Kissing spine, lumbar region
ICD-10 M48.26 is a billable code used to indicate a diagnosis of kissing spine, lumbar region.
Kissing spine, or 'kissing spines,' refers to a condition where the spinous processes of adjacent vertebrae in the lumbar region come into contact with each other, often leading to pain and discomfort. This condition is typically associated with spondylopathies, where degenerative changes in the spine can lead to abnormal alignment and increased pressure on the spinal structures. Kissing spine can occur due to various factors, including ankylosing spondylitis, which is a type of inflammatory arthritis that primarily affects the spine and can lead to fusion of the vertebrae. Spinal stenosis, characterized by narrowing of the spinal canal, may also contribute to the development of kissing spine by altering the normal biomechanics of the lumbar region. Clinically, patients may present with localized pain, stiffness, and reduced range of motion in the lumbar area. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the proximity of the spinous processes and any associated degenerative changes. Treatment options may include physical therapy, pain management, and in severe cases, surgical intervention to alleviate symptoms and restore spinal alignment.
Detailed notes on physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic low back pain and imaging showing kissing spines.
Ensure that all conservative treatment options are documented before considering surgical intervention.
Comprehensive assessment of inflammatory markers and patient history related to ankylosing spondylitis.
Patients with a history of inflammatory back pain and associated symptoms.
Document any systemic symptoms that may indicate a broader inflammatory condition.
Used when surgical intervention is required for kissing spine.
Pre-operative imaging and detailed surgical notes.
Orthopedic surgeons must document the rationale for surgery.
Kissing spine is primarily caused by degenerative changes in the spine, leading to misalignment and contact between adjacent spinous processes. Conditions such as ankylosing spondylitis and spinal stenosis can exacerbate this condition.
