Infantile idiopathic scoliosis, thoracolumbar region
ICD-10 M41.05 is a billable code used to indicate a diagnosis of infantile idiopathic scoliosis, thoracolumbar region.
Infantile idiopathic scoliosis (IIS) is a spinal deformity characterized by an abnormal lateral curvature of the spine that occurs in children aged 0 to 3 years. The thoracolumbar region refers to the area of the spine that includes both the thoracic and lumbar vertebrae. This condition is termed 'idiopathic' because the exact cause remains unknown, although it is believed to involve a combination of genetic and environmental factors. IIS can lead to significant postural abnormalities and may affect lung function if severe. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the degree of curvature. Treatment options vary based on the severity of the curvature and the age of the child, ranging from observation to bracing and, in more severe cases, surgical intervention such as spinal fusion. Early detection and management are crucial to prevent progression and associated complications.
Detailed clinical notes on physical examination findings, imaging results, and treatment plans.
Initial diagnosis of scoliosis, monitoring progression, and planning surgical intervention.
Consideration of growth patterns and potential for curve progression in infants.
Assessment of functional limitations and rehabilitation goals.
Rehabilitation post-surgery or bracing, and management of associated pain.
Focus on improving mobility and function while monitoring spinal alignment.
Used in cases of severe idiopathic scoliosis requiring surgical intervention.
Operative report detailing the procedure, indications, and postoperative care.
Pediatric orthopedic surgeons must document growth considerations and potential complications.
The primary treatment for M41.05 varies based on the severity of the curvature. Mild cases may be monitored, while moderate to severe cases may require bracing or surgical intervention such as spinal fusion.