Kissing spine, cervicothoracic region
ICD-10 M48.23 is a billable code used to indicate a diagnosis of kissing spine, cervicothoracic region.
Kissing spine, also known as 'overlapping spines' or 'kissing spines syndrome,' occurs when the spinous processes of adjacent vertebrae in the cervicothoracic region come into contact or overlap. This condition can lead to localized pain, inflammation, and potential neurological symptoms due to nerve root compression. Kissing spine is often associated with spondylopathies, including ankylosing spondylitis, which is a chronic inflammatory disease that primarily affects the spine and the sacroiliac joints. The condition can also be exacerbated by spinal stenosis, where the spinal canal narrows, leading to increased pressure on the spinal cord and nerves. Inflammatory spine conditions can further complicate the clinical picture, as they may contribute to the development of kissing spine through chronic inflammation and structural changes in the vertebrae. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the alignment of the vertebrae and the presence of any associated pathologies. Treatment may include physical therapy, pain management, and in some cases, surgical intervention to relieve symptoms and restore spinal alignment.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic neck pain, stiffness, and neurological symptoms.
Documentation should clearly outline the relationship between kissing spine and any underlying conditions such as ankylosing spondylitis.
Comprehensive assessment of inflammatory markers and history of autoimmune conditions.
Patients with a history of inflammatory arthritis presenting with spinal symptoms.
Consideration of systemic symptoms and their impact on spinal health.
Used in cases where kissing spine leads to significant instability or pain.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgical intervention.
Common symptoms include localized neck pain, stiffness, and potential neurological symptoms such as tingling or weakness in the arms, especially if nerve roots are compressed.
