Ankylosing hyperostosis [Forestier], cervical region
ICD-10 M48.12 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], cervical region.
Ankylosing hyperostosis, also known as Forestier's disease, is characterized by calcification and ossification of the anterior longitudinal ligament of the spine, leading to stiffness and reduced mobility. This condition primarily affects the cervical region, resulting in neck pain and potential neurological complications due to spinal canal narrowing. The pathophysiology involves abnormal bone formation, which can be associated with aging and may present with symptoms similar to ankylosing spondylitis, although it is distinct in its etiology and clinical presentation. Patients may experience progressive loss of range of motion in the cervical spine, and in severe cases, this can lead to spinal stenosis, which may necessitate surgical intervention. Diagnosis is typically made through imaging studies, such as X-rays or MRI, which reveal characteristic changes in the cervical spine. Management focuses on symptomatic relief, physical therapy, and monitoring for complications.
Detailed history of symptoms, physical examination findings, and imaging results.
Patients presenting with chronic neck pain and stiffness, particularly in older adults.
Differentiating from other inflammatory spine conditions and ensuring comprehensive evaluation of spinal mobility.
Surgical notes, imaging studies, and pre-operative assessments.
Patients requiring surgical intervention for spinal stenosis due to ankylosing hyperostosis.
Documentation of neurological assessments and surgical indications.
Used when surgical intervention is required for spinal stenosis due to ankylosing hyperostosis.
Pre-operative assessments, imaging studies, and surgical notes.
Orthopedic surgeons must document the necessity of surgery based on neurological deficits.
The primary symptom is chronic neck pain and stiffness, which can progress to reduced mobility in the cervical spine.
