Nondisplaced posterior arch fracture of first cervical vertebra
ICD-10 S12.031 is a billable code used to indicate a diagnosis of nondisplaced posterior arch fracture of first cervical vertebra.
The nondisplaced posterior arch fracture of the first cervical vertebra, also known as the atlas, is a specific type of injury that occurs in the upper cervical spine. This fracture typically results from trauma, such as a fall or a motor vehicle accident, where the force applied does not displace the bone fragments. The posterior arch of the atlas is crucial for the stability of the cervical spine and protects the spinal cord. Patients may present with neck pain, limited range of motion, and neurological symptoms depending on the severity of the injury. Diagnosis is confirmed through imaging studies, primarily X-rays and CT scans, which reveal the fracture without displacement. Management often involves conservative treatment, including immobilization with a cervical collar, pain management, and physical therapy. Surgical intervention may be necessary in cases where there is a risk of spinal cord compression or instability. Complications can include chronic pain, neurological deficits, and potential for instability in the cervical spine if not properly managed.
Documentation must include a detailed account of the mechanism of injury, initial assessment findings, and any imaging results.
Patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that the documentation reflects the absence of neurological deficits and the nondisplaced nature of the fracture.
Operative reports must detail the surgical approach, findings, and any fixation methods used if surgery is performed.
Surgical intervention for instability or associated injuries.
Document any pre-existing conditions that may affect surgical outcomes.
Used when surgical intervention is required for instability or neurological symptoms.
Operative report detailing the procedure and indications for surgery.
Ensure that the surgical necessity is well-documented.
A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.
