KA45.4 Fracture, dislocation or subluxation of spine due to birth injury International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2025-01 A true fracture of the spine is very rare due to birth injury. A fracture is usually in the cervical area and follows a difficult footling breech vaginal delivery. Dislocation refers to the displacement of one of the cervical vertebra relative to another in the cervical spine. The trauma allows one vertebra to shift position over the vertebra below. If this dislocation is partial the term “subluxation” is used. The injury to the spine may be unilateral or bilateral. Dislocations may be stable or unstable referring to the degree of mobility and the extent of additional damage to the supporting ligaments.
postcoordination Add Stem and/or Extension codes to form a cluster code which adds detail to the condition.
Specific anatomy - multiple selections are allowed [select] XA5J55 Vertebral column – XA7MS2 Vertebra –– XA9ZW8 Cervical vertebra ––– XA2XE8 Atlas –––– XA0KQ4 Posterior arch of first cervical vertebra –––– XA1304 Lateral mass of first cervical vertebra ––– XA17N0 Axis –––– XA5W02 Odontoid process ––– XA2W05 Third cervical vertebra –––– XA51V4 Arch of third cervical vertebra –––– XA4UV1 Body of third cervical vertebra –––– XA8CG0 Processes of third cervical vertebra ––– XA3RE9 Fourth cervical vertebra –––– XA24X7 Arch of fourth cervical vertebra –––– XA3GT0 Body of fourth cervical vertebra –––– XA75V3 Processes of fourth cervical vertebra ––– XA9C12 Fifth cervical vertebra –––– XA1PJ5 Arch of fifth cervical vertebra –––– XA1BS2 Body of fifth cervical vertebra –––– XA2FY7 Processes of fifth cervical vertebra ––– XA5S79 Sixth cervical vertebra –––– XA8W16 Arch of sixth cervical vertebra –––– XA9Q12 Body of sixth cervical vertebra –––– XA60Z0 Processes of sixth cervical vertebra ––– XA34U8 Seventh cervical vertebra –––– XA05M5 Arch of seventh cervical vertebra –––– XA1JS3 Body of seventh cervical vertebra –––– XA91D7 Processes of seventh cervical vertebra –– XA6E88 Thoracic vertebra ––– XA3F93 First thoracic vertebra –––– XA7UP5 Arch of first thoracic vertebra –––– XA8PH0 Body of first thoracic vertebra –––– XA1AX4 Processes of first thoracic vertebra ––– XA8QS0 Second thoracic vertebra –––– XA2VV9 Arch of second thoracic vertebra –––– XA3Z42 Body of second thoracic vertebra –––– XA6T61 Processes of second thoracic vertebra ––– XA1Z15 Third thoracic vertebra –––– XA2SM3 Arch of third thoracic vertebra –––– XA35A0 Body of third thoracic vertebra –––– XA41U9 Processes of third thoracic vertebra ––– XA0C31 Fourth thoracic vertebra –––– XA22W3 Arch of fourth thoracic vertebra –––– XA3J42 Body of fourth thoracic vertebra –––– XA1WL4 Processes of fourth thoracic vertebra ––– XA3PH5 Fifth thoracic vertebra –––– XA28A7 Arch of fifth thoracic vertebra –––– XA8W59 Body of fifth thoracic vertebra –––– XA0449 Processes of fifth thoracic vertebra ––– XA45S2 Sixth thoracic vertebra –––– XA29X2 Arch of sixth thoracic vertebra –––– XA0YY2 Body of sixth thoracic vertebra –––– XA1R53 Processes of sixth thoracic vertebra ––– XA59Y3 Seventh thoracic vertebra –––– XA54G1 Arch of seventh thoracic vertebra –––– XA62Y3 Body of seventh thoracic vertebra –––– XA1CQ7 Processes of seventh thoracic vertebra ––– XA8NQ5 Eighth thoracic vertebra –––– XA3PL7 Arch of eighth thoracic vertebra –––– XA5JX9 Body of eighth thoracic vertebra –––– XA1SD8 Processes of eighth thoracic vertebra ––– XA3E70 Ninth thoracic vertebra –––– XA9N69 Arch of ninth thoracic vertebra –––– XA2X21 Body of ninth thoracic vertebra –––– XA5SW1 Processes of ninth thoracic vertebra ––– XA0AV7 Tenth thoracic vertebra –––– XA7LF7 Arch of tenth thoracic vertebra –––– XA6VP6 Body of tenth thoracic vertebra –––– XA7122 Processes of tenth thoracic vertebra ––– XA7T69 Eleventh thoracic vertebra –––– XA98R9 Arch of eleventh thoracic vertebra –––– XA91J0 Body of eleventh thoracic vertebra –––– XA92Q6 Processes of eleventh thoracic vertebra ––– XA69W5 Twelfth thoracic vertebra –––– XA15N3 Arch of twelfth thoracic vertebra –––– XA1401 Body of twelfth thoracic vertebra –––– XA2D62 Processes of twelfth thoracic vertebra –– XA0D60 Lumbar vertebra ––– XA3291 First lumbar vertebra –––– XA8AX7 Arch of first lumbar vertebra –––– XA9E61 Body of first lumbar vertebra –––– XA4U01 Processes of first lumbar vertebra ––– XA2GH9 Second lumbar vertebra –––– XA24M1 Arch of second lumbar vertebra –––– XA5079 Body of second lumbar vertebra –––– XA52T1 Processes of second lumbar vertebra ––– XA3N97 Third lumbar vertebra –––– XA3G24 Arch of third lumbar vertebra –––– XA0TL0 Body of third lumbar vertebra –––– XA80X7 Processes of third lumbar vertebra ––– XA9A53 Fourth lumbar vertebra –––– XA7CH7 Arch of fourth lumbar vertebra –––– XA4145 Body of fourth lumbar vertebra –––– XA38A4 Processes of fourth lumbar vertebra ––– XA9641 Fifth lumbar vertebra –––– XA2JV2 Arch of fifth lumbar vertebra –––– XA5886 Body of fifth lumbar vertebra –––– XA4PS3 Processes of fifth lumbar vertebra –– XA14W3 Sacrum –– XA4V28 Coccyx – XA02R1 Intervertebral disc or space –– XA8D30 Cervical discs or space ––– XA9Z06 Cervical intervertebral disc or space C1-C2 ––– XA18M2 Cervical intervertebral disc or space C2-C3 ––– XA94K2 Cervical intervertebral disc or space C3-C4 ––– XA3623 Cervical intervertebral disc or space C4-C5 ––– XA1X49 Cervical intervertebral disc or space C5-C6 ––– XA16L1 Cervical intervertebral disc or space C6-C7 ––– XA2SG0 Cervicothoracic disc or space C7-T1 –– XA1N54 Thoracic discs or space ––– XA4722 Thoracic intervertebral disc or space T1-T2 ––– XA6KQ8 Thoracic intervertebral disc or space T2-T3 ––– XA6CX2 Thoracic intervertebral disc or space T3-T4 ––– XA0NE8 Thoracic intervertebral disc or space T4-T5 ––– XA7PD1 Thoracic intervertebral disc or space T5-T6 ––– XA4TP2 Thoracic intervertebral disc or space T6-T7 ––– XA7117 Thoracic intervertebral disc or space T7-T8 ––– XA9PW9 Thoracic intervertebral disc or space T8-T9 ––– XA8E13 Thoracic intervertebral disc or space T9-T10 ––– XA6HY9 Thoracic intervertebral disc or space T10-T11 ––– XA5LG2 Thoracic intervertebral disc or space T11-T12 ––– XA97A4 Thoracolumbar intervertebral disc or space T12-L1 –– XA54S5 Lumbar discs or space ––– XA7RD5 Lumbar intervertebral disc or space L1-L2 ––– XA8DG2 Lumbar intervertebral disc or space L2-L3 ––– XA1F44 Lumbar intervertebral disc or space L3-L4 ––– XA2N96 Lumbar intervertebral disc or space L4-L5 ––– XA54R2 Lumbosacral intervertebral disc or space L5-S1 –– XA2Y58 Intervertebral disc ––– XA8WM9 Nucleus pulposus ––– XA10M1 Annulus fibrosus Associated with - multiple selections are allowed [select] KA00 Fetus or newborn affected by maternal conditions that may be unrelated to present pregnancy – KA00.0 Fetus or newborn affected by maternal hypertensive disorders – KA00.1 Fetus or newborn affected by gestational oedema or proteinuria without hypertension – KA00.2 Fetus or newborn affected by maternal renal or urinary tract diseases – KA00.3 Fetus or newborn affected by maternal infectious diseases – KA00.4 Fetus or newborn affected by periodontal disease in mother – KA00.5 Fetus or newborn affected by maternal respiratory diseases – KA00.6 Fetus or newborn affected by maternal nutritional disorders – KA00.7 Fetus or newborn affected by abnormal maternal chemistry – KA00.8 Fetus or newborn affected by maternal injury – KA00.9 Fetus or newborn affected by maternal chemotherapy – KA00.A Fetus or newborn affected by surgical procedure on mother – KA00.B Fetus or newborn affected by maternal anaemia – KA00.Y Fetus or newborn affected by other specified maternal condition that may be unrelated to present pregnancy – KA00.Z Fetus or newborn affected by unspecified maternal condition that may be unrelated to present pregnancy –– KA00.60 Fetus or newborn affected by maternal malnutrition –– KA00.61 Fetus or newborn affected by maternal overweight or obesity –– KA00.6Y Other specified fetus or newborn affected by maternal nutritional disorders –– KA00.6Z Fetus or newborn affected by maternal nutritional disorders, unspecified KA01 Fetus or newborn affected by maternal complications of pregnancy – KA01.0 Fetus or newborn affected by incompetence of cervix uteri – KA01.1 Fetus or newborn affected by premature rupture of membranes – KA01.2 Fetus or newborn affected by oligohydramnios – KA01.3 Fetus or newborn affected by polyhydramnios – KA01.4 Fetus or newborn affected by ectopic pregnancy – KA01.5 Fetus or newborn affected by multiple pregnancy – KA01.6 Fetus or newborn affected by maternal death – KA01.7 Fetus or newborn affected by malpresentation before labour – KA01.8 Fetus or newborn affected by maternal blood loss – KA01.Y Fetus or newborn affected by other specified maternal complication of pregnancy – KA01.Z Fetus or newborn affected by unspecified maternal complication of pregnancy KA02 Fetus or newborn affected by complications of placenta – KA02.0 Fetus or newborn affected by placenta praevia – KA02.1 Fetus or newborn affected by placental oedema or large placenta – KA02.2 Fetus or newborn affected by placental infarction – KA02.3 Fetus or newborn affected by placental insufficiency or small placenta – KA02.4 Fetus or newborn affected by placental transfusion syndromes – KA02.Y Fetus or newborn affected by other specified complication of placenta – KA02.Z Fetus or newborn affected by unspecified complication of placenta KA03 Fetus or newborn affected by complications of umbilical cord – KA03.0 Fetus or newborn affected by prolapsed cord – KA03.1 Fetus or newborn affected by other compression of umbilical cord – KA03.2 Fetus or newborn affected by abnormalities of umbilical cord length – KA03.3 Fetus or newborn affected by vasa praevia – KA03.4 Fetus or newborn affected by traumatic injury of the umbilical cord – KA03.Y Fetus or newborn affected by other specified complication of umbilical cord – KA03.Z Fetus or newborn affected by unspecified complication of umbilical cord –– KA03.20 Fetus or newborn affected by short umbilical cord –– KA03.21 Fetus or newborn affected by long umbilical cord –– KA03.2Y Other specified fetus or newborn affected by abnormalities of umbilical cord length –– KA03.2Z Fetus or newborn affected by abnormalities of umbilical cord length, unspecified KA04 Fetus or newborn affected by other abnormalities of membranes – KA04.0 Fetus or newborn affected by chorioamnionitis – KA04.1 Fetus or newborn affected by amniotic band syndrome – KA04.Y Fetus or newborn affected by other specified abnormality of membranes – KA04.Z Fetus or newborn affected by unspecified abnormality of membranes KA05 Fetus or newborn affected by certain complications of labour or delivery – KA05.0 Fetus or newborn affected by breech delivery or extraction – KA05.1 Fetus or newborn affected by other malpresentation, malposition or disproportion during labour or delivery – KA05.2 Fetus or newborn affected by forceps delivery – KA05.3 Fetus or newborn affected by delivery by vacuum extractor – KA05.4 Fetus or newborn affected by caesarean delivery – KA05.5 Fetus or newborn affected by precipitate delivery – KA05.6 Fetus or newborn affected by abnormal uterine contractions – KA05.7 Fetus or newborn affected by abnormality in fetal intrauterine heart rate or rhythm – KA05.8 Meconium passage during delivery – KA05.Y Fetus or newborn affected or suspected to be affected by other specified complications of labour or delivery – KA05.Z Fetus or newborn affected or suspected to be affected by unspecified complications of labour or delivery –– KA05.70 Fetus and newborn affected by abnormality in fetal intrauterine heart rate or rhythm before onset of labour –– KA05.71 Fetus and newborn affected by abnormality in fetal intrauterine heart rate or rhythm during labour –– KA05.7Z Fetus or newborn affected by abnormality in fetal intrauterine heart rate or rhythm, unspecified KA06 Fetus or newborn affected by noxious influences transmitted via placenta or breast milk – KA06.0 Fetus or newborn affected by maternal anaesthesia or analgesia in pregnancy, labour or delivery – KA06.1 Fetus or newborn affected by maternal use of tobacco – KA06.2 Fetus or newborn affected by maternal use of alcohol – KA06.3 Fetus or newborn affected by maternal use of drugs of addiction – KA06.4 Fetus or newborn affected by maternal use of nutritional chemical substances – KA06.5 Fetus or newborn affected by maternal exposure to environmental chemical substances – KA06.Y Fetus or newborn affected by other specified noxious influence transmitted via placenta or breast milk – KA06.Z Fetus or newborn affected by unspecified noxious influence transmitted via placenta or breast milk KA07 Neonatal dermatoses due to maternal antibodies – KA07.0 Neonatal lupus erythematosus – KA07.1 Neonatal pemphigus – KA07.Y Other specified neonatal dermatoses due to maternal antibodies KA0Z Fetus or newborn affected by unspecified maternal factors or by complications of pregnancy, labour or delivery
synonyms Fracture, dislocation or subluxation of spine due to birth injury
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