Spondylolysis, thoracolumbar region
ICD-10 M43.05 is a billable code used to indicate a diagnosis of spondylolysis, thoracolumbar region.
Spondylolysis is a defect or fracture in the pars interarticularis of the vertebra, commonly occurring in the lumbar and thoracolumbar regions. This condition can lead to instability of the spine and is often associated with low back pain, particularly in adolescents and young adults involved in sports. The thoracolumbar region, which includes the junction between the thoracic and lumbar spine, is particularly susceptible due to the biomechanical stresses placed on it during activities such as lifting, twisting, and high-impact sports. Symptoms may include localized pain, muscle spasms, and, in some cases, neurological symptoms if nerve roots are affected. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to visualize the defect. Treatment options range from conservative management, including physical therapy and pain management, to surgical interventions such as spinal fusion, particularly in cases where conservative measures fail to alleviate symptoms or when there is significant spinal instability.
Detailed imaging reports, treatment plans, and surgical notes if applicable.
Patients presenting with chronic low back pain, athletes with acute back injuries, and cases requiring surgical intervention.
Ensure clear documentation of the defect's location and any associated spinal instability.
Comprehensive assessment of functional limitations and response to conservative treatments.
Patients undergoing rehabilitation post-injury or surgery, and those with chronic pain management needs.
Document the patient's progress and response to therapy to support ongoing treatment.
Used in surgical treatment of spondylolysis when conservative management fails.
Surgical notes detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgery and any pre-operative assessments.
Spondylolysis is often caused by repetitive stress or trauma to the spine, particularly in athletes involved in sports that require frequent bending and twisting.
