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Spondylolysis, cervical region

ICD10CM code

Spondylolysis, Cervical Region (ICD M43.02)

Name of the Condition

  • Common Name: Cervical spondylolysis
  • Medical Terms: M43.02, Defect of pars interarticularis in the cervical spine

Summary

Spondylolysis of the cervical region refers to a defect or stress fracture in one of the vertebrae of the neck. It often results in neck pain or stiffness and can affect spinal stability.

Causes

  • Congenital spinal defects
  • Repetitive stress or trauma to the neck area
  • Genetic predisposition

Risk Factors

  • Participation in sports that involve hyperextension of the neck (e.g., gymnastics, football)
  • Family history of spinal conditions
  • Previous neck injuries

Symptoms

  • Persistent neck pain
  • Stiffness or restricted movement in the neck
  • Pain that worsens with certain activities or positions

Diagnosis

  • Physical examination to assess pain and range of motion
  • Imaging studies such as X-rays, CT scans, or MRIs to identify bony abnormalities

Treatment Options

  • Conservative Management: Rest, neck braces, physical therapy to improve strength and flexibility
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief
  • Surgery: In rare, severe cases, surgical intervention may be required to correct instability

Prognosis and Follow-Up

  • Many individuals improve with conservative treatment, but some may experience ongoing symptoms.
  • Regular follow-up is necessary to monitor progression and adjust treatments.

Complications

  • Chronic neck pain
  • Increased risk of cervical spondylolisthesis, where a vertebra slips forward over the one below it

Lifestyle & Prevention

  • Engage in neck-strengthening exercises
  • Maintain good posture, especially when using computers or mobile devices
  • Use protective gear during high-risk sports to prevent neck injuries

When to Seek Professional Help

  • Persistent neck pain that does not improve with rest
  • Numbness or tingling in the arms, which may indicate nerve involvement
  • Severe pain following a neck injury

Additional Resources

  • American Association of Neurological Surgeons (AANS)
  • National Institute of Neurological Disorders and Stroke (NINDS)

Tips for Medical Coders

  • Ensure accuracy by verifying the specific region of the spine affected; for cervical spondylolysis, use M43.02.
  • Double-check documentation for related conditions like spondylolisthesis, which has a different code.
  • Familiarize yourself with related imaging or surgical reports that may indicate the condition.

Medical Policies and Guidelines for Spondylolysis, cervical region

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