Kissing spine, lumbosacral region
ICD-10 M48.27 is a billable code used to indicate a diagnosis of kissing spine, lumbosacral region.
Kissing spine, also known as 'overlapping spinous processes,' occurs when the spinous processes of adjacent vertebrae in the lumbosacral region come into contact or overlap due to various underlying conditions. This phenomenon can lead to pain, discomfort, and limited mobility. It is often associated with spondylopathies, such as degenerative disc disease or spinal stenosis, where the structural integrity of the spine is compromised. Inflammatory conditions like ankylosing spondylitis may also contribute to the development of kissing spine, as they can lead to abnormal spinal alignment and fusion of vertebrae. Clinically, patients may present with localized pain, tenderness, and stiffness in the lower back, which may worsen with activity or prolonged sitting. Diagnosis typically involves imaging studies, such as X-rays or MRI, to visualize the alignment of the vertebrae and assess for any associated degenerative changes. Treatment options may include physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure on the affected spinal structures.
Detailed notes on physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic lower back pain and limited mobility due to kissing spine.
Ensure that all relevant imaging studies are documented to support the diagnosis.
Comprehensive assessment of inflammatory markers and history of autoimmune conditions.
Patients with ankylosing spondylitis presenting with kissing spine.
Document any systemic symptoms that may indicate an underlying inflammatory condition.
Used in cases where kissing spine leads to significant pain and functional impairment.
Pre-operative imaging and clinical notes justifying the need for surgery.
Orthopedic surgeons must document the severity of symptoms and impact on daily activities.
Common symptoms include localized pain in the lower back, tenderness over the affected area, and stiffness, particularly after periods of inactivity.
Diagnosis is typically made through imaging studies such as X-rays or MRI, which reveal the overlapping spinous processes, along with a thorough clinical evaluation.
Treatment may include physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure on the affected spinal structures.
