Osteomyelitis of vertebra, cervicothoracic region
ICD-10 M46.23 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, cervicothoracic region.
Osteomyelitis of the vertebrae in the cervicothoracic region is an infection of the bone that can lead to significant morbidity if not diagnosed and treated promptly. This condition often arises from hematogenous spread, direct extension from adjacent infections, or post-surgical complications. Patients may present with localized pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal cord involvement. Imaging studies, including MRI and CT scans, are crucial for diagnosis, revealing bone edema, abscess formation, and potential spinal instability. Treatment typically involves a combination of prolonged antibiotic therapy and, in some cases, surgical intervention to debride infected tissue or stabilize the spine. The cervicothoracic region is particularly vulnerable due to its anatomical complexity and proximity to vital structures, making early recognition and management essential to prevent complications such as paralysis or chronic pain syndromes.
Detailed operative notes, imaging studies, and post-operative follow-up documentation.
Surgical intervention for abscess drainage or stabilization of the spine.
Ensure clear documentation of the surgical approach and any complications encountered.
Comprehensive history of infection, laboratory results, and treatment plans.
Management of osteomyelitis with antibiotic therapy and monitoring for response.
Document the rationale for antibiotic choice 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 fusion in the context of infection.
Common causes include hematogenous spread from distant infections, direct extension from adjacent soft tissue infections, and post-surgical complications.
