Adolescent idiopathic scoliosis, thoracolumbar region
ICD-10 M41.125 is a billable code used to indicate a diagnosis of adolescent idiopathic scoliosis, thoracolumbar region.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature of the spine, typically occurring in children and adolescents during their growth spurts. 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 genetic and environmental factors may play a role. The curvature can lead to asymmetry in the shoulders, waist, and hips, and may cause discomfort or pain in some cases. Diagnosis is primarily through physical examination and imaging studies such as X-rays, which help determine the degree of curvature. Treatment options vary based on the severity of the curve and the patient's age, ranging from observation and bracing to surgical interventions like spinal fusion. Spinal fusion aims to correct the curvature and stabilize the spine, preventing further progression of the deformity. Early detection and intervention are crucial to managing the condition effectively and improving the quality of life for affected adolescents.
Detailed imaging reports, surgical notes, and pre-operative assessments.
Surgical intervention for severe scoliosis, monitoring of curve progression in adolescents.
Ensure accurate documentation of the Cobb angle and any associated neurological assessments.
Growth charts, physical examination findings, and family history.
Routine screening for scoliosis in adolescents, referral for orthopedic evaluation.
Document any observations of asymmetry and the patient's growth pattern.
Used for surgical correction of severe scoliosis.
Operative report detailing the procedure and pre-operative assessments.
Orthopedic surgeons must document the rationale for surgical intervention.
The Cobb angle is a critical measurement used to assess the severity of scoliosis. It quantifies the degree of spinal curvature, guiding treatment decisions and monitoring progression.
