Infection of intervertebral disc (pyogenic), thoracolumbar region
ICD-10 M46.35 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), thoracolumbar region.
Infection of the intervertebral disc, specifically in the thoracolumbar region, is a serious condition characterized by the presence of pyogenic bacteria leading to inflammation and infection of the disc space. This condition can result from hematogenous spread, direct extension from adjacent structures, or post-surgical complications. Patients typically present with severe back pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal cord involvement. Diagnosis is often confirmed through imaging studies such as MRI, which can reveal disc space narrowing, edema, and abscess formation. Treatment usually involves a combination of antibiotics and, in some cases, surgical intervention to debride infected tissue or relieve pressure on neural structures. The thoracolumbar region, encompassing the lower thoracic and upper lumbar vertebrae, is particularly vulnerable due to its biomechanical stress and anatomical features. Prompt diagnosis and management are crucial to prevent long-term complications such as chronic pain or disability.
Detailed operative reports, imaging results, and post-operative notes are essential.
Surgical intervention for disc infection, management of abscesses, and treatment of associated spinal stenosis.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Comprehensive patient history, laboratory results, and treatment plans must be documented.
Management of pyogenic infections, antibiotic therapy, and monitoring for complications.
Document the rationale for antibiotic choice and any adjustments based on culture results.
Used in cases where surgical intervention is required to relieve pressure from an infected disc.
Operative report detailing the procedure, indications, and findings.
Orthopedic surgeons must document the extent of the infection and any complications encountered.
Common causes include hematogenous spread from other infections, direct extension from adjacent osteomyelitis, and post-surgical complications. Risk factors include immunosuppression, diabetes, and intravenous drug use.
