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

Treatment

Stability of the sacral fractures determines the course of treatment. Most sacral fractures are stable, and bed rest is the prescribed treatment along with a sacral corset or brace for comfort while the fracture heals. Medications (analgesics) may be recommended for pain. Some individuals may receive medication to lessen the likelihood of formation of blood clots in the veins of the legs (deep vein thrombosis [DVT]) during the period of bed rest. For osteoporotic and/or stress fractures, walker ambulation and analgesics are appropriate.

For fractures where the bones have moved out of their anatomically normal position (displaced fracture) or that are unstable or complicated by neurologic deficit, surgery usually is necessary. Surgical treatment may entail open reduction, internal fixation (ORIF) of the sacrum or removal of part of a vertebra (sacral laminectomy). With ORIF, the bones are aligned in their proper position (reduced) and secured internally with hardware (internal fixation). In a sacral laminectomy, part of a sacral vertebra is removed (excision of the posterior arch of the vertebra).

Source: Medical Disability Advisor






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