ICD-10-CM Codes › S00-T88 Injury, poisoning and certain other consequences of external causes › S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals › S32-Fracture of lumbar spine and pelvis › Fracture of lumbar vertebra S32.0 Fracture of lumbar vertebra S32.0-
Zone I - Fractures occur lateral to the sacral foramina. The most common, accounting for 50% of the fractures in the series of Denis et al. Zone-I fractures mainly involve the sacral ala, with possible extension into the sacroiliac joint.
Specific reflexes - perianal wink, bulbocavernosus and cremasteric reflexes. All patients with Sacral fractures should have a digital rectal examination and female patients should undergo a vaginal examination to exclude an occult open pelvic fracture.
Usually consider sacral fractures in conjunction with pelvic fractures. Unrecognized and inadequately treated sacral fractures may lead to painful deformity and progressive loss of neurological function. Delayed surgery for posttraumatic sacral deformity is complex, and the results are often less favourable than after early surgery. Anatomy
ICD-10-CM Code for Fracture of sacrum S32. 1.
zone 3: fracture is medial to the neural foramen, involving the spinal canal; these may be transverse or longitudinal, and can be sub-classified into 4 types: type 1: only kyphotic angulation at the fracture site (no translation) type 2: kyphotic angulation with anterior translation of the distal sacrum.
In their original description, Denis et al. [6] described three zones of injury: Zone I: injuries located lateral to the neuroforamina; Zone II: injuries that involve the neuroforamina, but not the spinal canal; and Zone III: injuries that extend into the spinal canal, with primary or associated fracture lines.
Zone 2 sacral fractures are reported to range between 34 and 47.5% of all sacral fractures. Denis originally described the influence of fracture zone on neurological deficit and prognosis, with zone 2 fractures characterized by injury to the L5 through lower sacral nerve roots.
Sacral fractures are common pelvic ring injuries that are under-diagnosed and often associated with neurologic compromise.
Zone I includes the sacral ala lateral to the foramina, zone II the foramina and zone III the sacral canal medial to the neural foramina (Fig. 2).
The sacrum tapers to a point at its inferior end, where it forms the fibrocartilaginous sacrococcygeal joint with the tiny coccyx (tail bone). On the left and right lateral sides the sacrum forms the sacroiliac joints with the ilium of the hip bones to form the rigid pelvis.
The sacrum is a concave sphenoid bone that sits at the bottom of the spinal column. It looks like an inverted triangle: the widest part (base) is at the top, and the pointy end (apex) is at the bottom. The sides of the sacrum connect to the right and left hip (iliac) bones.
The bottom of the spine is called the sacrum. It is made up of several vertebral bodies usually fused together as one. The remaining small bones or ossicles below the sacrum are also fused together and called the tailbone or coccyx.
Introduction. Sacral insufficiency fractures (SIFs) are a subtype of stress fractures, resulting from normal stress applied to a bone with reduced elasticity. Typically, SIFs are associated with an underlying metabolic bone disease condition such as osteoporosis or Paget's disease and are most common in elderly women.
The sacrum forms the posterior pelvic wall and strengthens and stabilizes the pelvis. Joined at the very end of the sacrum are two to four tiny, partially fused vertebrae known as the coccyx or "tail bone".
INTRODUCTION. A select subset of pelvic ring injuries are characterized by bilateral sacral ala fractures with an associated transverse fracture line that separates the lumbar spine from the remaining pelvis and lower extremities with varying degrees of kyphotic or translational deformity.
These fractures can cause severe pain in the buttock, back, hip, groin, and/or pelvis. Walking is typically slow and painful. Many daily activities become painful, difficult, and in some cases impossible.
Treatment. Since the sacrum bone is hard to reach, pain management through medication and rest are often the only treatment options. If the pain does not subside or the fracture is severe, surgery may be suggested to help strengthen the bone for ample healing.
Sacral Fracture Types Low-energy fractures occur in older people who may have weak bones due to osteoporosis. “The person trips over a rug or on black ice, lands on their butt, and notices persistent back pain or buttock pain,” Dr. Park says. “The pain is often centered in the lower back or the hips and butt.
To lessen the pain of a broken or bruised tailbone, consider sleeping:on a firm mattress.on your side with a pillow between your knees.on your back with a pillow under your knees.
Abdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S32.10XA and a single ICD9 code, 805.6 is an approximate match for comparison and conversion purposes.
Fracture of second lumbar vertebra 1 S32.02 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S32.02 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S32.02 - other international versions of ICD-10 S32.02 may differ.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.