Anterior spinal artery compression syndromes
ICD-10 M47.01 is a billable code used to indicate a diagnosis of anterior spinal artery compression syndromes.
Anterior spinal artery compression syndromes refer to a group of conditions characterized by the compression of the anterior spinal artery, leading to ischemia of the anterior spinal cord. This can result from various underlying spondylopathies, including ankylosing spondylitis, spinal stenosis, and other inflammatory spine conditions. In ankylosing spondylitis, chronic inflammation can lead to the fusion of vertebrae and narrowing of the spinal canal, which may compress the anterior spinal artery. Spinal stenosis, often due to degenerative changes, can also lead to similar compression, causing symptoms such as pain, weakness, and sensory deficits. The anterior spinal artery supplies blood to the anterior two-thirds of the spinal cord, and its compromise can lead to significant neurological deficits. Diagnosis typically involves imaging studies such as MRI or CT scans to assess the degree of compression and its impact on spinal cord function. Treatment may include surgical intervention to relieve compression, along with medical management of underlying inflammatory conditions.
Detailed surgical notes, imaging results, and pre-operative assessments.
Surgical intervention for spinal stenosis or ankylosing spondylitis leading to anterior spinal artery compression.
Ensure clear documentation of the surgical approach and any complications related to anterior spinal artery involvement.
Comprehensive neurological assessments, imaging studies, and treatment plans.
Evaluation of patients with neurological deficits due to anterior spinal artery compression.
Document neurological findings meticulously to support the diagnosis and coding.
Used for surgical decompression of the spinal canal due to anterior spinal artery compression.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons should document the specific levels treated and any intraoperative findings.
Common symptoms include weakness in the lower extremities, sensory deficits, bowel and bladder dysfunction, and pain in the back or neck, depending on the level of compression.
