Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra
ICD-10 S12.431 is a billable code used to indicate a diagnosis of unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra.
S12.431 refers to a specific type of spinal injury characterized by the anterior displacement of the fifth cervical vertebra (C5) relative to the vertebra below it, without any associated fracture or displacement of the vertebra itself. This condition is often the result of trauma, such as a fall, motor vehicle accident, or sports injury, where excessive force is applied to the cervical spine. The nondisplaced nature of the spondylolisthesis indicates that while the vertebra has shifted, it has not fractured or moved out of alignment in a way that would require surgical intervention. Clinically, patients may present with neck pain, limited range of motion, and neurological symptoms depending on the severity of the injury and any potential involvement of the spinal cord or nerve roots. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the alignment of the cervical vertebrae and rule out other injuries. Management may include conservative treatment options such as physical therapy, pain management, and cervical immobilization, with surgical options considered in cases of significant instability or neurological compromise.
Emergency department notes must include a thorough assessment of the patient's history, mechanism of injury, and initial imaging results.
Patients presenting with neck pain after a fall or motor vehicle accident.
Ensure that the mechanism of injury is clearly documented to support the diagnosis.
Operative reports should detail the surgical approach, findings, and any interventions performed.
Surgical management of cervical spondylolisthesis due to instability or neurological compromise.
Document any pre-existing conditions that may affect surgical outcomes.
Used when surgical intervention is required for decompression.
Operative report must detail the procedure and indications.
Ensure that the surgical necessity is well documented.
Displaced spondylolisthesis involves a fracture or significant misalignment of the vertebra, while nondisplaced spondylolisthesis indicates that the vertebra has shifted but remains in alignment without fracture.
