Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Vertebral compression fracture ++ 805.0 Closed fracture of cervical vertebra without mention of spinal cord injury805.1 Open fracture of cervical vertebra without mention of spinal cord injury805.2 Closed fracture of dorsal (thoracic) vertebra without spinal cord injury805.3 Open fracture of dorsal (thoracic) vertebra without spinal cord injury805.4 Closed fracture of lumbar vertebra without spinal cord injury805.5 Open fracture of lumbar vertebra without spinal cord injury805.6 Closed fracture of sacrum and coccyx without spinal cord injury805.7 Open fracture of sacrum and coccyx without spinal cord injury805.8 Closed fracture of unspecified part of vertebral column without spinal cord injury805.9 Open fracture of unspecified part of vertebral column without spinal cord injury ++ S12.9XXA Fracture of neck, unspecified, initial encounterS22.009A Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fractureS22.009B Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fractureS32.009A Unspecified fracture of unspecified lumbar vertebra, initial encounter for closed fractureS32.009B Unspecified fracture of unspecified lumbar vertebra, initial encounter for open fractureS32.10XA Unspecified fracture of sacrum, initial encounter for closed fractureS32.2XXA Fracture of coccyx, initial encounter for closed fractureS32.10XB Unspecified fracture of sacrum, initial encounter for open fractureS32.2XXB Fracture of coccyx, initial encounter for open fracture ++ 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated With Fracture +++ Description ++ FractureAny defect in the continuity of the end plate or vertebral body Types of spinal fracturesCompression fracture Wedge deformityAnterior vertebral body fractures, with loss of height greater anteriorly than posteriorly Usually stableRarely associated with neurologic symptomsAxial burst fractureAnterior and posterior vertebral body fractureMechanism of injury is usually fall from height Flexion/distraction fractureVertebra is pulled apartSuch as in a motor vehicle accidentTransverse process fractureUncommonResults from rotation or extreme lateral bendingFracture-dislocationUnstable injuryInvolves bone and soft tissue injuryVertebra becomes displaced from adjacent vertebraResults in serious spinal cord compression +++ Essentials of Diagnosis ++ Diagnosis is usually made by clinical examinationCan be an independent diagnosis and not associated with a disease process +++ General Considerations ++ Most common fractures of the spine occur in the thoracic and lumbar spine +++ Demographics ++ Men experience these fractures 4 times more often than womenIncreased risk of spinal fracture in the elderly secondary to osteoporosisOccurs in approximately 700,000 individuals yearly +++ Signs and Symptoms ++ Moderate to severe back painPain is exacerbated with movementLoss of heightConstipationRespiratory problemsSome pain relief with lying downDeformity of the spineIf spinal cord is involved, individual presents with:Numbness and tingling in lower extremities (LEs)LE weaknessAlterations in bowel and bladder function +++ Functional ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.