Osteomyelitis of vertebra, cervical region
ICD-10 M46.22 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, cervical region.
Osteomyelitis of the cervical vertebrae is an infection of the bone that can result from hematogenous spread, direct extension from adjacent soft tissue infections, or post-surgical complications. This condition is characterized by inflammation of the vertebral body and can lead to significant morbidity if not diagnosed and treated promptly. Symptoms may include localized pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal cord involvement. Imaging studies such as MRI or CT scans are crucial for diagnosis, as they can reveal changes in the vertebrae and surrounding soft tissues. Treatment typically involves antibiotics and may require surgical intervention to debride infected tissue or stabilize the spine. Chronic osteomyelitis can lead to complications such as abscess formation, spinal instability, and in severe cases, sepsis. The management of osteomyelitis in the cervical region requires a multidisciplinary approach, often involving infectious disease specialists, orthopedic surgeons, and neurologists.
Detailed operative notes, imaging studies, and post-operative follow-up documentation.
Surgical intervention for abscess drainage or spinal stabilization.
Ensure documentation reflects the surgical approach and any complications encountered.
Comprehensive history of infection, laboratory results, and treatment plans.
Management of antibiotic therapy and monitoring for treatment response.
Document the rationale for antibiotic selection and duration of therapy.
Used in cases where osteomyelitis leads to instability requiring surgical intervention.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgery.
Common causes include hematogenous spread from distant infections, direct extension from adjacent infections, and post-surgical complications.
Diagnosis typically involves clinical evaluation, imaging studies such as MRI or CT scans, and microbiological cultures.
Treatment may include antibiotics, surgical debridement, and stabilization procedures depending on the severity and extent of the infection.