Fracture of fourth thoracic vertebra
ICD-10 S22.04 is a billable code used to indicate a diagnosis of fracture of fourth thoracic vertebra.
The fracture of the fourth thoracic vertebra (T4) is a significant injury that can occur due to trauma, such as falls, motor vehicle accidents, or sports injuries. This type of fracture can lead to instability of the thoracic spine and may compromise the spinal cord or surrounding structures. Clinically, patients may present with severe back pain, neurological deficits, or signs of spinal cord injury, such as weakness or sensory changes in the extremities. Associated injuries may include rib fractures, pneumothorax, hemothorax, and cardiac injuries, which can complicate the clinical picture. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and any associated injuries. Treatment may vary from conservative management with bracing to surgical interventions, including decompression and stabilization procedures. The management of T4 fractures requires a multidisciplinary approach, often involving orthopedic surgeons, neurosurgeons, and rehabilitation specialists.
Detailed operative notes, imaging reports, and follow-up evaluations.
Surgical intervention for unstable fractures, management of complications like spinal cord injury.
Ensure accurate coding of surgical procedures performed in conjunction with the fracture repair.
Comprehensive documentation of initial assessment, imaging results, and treatment provided.
Initial evaluation of trauma patients with suspected thoracic spine injuries.
Document the mechanism of injury and any immediate interventions performed.
Used for stabilization of T4 fracture in patients with osteoporosis.
Operative report detailing the procedure and indications.
Orthopedic surgeons should document the rationale for vertebroplasty versus other interventions.
Common complications include spinal cord injury, respiratory issues due to rib fractures, and potential for chronic pain or instability of the spine.
