Fatigue fracture of vertebra
ICD-10 M48.4 is a billable code used to indicate a diagnosis of fatigue fracture of vertebra.
Fatigue fractures of the vertebra are stress fractures that occur due to repetitive loading or overuse, often seen in individuals with underlying conditions such as spondylopathies, ankylosing spondylitis, or spinal stenosis. These fractures can result from chronic mechanical stress on the vertebrae, leading to microdamage that accumulates over time. Patients may present with localized back pain, which can be exacerbated by activity and relieved by rest. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to visualize the fracture and assess for any associated conditions. Inflammatory spine conditions can further complicate the clinical picture, as they may lead to altered biomechanics and increased susceptibility to fractures. Management often includes conservative measures such as rest, physical therapy, and pain management, although surgical intervention may be necessary in severe cases. Understanding the interplay between fatigue fractures and other spinal conditions is crucial for accurate diagnosis and treatment planning.
Detailed history of the patient's symptoms, imaging results, and treatment plans.
Patients presenting with chronic back pain and a history of repetitive activities.
Ensure that all relevant imaging studies are included in the documentation.
Comprehensive assessment of inflammatory markers and history of spondyloarthritis.
Patients with ankylosing spondylitis presenting with new onset back pain.
Document the relationship between inflammatory conditions and vertebral health.
Used to evaluate suspected fatigue fractures.
Include clinical indications for the X-ray and findings.
Orthopedic specialists should ensure imaging correlates with clinical findings.
Fatigue fractures are primarily caused by repetitive stress on the vertebrae, often exacerbated by underlying conditions such as spondylopathies or inflammatory spine diseases.
