Unstable burst fracture of first cervical vertebra
ICD-10 S12.02 is a billable code used to indicate a diagnosis of unstable burst fracture of first cervical vertebra.
An unstable burst fracture of the first cervical vertebra (C1) is a severe injury characterized by the shattering of the vertebra due to high-energy trauma, often resulting from motor vehicle accidents, falls from heights, or sports injuries. This type of fracture compromises the stability of the cervical spine and can lead to significant neurological deficits due to potential spinal cord compression. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms such as weakness or sensory loss in the upper extremities. Diagnosis typically involves imaging studies, including X-rays, CT scans, and MRI, to assess the extent of the fracture and any associated spinal cord injury. Management often requires surgical intervention, such as decompression and stabilization, to prevent further neurological damage and restore spinal integrity. Post-operative care and rehabilitation are crucial for recovery, and complications may include infection, non-union of the fracture, or persistent neurological deficits.
Complete documentation of initial assessment, mechanism of injury, and neurological status.
Trauma patients presenting with neck pain after accidents or falls.
Ensure thorough documentation of any immediate interventions and imaging results.
Detailed operative reports including surgical approach, techniques used, and post-operative care plans.
Patients undergoing surgical stabilization of cervical spine fractures.
Document any intraoperative findings that may affect coding.
Used in cases where spinal cord compression is present due to the fracture.
Operative report detailing the procedure and indications.
Ensure alignment with the diagnosis of unstable burst fracture.
S12.01 refers to a stable fracture of the first cervical vertebra, while S12.02 indicates an unstable burst fracture, which has different management and potential complications.
