ICD 10 CM S22.022 | Description & Clinical Information
ICD 10 S22.022 describes a type of spinal injury characterized by an unstable burst fracture of the second thoracic vertebra, which occurs as a result of severe high impact trauma, such as a motor vehicle accident or fall from a height, and leads to displacement, angulation, or subluxation of the vertebra, resulting in neurologic injury and spinal canal compromise.
Official Description Of S22.022
The ICD 10 CM book defines ICD 10 code S22.022 as:
Includes: fracture of thoracic neural arch
fracture of thoracic spinous process
fracture of thoracic transverse process
fracture of thoracic vertebra
fracture of thoracic vertebral arch
Excludes1: transection of thorax (S28.1)
Excludes2: fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)
Code first any associated:
injury of intrathoracic organ (S27.-)
spinal cord injury (S24.0-, S24.1-)
When To Use S22.022
The diagnosis described by ICD 10 CM S22.022 is an unstable burst fracture of the second thoracic vertebra. This can cause a range of symptoms including moderate to severe pain, swelling, stiffness, numbness, tingling, curvature of the spine, and decreased range of motion. In severe cases, nerve injury can occur leading to partial or complete paralysis, and there is a risk of temporary loss of consciousness due to possible brain injury.
Medical professionals use various methods to diagnose this condition. One approach is to assess a patient’s history and perform a physical examination. This includes an evaluation of muscle strength, sensation, and reflexes as well as neurological tests. Additionally, imaging techniques like X-rays, computed tomography (CT), and magnetic resonance imaging (MRI) can help evaluate the extent of the injury.
Once a diagnosis is made, there are several treatment options available. It’s crucial to immediately stabilize the spine to prevent further damage. In most cases, surgery is necessary to fuse the vertebrae and restore alignment. After surgery, rest is necessary to allow the body time to heal. Physical therapy is often recommended to help the patient regain strength and mobility. Medications such as steroids and analgesics may be prescribed to manage pain and reduce inflammation.
It’s essential to recognize and treat an unstable burst fracture of the second thoracic vertebra promptly. Ignoring the condition can lead to nerve damage, loss of mobility, and other long-term complications. It’s also important to follow medical recommendations closely to ensure the best possible outcome. Anyone experiencing symptoms consistent with an unstable burst fracture of the second thoracic vertebra should seek medical attention immediately. Early detection and treatment can help prevent serious complications and improve the chances of a successful recovery.
