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Condition/Disorder Synonym

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  • Vertebral compression fracture

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ICD-9-CM Codes

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  • 805.0 Closed fracture of cervical vertebra without mention of spinal cord injury

  • 805.1 Open fracture of cervical vertebra without mention of spinal cord injury

  • 805.2 Closed fracture of dorsal (thoracic) vertebra without spinal cord injury

  • 805.3 Open fracture of dorsal (thoracic) vertebra without spinal cord injury

  • 805.4 Closed fracture of lumbar vertebra without spinal cord injury

  • 805.5 Open fracture of lumbar vertebra without spinal cord injury

  • 805.6 Closed fracture of sacrum and coccyx without spinal cord injury

  • 805.7 Open fracture of sacrum and coccyx without spinal cord injury

  • 805.8 Closed fracture of unspecified part of vertebral column without spinal cord injury

  • 805.9 Open fracture of unspecified part of vertebral column without spinal cord injury

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ICD-10-CM Codes

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  • S12.9XXA Fracture of neck, unspecified, initial encounter

  • S22.009A Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fracture

  • S22.009B Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture

  • S32.009A Unspecified fracture of unspecified lumbar vertebra, initial encounter for closed fracture

  • S32.009B Unspecified fracture of unspecified lumbar vertebra, initial encounter for open fracture

  • S32.10XA Unspecified fracture of sacrum, initial encounter for closed fracture

  • S32.2XXA Fracture of coccyx, initial encounter for closed fracture

  • S32.10XB Unspecified fracture of sacrum, initial encounter for open fracture

  • S32.2XXB Fracture of coccyx, initial encounter for open fracture

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Preferred Practice Pattern1

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Key Features

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Description

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  • Fracture

  • Any defect in the continuity of the end plate or vertebral body

  • Types of spinal fractures

    • Compression fracture

      • Wedge deformity

      • Anterior vertebral body fractures, with loss of height greater anteriorly than posteriorly

      • Usually stable

      • Rarely associated with neurologic symptoms

  • Axial burst fracture

    • Anterior and posterior vertebral body fracture

    • Mechanism of injury is usually fall from height

  • Flexion/distraction fracture

    • Vertebra is pulled apart

    • Such as in a motor vehicle accident

  • Transverse process fracture

    • Uncommon

    • Results from rotation or extreme lateral bending

  • Fracture-dislocation

    • Unstable injury

    • Involves bone and soft tissue injury

    • Vertebra becomes displaced from adjacent vertebra

    • Results in serious spinal cord compression

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Essentials of Diagnosis

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  • Diagnosis is usually made by clinical examination

  • Can be an independent diagnosis and not associated with a disease process

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General Considerations

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  • Most common fractures of the spine occur in the thoracic and lumbar spine

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Demographics

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  • Men experience these fractures 4 times more often than women

  • Increased risk of spinal fracture in the elderly secondary to osteoporosis

    • Occurs in approximately 700,000 individuals yearly

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Clinical Findings

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Signs and Symptoms

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  • Moderate to severe back pain

  • Pain is exacerbated with movement

  • Loss of height

  • Constipation

  • Respiratory problems

  • Some pain relief with lying ...

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