Fatigue fracture of vertebra, thoracolumbar region
ICD-10 M48.45 is a billable code used to indicate a diagnosis of fatigue fracture of vertebra, thoracolumbar region.
A fatigue fracture of the vertebra in the thoracolumbar region is a type of stress fracture that occurs due to repetitive mechanical loading or overuse, often seen in individuals with underlying conditions such as osteoporosis or inflammatory spine diseases. This fracture typically affects the thoracic and lumbar vertebrae, leading to pain, reduced mobility, and potential neurological deficits if the spinal cord is compromised. Patients may present with localized pain that worsens with activity and improves with rest. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which can reveal vertebral body deformities or edema. Management may include conservative measures like rest, physical therapy, and pain management, or surgical intervention in severe cases. It is crucial to assess for any underlying conditions such as ankylosing spondylitis, which can predispose patients to fatigue fractures due to chronic inflammation and structural changes in the spine.
Detailed imaging reports, clinical notes describing the mechanism of injury, and treatment plans.
Patients presenting with back pain after repetitive activities or trauma, especially in athletes or older adults.
Ensure that all relevant imaging studies are included in the documentation to support the diagnosis.
Comprehensive assessment of inflammatory markers, history of inflammatory spine conditions, and treatment history.
Patients with a history of ankylosing spondylitis presenting with new onset back pain.
Documenting the relationship between inflammatory conditions and the development of fatigue fractures.
Used when joint injections are performed for pain management in patients with vertebral fractures.
Document the joint involved, the procedure performed, and the indication for the injection.
Orthopedic specialists should ensure that the rationale for the procedure is clearly documented.
Fatigue fractures in the thoracolumbar region are primarily caused by repetitive mechanical stress on the vertebrae, often exacerbated by conditions such as osteoporosis or inflammatory diseases like ankylosing spondylitis.
