Unstable burst fracture of T7-T8 vertebra
ICD-10 S22.062 is a billable code used to indicate a diagnosis of unstable burst fracture of t7-t8 vertebra.
An unstable burst fracture of the T7-T8 vertebra is a severe spinal injury characterized by the vertebral body fracturing into multiple fragments, which can lead to spinal instability and potential neurological compromise. This type of fracture typically results from high-energy trauma, such as a fall from a height or a motor vehicle accident. The mechanism of injury often involves axial loading, which causes the vertebra to shatter and can result in fragments that may impinge on the spinal cord or nerve roots. Clinically, patients may present with severe back pain, neurological deficits, and signs of chest trauma, including rib fractures, pneumothorax, or hemothorax. The management of unstable burst fractures often requires surgical intervention to stabilize the spine and decompress any neural elements. Additionally, associated injuries such as cardiac contusions or vascular injuries may complicate the clinical picture, necessitating a multidisciplinary approach to treatment and rehabilitation.
Detailed operative notes, imaging reports, and pre/post-operative assessments.
Surgical repair of unstable fractures, management of spinal cord injuries.
Ensure accurate coding of both the fracture and any surgical procedures performed.
Comprehensive trauma assessments, including chest imaging and neurological evaluations.
Management of polytrauma patients with spinal injuries.
Document all associated injuries and their management to support coding.
Used in cases of vertebral compression fractures, may be relevant if the fracture is stable.
Document the indication for the procedure and imaging findings.
Orthopedic and interventional radiology specialties may be involved.
Stable burst fractures do not compromise spinal stability or neurological function, while unstable burst fractures, like S22.062, involve significant fragmentation and potential neurological compromise.
