Osteomyelitis of vertebra, thoracolumbar region
ICD-10 M46.25 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, thoracolumbar region.
Osteomyelitis of the thoracolumbar vertebrae is an infection of the bone that can occur due to hematogenous spread, direct inoculation, or contiguous spread from adjacent structures. 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. Risk factors include diabetes mellitus, immunosuppression, recent spinal surgery, or trauma. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal bone edema, abscess formation, or other changes indicative of infection. Laboratory tests may show elevated inflammatory markers. Treatment often requires a combination of antibiotics and, in some cases, surgical intervention to debride infected tissue or stabilize the spine. Chronic osteomyelitis can lead to complications such as spinal deformities or persistent pain, necessitating long-term management strategies.
Detailed surgical notes, imaging results, and post-operative care plans.
Surgical intervention for osteomyelitis, management of spinal deformities.
Ensure clear documentation of the surgical approach and any complications.
Comprehensive history of infection, lab results, and antibiotic treatment plans.
Management of osteomyelitis in immunocompromised patients.
Document underlying conditions that may predispose to infection.
Used in cases of vertebral compression fractures due to osteomyelitis.
Document indications for the procedure and imaging findings.
Orthopedic surgeons should ensure clear documentation of the patient's condition and treatment rationale.
Common causes include hematogenous spread from distant infections, direct inoculation from trauma or surgery, and contiguous spread from adjacent infections.
