Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Fracture, Sacrum


Related Terms

  • Os Sacrum Fracture
  • Spine Fracture

Differential Diagnosis

Specialists

  • Emergency Medicine Physician
  • Neurosurgeon
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist (Physical Medicine and Rehabilitation Specialist)
  • Physical Therapist
  • Trauma Surgeon
  • Urologist

Comorbid Conditions

Factors Influencing Duration

Length of disability is influenced by age, type of fracture, presence or absence of neurologic deficit, and presence or absence of other injuries.

Medical Codes

ICD-9-CM:
805.6 - Closed Fracture of Sacrum and Coccyx without Mention of Spinal Cord Injury
805.7 - Open Fracture of Sacrum and Coccyx without Mention of Spinal Cord Injury
806.60 - Closed Fracture of Sacrum and Coccyx with Unspecified Spinal Cord Injury
806.61 - Closed Fracture of Sacrum and Coccyx with Complete Cauda Equina Lesion
806.62 - Closed Fracture of Sacrum and Coccyx with Other Cauda Equina Lesion
806.69 - Closed Fracture of Sacrum and Coccyx with Other Spinal Cord Injury
806.70 - Open Fracture of Sacrum and Coccyx with Unspecified Spinal Cord Injury
806.71 - Open Fracture of Sacrum and Coccyx with Complete Cauda Equina Lesion
806.72 - Open Fracture of Sacrum and Coccyx with Other Cauda Equina Lesion
806.79 - Open Fracture of Sacrum and Coccyx with Other Spinal Cord Injury

Complications

Individuals may experience pain with prolonged sitting or standing. Some individuals develop chronic pelvic pain. About 60% of individuals who experience a sacral fracture will have a neurological complication (Wheeless). These include cauda equina syndrome, in which the individual experiences decreased sensation in the buttocks, genitalia, or thighs with urinary retention and loss of rectal tone, and bladder dysfunction caused by nerve injury (neurogenic bladder). Sexual, bladder, or bowel dysfunction may persist due to nerve damage. Other possible complications include death of the bone cells (avascular necrosis) due to inadequate blood supply, bleeding from injuries, infection, an unstable or arthritic spine following injury, and deep vein thrombosis (DVT).

Source: Medical Disability Advisor






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