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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.