Other displaced dens fracture
ICD-10 S12.120 is a billable code used to indicate a diagnosis of other displaced dens fracture.
A displaced dens fracture refers to a fracture of the odontoid process (dens) of the second cervical vertebra (C2) that has resulted in a misalignment of the bone fragments. This type of fracture is often caused by high-energy trauma, such as motor vehicle accidents, falls from heights, or sports injuries. The dens is critical for the stability and rotation of the cervical spine, and its displacement can lead to significant neurological complications if not properly managed. Clinical presentation may include neck pain, limited range of motion, and neurological deficits depending on the severity of the injury. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRI to assess the fracture's displacement and any associated spinal cord injury. Management may range from conservative treatment with immobilization to surgical intervention, depending on the fracture's stability and the patient's overall condition. Complications can include nonunion, malunion, or neurological impairment, necessitating careful monitoring and follow-up.
Detailed documentation of the patient's presentation, mechanism of injury, and initial assessment findings.
Patients presenting with acute neck pain following trauma, requiring immediate imaging and evaluation.
Ensure that all imaging results are documented and correlate with the clinical findings to support the diagnosis.
Comprehensive operative reports detailing the surgical approach, findings, and any complications encountered during the procedure.
Surgical intervention for unstable dens fractures requiring fixation or decompression.
Document the rationale for surgical intervention and any preoperative assessments performed.
Used in cases of unstable dens fractures requiring stabilization.
Operative report detailing the procedure and indications.
Ensure that the surgical approach and any complications are documented.
Displaced dens fractures are primarily caused by high-energy trauma, such as motor vehicle accidents, falls, or sports injuries.
Diagnosis typically involves imaging studies like X-rays, CT scans, or MRIs to assess the fracture's displacement and any associated injuries.
Treatment options may include conservative management with immobilization or surgical intervention, depending on the fracture's stability and the patient's neurological status.
