Name of the Condition

• Other Spondylosis, Thoracolumbar Region
• Medical term: Thoracolumbar spondylosis

Summary

Spondylosis refers to degenerative changes in the spine, specifically affecting the joints, discs, and bones. When these changes occur in the thoracolumbar region—the area where the thoracic and lumbar spine meet—it is classified as thoracolumbar spondylosis. This condition can lead to pain and stiffness in the back.

Causes

• Age-related wear and tear
• Degenerative disc disease
• Traumatic injury to the spine

Risk Factors

• Aging, particularly in those over 50
• A family history of spinal disorders
• Previous spinal injuries or surgeries
• Sedentary lifestyle or obesity

Symptoms

• Pain in the lower back and upper lumbar area
• Stiffness, especially after waking up or prolonged rest
• Reduced range of motion in the spine
• Numbness or tingling in the legs if nerve compression occurs

Diagnosis

• Physical examination and patient history
• Imaging tests such as X-rays, MRI, or CT scans to assess spine structure

Treatment Options

• Medications: Pain relievers like NSAIDs or muscle relaxants to alleviate pain and discomfort.
• Physical therapy: Exercises to improve flexibility, strength, and posture.

• Surgical intervention: Considered in severe cases to relieve nerve compression or stabilize the spine.

  Prognosis and Follow-Up

• The condition is chronic and generally progressive; however, symptoms can often be managed effectively.
• Regular follow-ups important to adjust treatment plans and manage symptoms.

Complications

• Chronic pain
• Reduced mobility
• Development of spinal stenosis leading to nerve compression

Lifestyle & Prevention

• Regular exercise focusing on strengthening and flexibility
• Maintaining a healthy weight to reduce strain on the spine
• Ergonomic adjustments in work and home settings to support spine health

When to Seek Professional Help

• Persistent or worsening back pain
• Signs of nerve involvement, such as numbness or weakness in the legs

Additional Resources

• American Academy of Orthopaedic Surgeons (orthoinfo.aaos.org)
• Spine-health (spine-health.com)

Tips for Medical Coders

• Accurately identify the specific region of the spine affected to avoid miscoding (M47.895 is specific to the thoracolumbar region).
• Verify symptoms and diagnostic criteria documented in the patient’s file to ensure precise coding.