Dislocation of C0/C1 cervical vertebrae
ICD-10 S13.111 is a billable code used to indicate a diagnosis of dislocation of c0/c1 cervical vertebrae.
Dislocation of the C0/C1 cervical vertebrae, also known as atlanto-occipital dislocation, is a serious injury that occurs at the junction of the skull and the spine. This dislocation can result from high-energy trauma such as motor vehicle accidents, falls from heights, or sports injuries. The C0 vertebra (the occipital bone) and C1 vertebra (the atlas) are critical for head and neck mobility and stability. Dislocation at this level can lead to significant neurological deficits due to potential damage to the brainstem and spinal cord. Symptoms may include severe neck pain, loss of motor function, sensory deficits, and in severe cases, respiratory failure. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the alignment of the vertebrae and any associated injuries. Prompt recognition and management are crucial to prevent long-term complications, including paralysis or death.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and imaging results.
Trauma cases presenting with neck pain after high-impact accidents.
Ensure that all neurological assessments are documented, as they are critical for determining the severity of the injury.
Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.
Surgical intervention for stabilization of the cervical spine following dislocation.
Document any pre-existing conditions that may affect surgical outcomes.
Used in surgical management of cervical dislocation.
Operative report must detail the approach and any complications.
Neurosurgery or orthopedic surgery documentation must be thorough.
The primary concern is the potential for neurological compromise due to the proximity of the dislocated vertebrae to the brainstem and spinal cord.
