Neuromuscular scoliosis, thoracolumbar region
ICD-10 M41.45 is a billable code used to indicate a diagnosis of neuromuscular scoliosis, thoracolumbar region.
Neuromuscular scoliosis is a type of scoliosis that arises due to neuromuscular conditions such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy. This condition is characterized by an abnormal lateral curvature of the spine, specifically affecting the thoracolumbar region, which includes the thoracic and lumbar vertebrae. The curvature can lead to significant postural deformities, respiratory issues, and discomfort. Patients may present with asymmetry in shoulder height, rib prominence, and pelvic tilt. The progression of neuromuscular scoliosis can be rapid, especially in children, necessitating careful monitoring and intervention. Treatment options may include bracing, physical therapy, and surgical interventions such as spinal fusion to correct the curvature and stabilize the spine. The complexity of managing neuromuscular scoliosis lies in the underlying neuromuscular disorder, which may complicate surgical outcomes and rehabilitation efforts.
Detailed surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Surgical intervention for severe scoliosis, monitoring progression in pediatric patients.
Ensure accurate coding of both the scoliosis and any underlying neuromuscular conditions.
Comprehensive evaluations, treatment plans, and progress notes.
Rehabilitation post-surgery, management of pain and functional limitations.
Document the impact of scoliosis on functional abilities and quality of life.
Used for surgical correction of severe scoliosis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Neuromuscular scoliosis is caused by underlying neuromuscular disorders, while idiopathic scoliosis has no known cause. The management and progression of these conditions differ significantly.
