Ankylosing hyperostosis [Forestier], lumbosacral region
ICD-10 M48.17 is a billable code used to indicate a diagnosis of ankylosing hyperostosis [forestier], lumbosacral 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 lumbosacral region, where the lumbar spine meets the sacrum. Patients often present with chronic back pain and may experience a gradual loss of spinal flexibility. The condition is more prevalent in older adults and can be associated with other spondylopathies, including ankylosing spondylitis. The pathophysiology involves an inflammatory process that leads to abnormal bone formation, resulting in a rigid spine. Diagnosis typically involves imaging studies such as X-rays or MRI, which reveal characteristic changes in the spinal structure. Management may include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms or address complications such as spinal stenosis.
Detailed patient history, imaging results, and treatment plans.
Patients presenting with chronic back pain and stiffness, particularly in older adults.
Differentiating from other inflammatory conditions and ensuring accurate imaging documentation.
Surgical notes, imaging studies, and post-operative assessments.
Patients requiring surgical intervention for spinal stenosis or severe mobility issues.
Understanding the implications of hyperostosis on surgical outcomes.
Used to evaluate the extent of hyperostosis in the lumbosacral region.
Include specific views taken and findings related to hyperostosis.
Rheumatology and orthopedics may require different imaging protocols.
The primary symptom is chronic back pain and stiffness, particularly in the lumbosacral region.
Diagnosis is typically made through imaging studies such as X-rays or MRI, which reveal characteristic changes in the spine.
Treatment may include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms.
