$icd 10 code for type 1 odontoid fracture$ $icd 10 code for type 1 odontoid fracture$

Several publications recommend primary surgical fixation for type II and III OFx with major translation of the odontoid fragment, regardless of the patient’s age, and for all type II OFx in patients aged ≥50 years. A consensus for the management of OFx is currently lacking, and the choice of treatment has mainly been guided by the fracture type (II or III), magnitude and direction of displacement of the OFx fragment, patient age and the knowledge of variations in bony fusion rates after the use of different treatment options.

$icd 10 code for type 1 odontoid fracture$

The aims of treatment are to preserve neurological function, provide pain relief and establish bony fusion. When left untreated, these patients are at risk of fracture dislocation with secondary spinal cord injury (SCI) or persistent and severe neck pain due to chronic instability/pseudarthrosis. However, the majority of patients present with an OFx after trauma with various degrees of neck pain. Type I fractures are very rare and do not require stabilization, while type II and III fractures are common and considered unstable.Ī minor proportion of patients with OFx die immediately at the scene of the accident due to severe fracture dislocation with subsequent injury to the upper spinal cord, causing tetraplegia and respiratory arrest. OFx are subdivided into types I, II and III according to the classification proposed by Anderson and D’Alonzo. The incidence of this injury increases with age, making OFx the most common CS-fx in the elderly population. Twenty percent of these fractures are odontoid fractures (OFx) of cervical vertebra 2 (C2). The incidence of traumatic cervical spine fractures (CS-fx) in the Norwegian population is 15/100,000/year. The most common reasons listed for choosing primary external immobilization instead of primary surgical fixation were an older age and comorbidities. The main deviation was the underuse of primary surgical fixation for type II OFx. The level of compliance with the treatment recommendations for OFx was low. Significant differences the in conversion rate were not observed between patients with type II and III fractures.

$icd 10 code for type 1 odontoid fracture$

Conversion from external immobilization alone to subsequent open surgical fixation was performed in 10% of patients. In the multivariate analysis, the following parameters were significantly associated with surgery as the primary treatment: independent living, less serious comorbidities prior to the injury, type II OFx and major sagittal translation of the odontoid fragment. The primary fracture treatment was rigid collar alone in 79% of patients and open surgical fixation in 21%. According to the Anderson and D’Alonzo classification, the OFx were type II in 199 patients (59%) and type III in 137 patients (41%).

$icd 10 code for type 1 odontoid fracture$

The median age of the patients was 80 years, and 45% were females. Three hundred thirty-six patients with an OFx were diagnosed, resulting in an overall incidence of 2.8/100000 persons/year. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

$icd 10 code for type 1 odontoid fracture$

Icd 10 code for type 1 odontoid fracture