Juvenile osteochondrosis of spine, thoracolumbar region
ICD-10 M42.05 is a billable code used to indicate a diagnosis of juvenile osteochondrosis of spine, thoracolumbar region.
Juvenile osteochondrosis of the spine, specifically in the thoracolumbar region, is a condition characterized by the degeneration of the vertebral endplates and adjacent disc material in growing children and adolescents. This condition typically arises during periods of rapid growth and can lead to pain, deformity, and functional impairment. The thoracolumbar region, which encompasses the lower thoracic and upper lumbar vertebrae, is particularly susceptible to these changes due to biomechanical stressors. Symptoms may include localized back pain, stiffness, and in some cases, neurological symptoms if nerve roots are affected. The condition can also lead to secondary complications such as scoliosis, kyphosis, or lordosis due to altered spinal mechanics. Diagnosis is primarily clinical, supported by imaging studies such as X-rays or MRI to assess the extent of osteochondrosis and any associated deformities. Treatment may involve conservative management, including physical therapy and pain management, or surgical intervention in severe cases, particularly if spinal fusion is required to correct deformities.
Detailed clinical notes on physical examination findings, imaging results, and treatment plans.
Evaluation of back pain in adolescents, assessment of spinal deformities, pre-operative evaluations.
Ensure clear documentation of growth patterns and any surgical interventions planned.
Comprehensive growth charts, developmental history, and family history of spinal conditions.
Routine check-ups for adolescents with back pain, referrals for orthopedic evaluation.
Document any psychosocial factors that may influence treatment and compliance.
Used in cases where severe deformity correction is needed due to juvenile osteochondrosis.
Pre-operative assessment, imaging studies, and surgical notes detailing the procedure.
Orthopedic surgeons must document the rationale for surgical intervention.
Common symptoms include localized back pain, stiffness, and potential neurological symptoms if nerve roots are affected. Patients may also exhibit signs of spinal deformities such as scoliosis or kyphosis.
