Unstable burst fracture of first lumbar vertebra
ICD-10 S32.012 is a billable code used to indicate a diagnosis of unstable burst fracture of first lumbar vertebra.
An unstable burst fracture of the first lumbar vertebra (L1) is a severe spinal injury characterized by the vertebral body being shattered into multiple fragments, which can lead to spinal instability and potential neurological compromise. This type of fracture typically occurs due to high-energy trauma, such as falls from significant heights, motor vehicle accidents, or sports injuries. The instability arises from the disruption of the vertebral column's structural integrity, which can result in displacement of bony fragments that may impinge on the spinal cord or nerve roots. Clinically, patients may present with severe back pain, neurological deficits, and signs of spinal cord injury. Imaging studies, particularly MRI and CT scans, are essential for diagnosis, as they provide detailed visualization of the fracture and any associated soft tissue injuries. Management often requires surgical intervention to stabilize the spine, decompress neural elements, and restore vertebral alignment, followed by rehabilitation to regain function and mobility.
Detailed operative notes, imaging results, and post-operative assessments.
Surgical fixation of lumbar fractures, management of spinal instability.
Ensure clear documentation of fracture type and surgical approach.
Comprehensive trauma assessments, imaging orders, and initial treatment plans.
Initial evaluation of trauma patients with suspected spinal injuries.
Document mechanism of injury and neurological status at presentation.
Used for surgical stabilization of unstable burst fractures.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the rationale for surgical intervention.
Stable burst fractures do not compromise spinal stability or neurological function, while unstable burst fractures involve significant vertebral body disruption and may lead to neurological deficits, requiring surgical intervention.
