Anterior displaced Type II dens fracture
ICD-10 S12.110 is a billable code used to indicate a diagnosis of anterior displaced type ii dens fracture.
An anterior displaced Type II dens fracture refers to a specific type of fracture involving the odontoid process (dens) of the second cervical vertebra (C2). This injury typically occurs due to high-energy trauma, such as motor vehicle accidents or falls, where the head is forcefully flexed or extended. The dens is crucial for the rotation of the head and neck, and a fracture in this area can lead to instability and potential spinal cord injury. Clinically, patients may present with neck pain, limited range of motion, and neurological deficits depending on the severity of the injury. Diagnosis is primarily through imaging studies, including X-rays and CT scans, which can reveal the fracture's displacement and alignment. Management often involves surgical intervention, particularly if there is significant displacement or instability, to prevent complications such as nonunion or neurological impairment. Non-surgical options may include immobilization with a cervical collar or halo vest, depending on the fracture's characteristics and the patient's overall health.
Documentation must include mechanism of injury, initial assessment findings, imaging results, and any immediate interventions.
Patients presenting with acute neck pain after trauma, requiring imaging and potential stabilization.
Ensure thorough documentation of neurological status and any interventions performed in the emergency setting.
Operative reports must detail the surgical approach, findings, and any complications encountered during the procedure.
Surgical fixation of the dens fracture due to instability or significant displacement.
Accurate coding requires clear documentation of the surgical technique and post-operative care.
Used in surgical management of anterior displaced Type II dens fractures.
Operative report detailing the approach, fixation method, and any complications.
Ensure alignment with surgical documentation for accurate coding.
Anterior displacement in a Type II dens fracture indicates a higher risk of instability and potential neurological injury, necessitating careful evaluation and often surgical intervention.
