Kissing spine, occipito-atlanto-axial region
ICD-10 M48.21 is a billable code used to indicate a diagnosis of kissing spine, occipito-atlanto-axial region.
Kissing spine, also known as 'kissing spines syndrome', refers to a condition where the spinous processes of adjacent vertebrae come into contact with each other, leading to pain and discomfort. In the occipito-atlanto-axial region, this condition can result from various underlying issues, including spondylopathies, ankylosing spondylitis, and spinal stenosis. The condition is characterized by inflammation and degeneration of the spinal structures, which can lead to restricted mobility and chronic pain. Patients may present with symptoms such as neck stiffness, pain that worsens with movement, and neurological deficits if nerve roots are compressed. Diagnosis typically involves imaging studies like X-rays or MRI to visualize the alignment of the vertebrae and assess for any associated pathologies. Treatment may include physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure on the spinal cord or nerves.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic neck pain, limited range of motion, and previous history of spinal disorders.
Ensure that all relevant imaging studies are documented and correlate with the diagnosis.
Comprehensive assessment of inflammatory markers, patient history, and response to treatment.
Patients with ankylosing spondylitis presenting with exacerbated symptoms.
Document any systemic symptoms that may indicate a broader inflammatory process.
Performed when there is significant spinal stenosis or nerve compression due to kissing spine.
Pre-operative assessment, imaging results, and post-operative follow-up notes.
Orthopedic surgeons must document the rationale for surgical intervention.
Common symptoms include neck pain, stiffness, and limited range of motion, often exacerbated by movement.
Diagnosis is typically made through clinical evaluation and imaging studies such as X-rays or MRI.
Treatment may include physical therapy, pain management, and in severe cases, surgical intervention.
