Fracture of second thoracic vertebra
ICD-10 S22.02 is a billable code used to indicate a diagnosis of fracture of second thoracic vertebra.
The fracture of the second thoracic vertebra (T2) is a significant injury often resulting from high-energy trauma, such as motor vehicle accidents or falls from heights. This type of fracture can lead to instability of the thoracic spine and potential neurological deficits, depending on the extent of the injury. The thoracic vertebrae are critical for protecting the spinal cord and supporting the rib cage, which houses vital organs. A fracture at this level may also be associated with rib fractures, pneumothorax, or hemothorax due to the proximity of the ribs and lungs. Clinical evaluation typically includes imaging studies such as X-rays, CT scans, or MRIs to assess the fracture's nature and any associated injuries. Treatment may involve conservative management with bracing or surgical intervention, particularly if there is spinal cord compression or significant instability. The management of T2 fractures requires a multidisciplinary approach, often involving orthopedic surgeons, neurosurgeons, and rehabilitation specialists.
Detailed operative reports, imaging studies, and follow-up notes are essential.
Management of unstable fractures requiring surgical intervention.
Documentation must clearly indicate the type of fracture and any neurological assessments.
Thorough documentation of the mechanism of injury, initial assessment, and imaging results.
Initial evaluation and stabilization of patients with thoracic trauma.
Accurate coding of associated injuries such as pneumothorax or rib fractures is crucial.
Used in cases of vertebral compression fractures.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the necessity for the procedure based on imaging findings.
Common complications include spinal cord injury, respiratory issues due to rib involvement, and chronic pain syndromes.
