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. 2020 Sep 30;14(Suppl 2):S50–S56. doi: 10.14444/7091

Table.

Mehren classification of heterotopic ossification (HO).

Grade
Characteristics of HO Grades
0 No HO present
I HO in front of vertebral body but not in the interdiscal space
II HO is growing into the disc space. Possible effect on function of prosthesis
III Bridging ossification which allows for movement of prosthesis
IV Complete fusion without movement in flexion/extension