ICD 10 CM S12.110 | Description & Clinical Information

ICD 10 S12.110 describes a specific type of fracture known as an anterior displaced type II dens fracture, which involves the breaking of the odontoid process of the second cervical vertebra, also known as C2 or the axis, resulting in misalignment from the rest of the cervical spine due to hyperextension or hyperflexion of the neck, and this fracture occurs when the part of the C2 vertebra that projects up to articulate with the first cervical vertebra, also called the atlas, is affected.

Official Description Of S12.110

The ICD 10 CM book defines ICD 10 code S12.110 as:

When To Use S12.110

The diagnosis describes by ICD 10 CM code S12.110 represents a specific type of cervical spine injury known as an anterior displaced type II dens fracture. This injury can be quite severe, and patients may experience a wide range of symptoms, including neck pain that extends towards the shoulder, pain in the back of the head, tingling, numbness, stiffness, tenderness, weakness, and nerve compression in the arms.

To diagnose this condition, medical providers rely on a combination of patient history, physical examination, and diagnostic imaging techniques. During the physical exam, a healthcare provider will assess nerve function and examine the cervical spine and extremities of the patient. They may also use imaging techniques such as X-rays, computed tomography (CT), and magnetic resonance imaging (MRI) to get a better look at the injury and determine the most appropriate course of treatment.

There are several different treatment options available to patients diagnosed with S12.110. Rest is an important component of treatment, not only to relieve pain but also to allow the body the necessary time to heal. Immobilization of the neck with a halo device can restrict neck movement, for some individuals with more severe fractures.

Depending on the level of pain experienced by the patient, medical providers may also recommend medications such as oral analgesics, nonsteroidal antiinflammatory drugs (NSAIDs) or injection treatments may be considered such as corticosteroid injections.

Physical therapy is an important component of many treatment plans for this injury. With a focus on modalities and exercises to reduce pain as well as improve strength in the affected area. Depending on the severity of the injury of the patient, the healthcare provider may recommend surgery as a method of treatment. Posterior atlantoaxial spinal arthrodesis with wire and bone graft or anterior screw fixation, may be considered as options for surgical intervention.

The treatment of this type of injury can be challenging, and a multidisciplinary approach may be required. Patients may work with a combination of primary care providers, orthopedic or neurologic specialists, physical therapists, rehabilitation professionals, and pain management specialists to get the care and support they need. It is important for patients to follow their treatment plan carefully, attending all scheduled appointments, following all instructions and committing to the rehabilitation process to optimize recovery.

The ICD 10 CM code S12.110 represents an injury that may require ongoing care and management. The healthcare team, working on a comprehensive treatment plan that will help individuals to return functioning optimally. By working with experienced medical professionals, patients can take steps to ensure they get the care and support they need to manage this injury effectively.