Treatment can range from conservative treatment — e.g., bracing — to complex surgery to stabilize the vertebrae and protect the spinal cord from additional damage. When someone with suspected broken vertebrae comes into the emergency department, doctors go to work to determine the damage done and to put a treatment plan in place.
fracture of posterior of elements in upper cervical spine, especially the axis compression fractures occur in vertebrae subjected to extreme stresses, such as those produced by the forces that arise when you land on your seat in a fall
A vertebral compression fracture (VCF) is a collapse or breakdown in a bone in your spine. Compression fractures happen when there is too much pressure on the vertebra. VCFs most often occur in the thoracic (middle) and lumbar (lower) areas of your spine. Fractures may be mild to severe.
000 for Wedge compression fracture of unspecified lumbar vertebra is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
03.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
In a compression fracture, the vertebral body collapses. The most common type of compression fracture is a wedge fracture, in which the front of the vertebral body collapses but the back does not, meaning that the bone assumes a wedge shape.
M48. 55XA: Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture (collapse at the junction of the thoracic and lumbar regions)
ICD-10-CM Code for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture S22. 000A.
If you have no other documentation about the fracture (e.g. whether this is a pathological or a traumatic fracture), then this would code to category M48. 5 - Compression fracture of vertebra NOS, so I would use M48. 56XA for the lumbar site.
Although all compression fractures have an underlying pathology, the term pathologic vertebral compression fracture (pVCF) is traditionally reserved for fractures that result from primary or metastatic spine tumors.
Five vertebraeLumbar (lower back): Five vertebrae (L1 to L5) make up the lower part of the spine. Your lumbar spine supports the upper parts of the spine. It connects to the pelvis and bears most of your body's weight, as well as the stress of lifting and carrying items. Many back problems occur in the lumbar spine.
There are three types of compression fractures: wedge, crush, and burst.
A compression fracture of the lumbar (lower) spine. Axial burst fracture. In this type of fracture, the vertebra loses height on both the front and back sides. It is often caused by landing on the feet after falling from a significant height. An axial burst fracture can sometimes result in nerve compression.
The most common type of spine fracture is a vertebral body compression fracture (Fig. 2). Sudden downward force shatters and collapses the body of the vertebrae. If the force is great enough, it may send bone fragments into the spinal canal, called a burst fracture.