Kissing spine
ICD-10 M48.2 is a billable code used to indicate a diagnosis of kissing spine.
Kissing spine, also known as 'overlapping spine' or 'spondylolisthesis', is a condition characterized by the abnormal contact between adjacent spinous processes of the vertebrae, typically in the lumbar region. This condition can lead to pain, discomfort, and restricted mobility due to the irritation of surrounding soft tissues and nerves. Kissing spine is often associated with degenerative changes in the spine, such as those seen in spondylopathies, where the structural integrity of the vertebrae is compromised. It may also occur in patients with ankylosing spondylitis, a type of inflammatory arthritis that primarily affects the spine and can lead to fusion of the vertebrae. Spinal stenosis, which involves narrowing of the spinal canal, can exacerbate symptoms of kissing spine by increasing pressure on the spinal cord and nerves. Clinically, patients may present with localized pain, tenderness, and sometimes neurological symptoms depending on the severity of the condition. Diagnosis typically involves imaging studies such as X-rays or MRI to visualize the alignment of the vertebrae and assess for any associated pathologies.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic back pain, limited range of motion, or neurological symptoms.
Documentation should clearly outline the relationship between kissing spine and any underlying conditions such as ankylosing spondylitis.
Comprehensive assessment of inflammatory markers, patient history, and response to treatment.
Patients with a history of inflammatory spine disease presenting with new or worsening symptoms.
Consideration of systemic symptoms and their impact on spinal health.
Used in cases where kissing spine leads to significant instability requiring surgical intervention.
Operative reports must detail the reason for surgery and the specific vertebrae involved.
Orthopedic surgeons must provide comprehensive pre-operative assessments.
Kissing spine is primarily caused by degenerative changes in the spine, leading to abnormal contact between adjacent spinous processes. It can also be exacerbated by conditions like ankylosing spondylitis.
