Stable burst fracture of first lumbar vertebra
ICD-10 S32.011 is a billable code used to indicate a diagnosis of stable burst fracture of first lumbar vertebra.
A stable burst fracture of the first lumbar vertebra (L1) is characterized by a fracture that results from axial loading, typically due to high-energy trauma such as falls or motor vehicle accidents. This type of fracture involves the vertebral body and can lead to the displacement of bone fragments without significant spinal instability. Clinically, patients may present with localized back pain, tenderness, and potential neurological deficits depending on the extent of the injury. Diagnostic imaging, particularly X-rays and MRI, is crucial for assessing the fracture's stability and ruling out associated injuries to the spinal cord or surrounding structures. Management often includes conservative treatment with pain management and physical therapy, although surgical intervention may be necessary in cases of instability or neurological compromise. Understanding the implications of lumbar spine trauma is essential, as it can also affect adjacent structures, including the abdominal and pelvic organs, leading to potential genitourinary injuries. Emergency surgical interventions may be indicated to decompress the spinal canal or stabilize the vertebral column, particularly in cases where there is significant displacement or neurological involvement.
Detailed imaging reports, surgical notes, and post-operative assessments.
Management of lumbar spine fractures, surgical interventions for stabilization.
Documentation must clearly indicate the type of fracture and any surgical interventions performed.
Initial assessment notes, imaging results, and treatment plans.
Acute trauma cases presenting with back pain and potential neurological deficits.
Timely documentation is critical for accurate coding and treatment planning.
Used in cases of vertebral compression fractures.
Pre-operative imaging and assessment notes.
Orthopedic surgeons must document the need for the procedure based on fracture stability.
Stable burst fractures do not result in significant displacement of the vertebra or compromise the spinal canal, while unstable fractures may lead to neurological deficits and require surgical intervention.
