ICD 10 CM S34.112 | Description & Clinical Information

ICD 10 S34.112 describes a condition characterized by a total lesion at the L2 level of the lumbar spinal cord region, resulting from severe damage to the nerve fibers of the spinal cord, which can lead to permanent and complete loss of sensation or movement in the lower back and legs, depending on the extent and impact of the injury, and can be caused by various factors such as traumatic events like car accidents, sports injuries, or physical assault, as well as diseases affecting the bones, tissues, or blood vessels surrounding the lumbar spinal cord.

Official Description Of S34.112

The ICD 10 CM book defines ICD 10 code S34.112 as:

Complete lesion of L2 level of lumbar spinal cord
Complete lesion of lumbar spinal cord level 2
Parent Code Notes: S34

Code also: any associated:
fracture of vertebra (S22.0-, S32.0-)
open wound of abdomen, lower back and pelvis (S31.-)
transient paralysis (R29.5)

Clinical Information

The diagnosis described by ICD 10 CM S34.112 pertains to a complete lesion at the L2 level of the lumbar spinal cord. This condition can cause varying symptoms such as pain, loss of bowel and bladder control, sexual dysfunction, swelling, stiffness and muscle weakness in the lower back. Complete paralysis may also occur below the injury site.

Healthcare providers diagnose this condition through several methods including a patient’s medical history and physical examination, neurological tests to evaluate muscle strength, sensation, and reflexes, and imaging techniques such as X-rays, myelography, magnetic resonance imaging, and computed tomography. Electromyography and nerve conduction tests may also be included.

Once the diagnosis of ICD 10 CM S34.112 is confirmed, a range of treatment options may be applied depending on the severity of the condition. One of these options is the use of a brace to support the spine and restrict movement. This could help to alleviate pain and swelling. In severe cases, traction, which involves the application of force to the affected area, may be used.

Physical therapy is another treatment option that can help to strengthen muscles and promote flexibility. Occupational therapy can also provide assistance to patients to regain independence in daily life activities such as walking or dressing.

Medications such as corticosteroids, analgesics, and nonsteroidal anti-inflammatory drugs provide relief from pain for this condition. Furthermore, thrombolytics and anticoagulants may be prescribed to prevent the risk of blood clots.

Finally, surgery may be necessary for severe cases of ICD 10 CM S34.112. This could include procedures where a spinal fusion is performed to eliminate movement between vertebrae and reduce the pain associated with the condition. Furthermore, decompression surgery may be carried out to relieve pressure on the spinal cord.

In conclusion, while the diagnosis of ICD 10 CM S34.112 can be daunting, early detection and understanding the available treatments can greatly improve the quality of life of affected patients. Healthcare providers should remain vigilant and aim to provide a comprehensive patient-centered care plan to optimally manage this condition.

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