Osteomyelitis of vertebra
ICD-10 M46.2 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra.
Osteomyelitis of the vertebra refers to an infection of the bone within the spinal column, which can lead to significant morbidity if not diagnosed and treated promptly. This condition is often caused by bacterial infections, which may arise from hematogenous spread, direct extension from adjacent soft tissue infections, or post-surgical complications. Patients may present with localized pain, fever, and neurological deficits depending on the extent of the infection and any resultant spinal cord compression. Imaging studies, such as MRI or CT scans, are crucial for diagnosis, revealing bone edema, abscess formation, and other characteristic changes. Treatment typically involves a combination of antibiotics and, in some cases, surgical intervention to debride infected tissue or stabilize the spine. The condition can be associated with other spondylopathies, such as ankylosing spondylitis, and may complicate existing spinal stenosis or inflammatory spine conditions, necessitating careful management and monitoring.
Detailed operative notes, imaging results, and post-operative care plans.
Surgical intervention for abscess drainage or stabilization of the spine.
Documentation must clearly outline the rationale for surgery and any complications.
Comprehensive history of infection, laboratory results, and treatment response.
Management of osteomyelitis with antibiotic therapy and monitoring for complications.
Clear documentation of the infection's source and any underlying conditions is essential.
Used in cases of vertebral compression fractures due to osteomyelitis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the necessity of the procedure in the context of infection.
Common causes include bacterial infections from hematogenous spread, direct extension from adjacent infections, or post-surgical complications. Conditions like diabetes and IV drug use can increase risk.
