Osteomyelitis of vertebra, lumbosacral region
ICD-10 M46.27 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, lumbosacral region.
Osteomyelitis of the vertebra in the lumbosacral region is an infection of the bone that can lead to significant morbidity if not diagnosed and treated promptly. This condition often arises from hematogenous spread, direct extension from adjacent infections, or post-surgical complications. Patients may present with localized pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal cord involvement. Imaging studies, particularly MRI, are critical for diagnosis, revealing bone edema, abscess formation, and potential disc involvement. Treatment typically involves a combination of antibiotics and surgical intervention to debride infected tissue and stabilize the spine. Chronic osteomyelitis can lead to complications such as spinal deformities, chronic pain, and neurological impairment, necessitating a multidisciplinary approach for management.
Detailed operative notes, imaging studies, and post-operative care plans.
Surgical intervention for osteomyelitis, management of spinal deformities.
Ensure clarity on the surgical approach and any hardware used.
Comprehensive history of infection, laboratory results, and antibiotic regimens.
Management of systemic infections leading to osteomyelitis.
Documenting the response to treatment and any complications.
Used in cases where surgical intervention is required for osteomyelitis.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgery.
Common causes include hematogenous spread from distant infections, direct extension from adjacent soft tissue infections, and post-surgical complications.
