Wedge compression fracture of fourth thoracic vertebra
ICD-10 S22.040 is a billable code used to indicate a diagnosis of wedge compression fracture of fourth thoracic vertebra.
A wedge compression fracture of the fourth thoracic vertebra (T4) occurs when the vertebra is compressed, leading to a wedge-shaped deformity. This type of fracture is often the result of trauma, such as a fall or a motor vehicle accident, and can be associated with significant pain and functional impairment. Patients may present with acute back pain, limited mobility, and neurological symptoms if there is spinal cord involvement. The thoracic spine is particularly vulnerable due to its structural characteristics and the forces exerted during trauma. In addition to the fracture itself, associated injuries such as rib fractures, pneumothorax, hemothorax, and cardiac injuries may occur, complicating the clinical picture. Diagnosis typically involves imaging studies, including X-rays and MRI, to assess the extent of the fracture and any associated injuries. Treatment may range from conservative management, such as pain control and physical therapy, to surgical interventions, including vertebroplasty or spinal fusion, depending on the severity of the fracture and the patient's overall condition.
Detailed operative notes, imaging results, and follow-up assessments.
Management of acute thoracic fractures, surgical interventions for stabilization.
Ensure accurate documentation of fracture type and any surgical procedures performed.
Comprehensive documentation of initial assessment, imaging, and treatment provided.
Acute trauma presentations, management of chest injuries.
Document all associated injuries and the mechanism of injury clearly.
Used for stabilization of wedge compression fractures.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the necessity for surgical intervention.
Wedge compression fractures are primarily caused by trauma, such as falls or motor vehicle accidents, but can also occur in patients with osteoporosis or other conditions that weaken bone structure.
