Unstable burst fracture of unspecified thoracic vertebra
ICD-10 S22.002 is a billable code used to indicate a diagnosis of unstable burst fracture of unspecified thoracic vertebra.
An unstable burst fracture of the thoracic vertebra is a severe spinal injury characterized by the shattering of the vertebral body, which can lead to spinal cord injury and neurological deficits. This type of fracture typically results from high-energy trauma, such as a fall from a height or a motor vehicle accident. The fracture is classified as unstable due to the potential for vertebral displacement and the risk of spinal cord compression. Patients may present with severe back pain, neurological symptoms, and signs of associated injuries, such as rib fractures or pneumothorax. Diagnostic imaging, including X-rays and MRI, is crucial for assessing the extent of the injury and planning appropriate surgical interventions. Management often involves surgical stabilization, which may include decompression and fusion, to prevent further neurological compromise and restore spinal stability. The complexity of treatment and the potential for complications, such as hemothorax or cardiac injuries, necessitate a multidisciplinary approach to care.
Detailed operative reports, imaging studies, and pre-operative assessments.
Surgical stabilization of unstable thoracic fractures, management of complications.
Ensure clear documentation of fracture type and surgical approach.
Thorough documentation of initial assessment, imaging results, and treatment provided.
Initial evaluation of trauma patients with suspected thoracic injuries.
Document all associated injuries and interventions performed in the emergency setting.
Used in cases of vertebral compression fractures, not typically for burst fractures.
Document the indication for the procedure and imaging findings.
Orthopedic surgeons must ensure the procedure is appropriate for the fracture type.
An unstable burst fracture involves significant vertebral body shattering and potential spinal cord compromise, while a stable fracture does not present the same risk of instability or neurological injury.
