Ankylosing hyperostosis [Forestier], lumbar region
ICD-10 M48.16 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], lumbar region.
Ankylosing hyperostosis, also known as Forestier's disease, is a condition characterized by calcification and ossification of the anterior longitudinal ligament of the spine, leading to stiffness and reduced mobility. This condition primarily affects the lumbar region, where patients may experience significant pain and discomfort due to the rigidity of the spine. The pathophysiology involves chronic inflammation and subsequent ossification, which can lead to a 'bamboo spine' appearance on imaging. Patients often present with symptoms similar to ankylosing spondylitis, including back pain and stiffness, particularly in the morning or after periods of inactivity. Diagnosis is typically confirmed through imaging studies such as X-rays or MRI, which reveal characteristic changes in the spinal structures. Management may include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms or correct deformities. It is important to differentiate this condition from other spondylopathies and inflammatory spine conditions, as treatment approaches may vary significantly.
Detailed clinical notes including symptom onset, duration, and response to treatment.
Patients presenting with chronic back pain and stiffness, particularly in older adults.
Ensure differentiation from other inflammatory conditions and document any imaging findings.
Surgical notes and pre-operative assessments must clearly outline the diagnosis and rationale for intervention.
Patients requiring surgical intervention for severe spinal rigidity or pain.
Document any previous treatments and their outcomes to justify surgical necessity.
Used in cases where surgical intervention is necessary due to severe symptoms.
Pre-operative assessment and imaging results must be documented.
Orthopedic surgeons must ensure clear justification for surgery.
The primary symptoms include chronic back pain, stiffness, and reduced mobility, particularly in the lumbar region.
Diagnosis is typically made through a combination of clinical evaluation, patient history, and imaging studies such as X-rays or MRI.
Treatment may include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms.
