Recurrent atlantoaxial dislocation with myelopathy
ICD-10 M43.3 is a billable code used to indicate a diagnosis of recurrent atlantoaxial dislocation with myelopathy.
Recurrent atlantoaxial dislocation with myelopathy is a condition characterized by the abnormal displacement of the first cervical vertebra (atlas) relative to the second cervical vertebra (axis), leading to neurological deficits due to spinal cord compression. This dislocation can occur due to trauma, congenital anomalies, or degenerative diseases. Myelopathy, which refers to spinal cord dysfunction, manifests as weakness, sensory changes, and coordination difficulties. Patients may present with neck pain, limited range of motion, and neurological symptoms such as tingling or numbness in the extremities. Diagnosis typically involves imaging studies such as MRI or CT scans to visualize the dislocation and assess the degree of spinal cord compression. Treatment may include conservative management with physical therapy or surgical intervention, such as spinal fusion, to stabilize the cervical spine and alleviate pressure on the spinal cord. The recurrent nature of this condition necessitates careful monitoring and management to prevent further neurological deterioration.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with neck pain and neurological symptoms, requiring evaluation for atlantoaxial instability.
Ensure clear documentation of myelopathy symptoms and their impact on daily functioning.
Surgical notes detailing the procedure performed, indications for surgery, and post-operative care.
Patients undergoing surgical intervention for recurrent dislocation, including spinal fusion.
Document the rationale for surgical intervention and any pre-existing conditions that may affect recovery.
Used in surgical management of recurrent atlantoaxial dislocation.
Surgical notes must detail the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgery and any complications.
Common symptoms include neck pain, neurological deficits such as weakness or numbness in the limbs, and coordination difficulties due to spinal cord compression.
