ICD 10 CM S32.130B | Description & Clinical Information

ICD 10 S32.130B describes a type of fracture that occurs in any part of the sacrum, a large triangular bone located at the end of the vertebral column, which involves the spinal cord and often results in severe damage to the nerve roots causing neurologic injury, but with vertebral alignment maintained, due to trauma such as stress fractures from running and other sports activities, falls from high elevations, and automobile accidents, and this code is used for the initial encounter for a fracture that is exposed through a break in the skin.

Official Description Of S32.130B

The ICD 10 CM book defines ICD 10 code S32.130B as:

Clinical Information

The diagnosis describes by code ICD 10 CM S32.130B refers to a fracture in the sacrum, specifically a nondisplaced zone III fracture. This type of fracture can be highly painful and may severely limit a person’s mobility. Symptoms associated with a nondisplaced zone III fracture of the sacrum include swelling, stiffness, and weakness in the muscles of the lower back. Additionally, tingling sensations or numbness, especially in the legs, and a loss of bowel or bladder control can occur if the injury involves the S1 through S3 levels.

Clinicians diagnose this condition by taking a detailed patient history and conducting a physical examination. They may also administer neurological tests to evaluate muscle strength, sensation, and reflexes. Imaging techniques such as X-rays and computed tomography scans can help confirm the diagnosis. Electromyography and nerve conduction tests can further assess nerve damage, and evaluation of anal and bladder sphincter control can indicate the extent of the injury.

Treatment for a nondisplaced zone III fracture of the sacrum depends on the severity of the fracture. Open fractures, which involve a wound, typically require surgical intervention to close the wound. Unstable fractures may require fixation and nerve decompression surgery, since this type of fracture can sometimes press on the nerves and cause significant pain. However, other treatment options exist, ranging from bed rest to physical therapy, depending on the severity of the injury.

Some people with sacral fractures may benefit from using a sacral brace. This device can help restrict movement and facilitate healing of the sacrum. Traction, which involves stretching the spine, is another treatment option. The goal of traction is to alleviate pressure on the sacral area and encourage healing. Physical therapy may also be helpful, as it can help restore function to the muscles and improve balance and mobility.

Various medications can be used to manage the pain and promote healing. Steroids, analgesics, and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly adminstered to reduce inflammation and pain. These types of medications can be especially effective during the first few weeks after injury. In addition, thrombolytics or anticoagulants may be used to reduce the risk of blood clots.

Overall, a nondisplaced zone III fracture of the sacrum can be a painful and debilitating injury. However, prompt diagnosis and treatment can help alleviate symptoms and promote healing. Patients should work closely with their healthcare providers to develop a comprehensive treatment plan that addresses their individual needs and goals.