Congenital kyphosis, occipito-atlanto-axial region
ICD-10 Q76.411 is a billable code used to indicate a diagnosis of congenital kyphosis, occipito-atlanto-axial region.
Congenital kyphosis in the occipito-atlanto-axial region is a structural deformity characterized by an abnormal curvature of the spine, specifically affecting the upper cervical vertebrae. This condition can arise from various developmental anomalies during fetal growth, including failure of segmentation or formation of the vertebrae. Patients may present with a noticeable hunchback appearance, limited neck mobility, and potential neurological deficits due to spinal cord compression. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the degree of curvature and any associated anomalies. Treatment options may include bracing, physical therapy, or surgical intervention, depending on the severity of the curvature and associated symptoms. Early diagnosis and management are crucial to prevent complications such as chronic pain, respiratory issues, and neurological impairment.
Pediatric documentation should include growth parameters, developmental milestones, and specific physical examination findings related to kyphosis.
Common scenarios include routine pediatric evaluations where kyphosis is identified, or referrals for orthopedic assessment due to postural concerns.
Consideration of the child's age and growth patterns is essential, as treatment approaches may vary significantly based on developmental stage.
Genetic documentation should include family history, any known syndromic associations, and results from genetic testing if applicable.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with kyphosis.
Awareness of syndromic associations such as Down syndrome or other chromosomal abnormalities that may present with kyphosis is crucial for accurate coding.
Used in cases of severe congenital kyphosis requiring surgical intervention.
Operative reports detailing the procedure and indications for surgery.
Orthopedic specialists should provide comprehensive documentation of pre-operative assessments.
Treatment options for congenital kyphosis may include observation, bracing, physical therapy, and surgical intervention, depending on the severity of the curvature and associated symptoms.
