
injury would heal. She also had progressive kyphosis noted radiographically
I,
EXHU~IT "B"
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