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thoracic pain icd 10
Brown CV; Antevil JL; Sise MJ; Sack DI
BACKGROUND: Although the acceptable adjustment of diagnosing aback fractures (SF) has been apparent radiography, Spiral Computed Tomography (SCT) is actuality acclimated with accretion frequency. Our academy adopted SCT as the primary modality for the analysis of SF. The purpose of this abstraction was to actuate whether SCT browse can be acclimated as a stand-alone analytic modality in the appraisal of SF.
METHODS: Retrospective analysis of all edgeless agony patients over a two year aeon (1/01-12/02). Patients with close pain, aback pain, or aback amore underwent SCT of the appropriate region. Patients who were benumbed or bagged underwent screening SCT of the absolute spine. SCT was performed application 5 mm axial cuts with three-dimensional reconstructions in sagittal and chaplet planes. Patients with a acquittal analysis of cervical, thoracic, or lumbar SF were articular from the agony anthology by ICD-9 codes.
RESULTS: There were 3,537 edgeless agony patients evaluated, with 236 (7%) comestible a cervical, thoracic, or lumbar SF. Forty-five patients (19%) abiding a SF in added than one anatomic region. SCT absent SF in two patients. The cervical SF absent by SCT was a compression breach articular by alluring resonance imaging and was advised with a adamant collar. The thoracic SF absent by SCT was additionally a compression breach articular on apparent radiographs and appropriate no treatment.
CONCLUSIONS: SCT of the aback articular 99.3% of all fractures of the cervical, thoracic, and lumbar spine, and those absent by SCT appropriate basal or no treatment. SCT is a acute analytic analysis for the identification of SF. Routine apparent radiographs of the aback are not all-important in the appraisal of edgeless agony patients.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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