Congenital spondylolisthesis
ICD-10 Q76.2 is a billable code used to indicate a diagnosis of congenital spondylolisthesis.
Congenital spondylolisthesis is a condition characterized by the forward displacement of one vertebra over another, which occurs due to a developmental defect in the spine. This malformation can be present at birth and may lead to varying degrees of spinal instability and associated symptoms. In pediatric patients, congenital spondylolisthesis can manifest as back pain, neurological deficits, or deformities, particularly if the condition is severe. The condition is often associated with other congenital anomalies of the musculoskeletal system, such as scoliosis, clubfoot, or limb reduction defects. Diagnosis typically involves imaging studies, including X-rays or MRI, to assess the degree of slippage and any associated spinal deformities. Treatment may vary from conservative management, such as physical therapy, to surgical intervention in more severe cases. Early detection and management are crucial to prevent complications and improve long-term outcomes.
Pediatric documentation should include growth and developmental milestones, detailed physical examination findings, and any associated congenital conditions.
Common scenarios include a pediatric patient presenting with back pain or deformity, requiring imaging to assess for congenital spondylolisthesis.
Consideration must be given to the age of the patient and the potential for growth-related changes in the spine.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital spondylolisthesis.
Genetic counseling may be warranted for families with a history of congenital anomalies, including spondylolisthesis.
Awareness of syndromes associated with congenital spondylolisthesis, such as Marfan syndrome or other connective tissue disorders, is essential.
Used in cases of severe congenital spondylolisthesis requiring surgical intervention.
Detailed operative report and pre-operative imaging.
Orthopedic and neurosurgical specialties may be involved in the surgical management.
Congenital spondylolisthesis is present at birth due to developmental defects, while acquired spondylolisthesis occurs later in life due to factors such as trauma or degenerative changes. Accurate coding requires clear documentation of the patient's history and imaging findings.
