Wedge compression fracture of first lumbar vertebra
ICD-10 S32.010 is a billable code used to indicate a diagnosis of wedge compression fracture of first lumbar vertebra.
A wedge compression fracture of the first lumbar vertebra (L1) occurs when the vertebra collapses due to trauma or pathological conditions, resulting in a wedge-shaped deformity. This type of fracture is often associated with significant trauma, such as falls or motor vehicle accidents, and can lead to severe pain, neurological deficits, and instability of the spine. Patients may present with acute back pain, limited mobility, and, in some cases, neurological symptoms if the spinal cord or nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to confirm the fracture and assess for any associated injuries. Treatment may vary from conservative management, including pain control and physical therapy, to surgical interventions such as vertebroplasty or spinal fusion, especially in cases of instability or neurological compromise. The management of wedge compression fractures requires a multidisciplinary approach, often involving orthopedic surgeons, neurosurgeons, and rehabilitation specialists.
Detailed operative notes, imaging results, and follow-up assessments.
Management of acute lumbar fractures, surgical interventions for unstable fractures.
Ensure clear documentation of fracture type and any neurological assessments.
Comprehensive trauma assessments, imaging results, and initial management plans.
Initial evaluation of trauma patients with suspected spinal injuries.
Document mechanism of injury and any immediate interventions performed.
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 accidents, and can also occur in patients with weakened bones due to conditions like osteoporosis.
