Adolescent idiopathic scoliosis, cervical region
ICD-10 M41.122 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, cervical region.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically diagnosed in children and adolescents aged 10 to 18 years. The cervical region, while less commonly affected than the thoracic or lumbar regions, can still exhibit significant curvature leading to functional and aesthetic concerns. The etiology of AIS remains largely unknown, although genetic and environmental factors may play a role. Patients may present with asymmetry in shoulder height, rib prominence, or a noticeable curve in the neck. Diagnosis is primarily through clinical examination and confirmed via radiographic imaging, which assesses the Cobb angle to determine the severity of the curvature. Treatment options vary based on the degree of curvature and may include observation, bracing, or surgical intervention such as spinal fusion. Surgical procedures aim to correct the deformity and stabilize the spine, thereby improving function and reducing pain. The management of AIS requires a multidisciplinary approach, involving orthopedic surgeons, physical therapists, and sometimes psychologists to address the psychosocial impacts of the condition.
Detailed clinical notes, imaging reports, and treatment plans must be documented, including the Cobb angle measurements and any conservative treatments attempted.
Patients presenting with progressive curvature, pain, or functional limitations due to cervical scoliosis.
Surgeons must ensure that all pre-operative assessments and post-operative follow-ups are thoroughly documented to support the necessity of surgical intervention.
Therapy notes should include assessments of range of motion, strength, and functional limitations, as well as progress towards therapy goals.
Patients undergoing rehabilitation post-surgery or those receiving conservative management for scoliosis.
Therapists should document the specific exercises prescribed and the patient's response to treatment to support ongoing therapy needs.
Used for surgical correction of significant cervical scoliosis.
Operative reports must detail the surgical approach, levels fused, and any complications.
Orthopedic surgeons must document pre-operative assessments and post-operative outcomes to justify the procedure.
The Cobb angle is a critical measurement used to quantify the degree of spinal curvature in scoliosis. A Cobb angle of 10 degrees or more is indicative of scoliosis, and the angle helps determine the severity of the condition and the appropriate treatment plan.
Treatment for adolescent idiopathic scoliosis varies based on the severity of the curvature. Mild cases may be monitored, while moderate cases may require bracing to prevent progression. Severe cases, particularly those affecting function or causing pain, may necessitate surgical intervention such as spinal fusion.
