Fracture of first lumbar vertebra
ICD-10 S32.01 is a billable code used to indicate a diagnosis of fracture of first lumbar vertebra.
The fracture of the first lumbar vertebra (L1) is a significant injury often resulting from high-energy trauma such as falls, motor vehicle accidents, or sports injuries. This type of fracture can lead to severe pain, neurological deficits, and instability of the spine. Clinically, patients may present with localized back pain, tenderness over the lumbar region, and potential neurological symptoms if there is spinal cord involvement. Imaging studies, particularly X-rays and MRI, are essential for diagnosis, allowing for the assessment of fracture displacement and any associated soft tissue injuries. Treatment may vary from conservative management, including pain control and physical therapy, to surgical interventions such as decompression and stabilization, depending on the fracture's severity and associated complications. Given the proximity of the lumbar spine to the abdominal and pelvic organs, careful evaluation for concurrent injuries is crucial, particularly in trauma cases.
Detailed operative notes, imaging results, and follow-up assessments are essential.
Surgical intervention for unstable fractures, conservative management for stable fractures.
Ensure clear documentation of fracture type and any neurological assessments.
Thorough trauma assessments, imaging results, and initial treatment plans.
Initial evaluation of trauma patients with suspected lumbar spine injuries.
Document mechanism of injury and any immediate interventions performed.
Used for stabilization of L1 fracture in patients with osteoporosis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the necessity for surgical intervention.
CT scans or MRI are typically required to confirm the diagnosis and assess for any associated injuries.
