Congenital kyphosis, thoracolumbar region
ICD-10 Q76.415 is a billable code used to indicate a diagnosis of congenital kyphosis, thoracolumbar region.
Congenital kyphosis in the thoracolumbar region is a structural deformity characterized by an abnormal curvature of the spine, specifically in the thoracic and lumbar areas. This condition arises during fetal development and can result from various factors, including genetic predispositions, environmental influences, or disruptions in normal vertebral formation. Patients may present with a noticeable hunchback appearance, back pain, and potential neurological deficits depending on the severity of the curvature. Diagnosis typically involves physical examination and imaging studies such as X-rays or MRI to assess the degree of curvature and any associated anomalies. Treatment options may vary from observation in mild cases to bracing or surgical intervention in more severe instances. Early detection and management are crucial to prevent complications such as respiratory issues or spinal cord compression, which can significantly impact the quality of life in affected individuals.
Pediatric documentation should include growth parameters, developmental milestones, and specific observations related to kyphosis and its impact on the child's daily activities.
Common scenarios include a child presenting with back pain, a noticeable deformity during routine check-ups, or referral for orthopedic evaluation due to abnormal posture.
Considerations include the child's age, growth patterns, and the potential need for multidisciplinary management involving orthopedics and physical therapy.
Genetic documentation should include family history of congenital conditions, results of genetic testing, and any syndromic associations with kyphosis.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes that include kyphosis as a feature.
Considerations include the need for genetic evaluation to rule out syndromic causes and the implications for family planning.
Used in cases of severe congenital kyphosis requiring surgical intervention.
Detailed operative notes and pre-operative imaging.
Orthopedic specialists must document the rationale for surgical intervention.
Congenital kyphosis is present at birth due to abnormal vertebral development, while acquired kyphosis develops later in life due to factors such as trauma, degenerative diseases, or postural issues.
