ICD 10 disease code scoliosis. Intervertebral hernia of the cervical spine. How does scoliotic posture in a child differ from true scoliosis?

Kyphoscoliosis is found in 1% of the population, mainly in women. The deformity is clinically significant in 2% of affected individuals.

Code by international classification diseases ICD-10:

• M41 Scoliosis

Causes

The etiology is unclear in 80% of cases. Main known cause- Poliomyelitis suffered in childhood.

Pathogenesis In kyphoscoliosis, pulmonary volumes are reduced, stiffness of the chest wall is observed, the load on the respiratory muscles is increased, the extensibility of the lung parenchyma is reduced, the functional residual capacity of the lungs is reduced. In severe kyphoscoliosis, gas exchange is impaired: alveolar hypoventilation and an increase in p a CO 2 are observed in patients with even moderate thoracic deformity walls (without clinical signs cardiac dysfunction) kyphoscoliosis leads to pulmonary hypertension during exercise (sometimes at rest).

Symptoms (signs)

Clinical picture The leading respiratory symptom is shortness of breath on exertion. The onset and severity of shortness of breath correlate with the degree of spinal curvature, as determined by chest x-ray. For persons with severe deformation, hypoventilation is characteristic. Bronchitic symptoms are not typical until the development of the clinical picture of chronic bronchitis or atelectasis. Complications of prolonged hypoxemia ( pulmonary hypertension, dysfunction of the right ventricle of the heart and cor pulmonale) can develop in the later stages of the disease.

X-ray of the chest organs. The ribs on the side of the convex part of the spinal curvature area are widely spaced and rotated posteriorly, forming a characteristic hump. The ribs on the concave side are gathered together and shifted anteriorly.

Treatment

Treatment The main method of preventing symptoms of the disease is early detection of kyphoscoliosis in adolescents. Stages III and IV scoliosis provide grounds for mechanical or surgical correction. early stage diseases can be mechanically corrected by applying orthopedic devices Surgical correction is achieved by performing an operation using metal rods to locally fix the spine, after which the patient wears a plaster corset for several months. Surgery does not improve maximum respiratory capacity, but may increase oxygen saturation in the blood. In the best case, the operation preserves the lung function as it was at the time of the intervention. Periodic overinflation of the lungs using devices that create positive and negative pressure increases the compliance of the lungs and pO 2.

Complications include respiratory failure and cor pulmonale resulting from inadequate ventilation.

ICD-10. M41 Scoliosis. Kyphoscoliosis

The following additional codes are used to clarify the localization of the process for optional use with the corresponding categories in the dorsopathy block, excluding categories M50 and M51. See also the note at the beginning of this chapter (M00-M99).

• 0 Several departments
• 1 Occipital-atlanto-axial region
• 2 Cervical region
• 3 Cervicothoracic region
• 4 Thoracic region
• 5 Thoracic and lumbar regions
• 6 Lumbar
• 7 Lumbosacral region
• 8 Sacral and sacrococcygeal sections
• 9 Department not specified

[localization code see above (M40-M54)]

Excluded:

• congenital scoliosis:
  • NOS (Q67.5)
  • due to bone malformation (Q76.3)
  • positional (Q67.5)
• after medical procedures (M96.-)

[localization code see above (M40-M54)]

[localization code see above (M40-M54)]

Excluded:

• congenital spondylolysis and spondylolisthesis (Q76.2)
• half vertebra (Q76.3-Q76.4)
• Klippel-Feil syndrome (Q76.1)
• platyspondylysis (Q76.4)
• spina bifida occulta (Q76.0)
• curvature of the spine with:
  • osteoporosis (M80-M81)
  • Paget's disease (bones) osteitis deformans (M88.-)

Kyphoscoliosis

Kyphoscoliosis is a pathological curvature of the spine that occurs in the sagittal and frontal plane, that is, in two directions at once: lateral and anteroposterior. Kyphoscoliosis combines scoliosis and kyphosis and can be congenital or acquired.

Classification

Considering the causes of occurrence, kyphoscoliosis occurs:

• congenital (appears as a result of violations of individual ribs and vertebrae at the stage of intrauterine development);
• hereditary (observed in several generations in a similar form);
• acquired (occurs due to uneven distribution of physical activity, due to injuries, incorrect posture, etc.);
• idiopathic (the true cause of the disorders has not been determined).

Based on the severity of deformation changes, four degrees of the disease are distinguished:

• 1st degree kyphoscoliosis – minimal lateral displacement and torsion of the vertebrae is observed (the angle of deformation in the anteroposterior direction is 45−55˚);
• kyphoscoliosis 2nd degree – more than pronounced violations spine (the angle of curvature is close to 55−65˚);
• kyphoscoliosis of the 3rd degree - irreversible deformations begin, which lead to visible changes in the chest (the angle of curvature is 65−75˚);
• kyphoscoliosis 4 degrees - the spinal column, pelvis, and chest are subject to severe deformation, anterior and posterior humps are formed (the angle of curvature is 75˚ or more).

Based on the direction of lateral displacement of the vertebra, kyphoscoliosis is classified into right-sided and left-sided.

Child with kyphoscoliosis

Clinical picture

When the child is 6-12 months old, the first signs of a congenital disease are observed. It is at this time that, as a rule, children begin to stand and walk. In an upright position of the body, a small hump becomes noticeable. It is still quite difficult to distinguish; it disappears when the child takes a lying position. As the child gets older, the curvature becomes more noticeable. Being in the early stages of formation, congenital kyphoscoliosis can still be cured.

In adolescents, the development of the disease can be determined by the presence of such signs as changes in posture, pain in the back and neck, stooping, fast fatiguability, dizziness. As a rule, the chest changes its shape, resulting in shortness of breath, which is often observed during physical exertion.

For more late stages Kyphoscoliosis of the thoracic spine has a negative impact on the general condition of the human body. Secondary deformation of the chest occurs, which entails disruption of the functions of the organs that are located in it. Restricted mobility of the thoracic region leads to a decrease in lung volume, increased load on the respiratory muscles, and decreased extensibility of the lung parenchyma. Ventilation respiratory organs worsens, which affects proper gas exchange. As a result, there is an increase in the concentration of carbon dioxide in the blood and a decrease in oxygen levels. This can cause damage to the cardiovascular system and the development of pulmonary hypertension. Thus, kyphoscoliosis of the thoracic spine can lead to heart failure, and cor pulmonale may develop.

As a result of pathological curvatures of the spine, there is a constant overload of the paravertebral muscles and its other structures. This is what causes hernias to develop intervertebral discs, osteochondrosis, the appearance of protrusions. At severe stages Kyphoscoliosis can lead to malfunctions of the digestive system, dysfunction of the reproductive system, as well as fecal and urinary incontinence.

Diagnostics

At the first signs of the development of the disease, it is recommended to visit an orthopedist and undergo an examination. To make a diagnosis of kyphoscoliosis, a specialist only needs external signs of the disease, as well as the results of instrumental research methods. TO external signs The disease includes increased stoop, weakness abdominal muscles, narrowing of the chest. The patient's shoulders and shoulder blades may be on at different levels, there is asymmetry of the pelvis. The spine deviates from midline when a person bends forward, which is determined visually. In the later stages of the disease, a hump may appear.

To assess skin sensitivity, symmetry of muscle strength, and tendon reflexes, palpation of the limbs, neck and back is performed. If neurological disturbances are determined, a consultation with a neurologist is scheduled. Instrumental research methods that are used to identify kyphoscoliosis include radiography of the spine. It makes it possible to set the deflection angle. Images can be performed both in basic protection and in standing, lying positions, as well as by stretching the spinal column. To make the diagnosis of “kyphoscoliosis” more accurate, layer-by-layer examination methods are prescribed. These include computed tomography and magnetic resonance imaging. If signs of dysfunction are detected internal organs, the doctor may prescribe a repeat examination, as well as a visit to a cardiologist, urologist, pulmonologist, gastroenterologist and other specialized specialists.

Treatment

In the first stages, kyphoscoliosis can be easily cured by using conservative therapy. If obvious deformation is observed, it may be necessary operative method treatment.

Conservative treatment

Conservative methods of therapy include the following:

• physiotherapy;
• physiotherapy;
• orthotics;
• acupuncture;
• kinesitherapy;
• manual therapy;
• massotherapy;
• treatment with medications.

Physical exercises for kyphoscoliosis act as the main method of correction and prevention for this type of disease. The patient is prescribed a set of exercises that will strengthen the muscle corset, stretch and relax individual muscle groups. For kyphoscoliosis, treatment with exercises is determined individually by the doctor. It is not recommended to independently develop a set of activities, as this can lead to negative consequences and deterioration of the general condition.

Efficiency physical therapy depends on the correct execution of the exercises. It is advisable to conduct classes under the supervision of a physical therapy instructor for kyphoscoliosis. During the treatment period, it is prohibited to place excessive loads on the spine. It is not recommended to lift weights or jump. If you do not follow these rules, your condition may worsen significantly.

Physiotherapy is also one of the conservative treatment methods of this disease. It is used to reduce pain syndrome, as well as improving lymph and blood circulation. In addition, physiotherapy is used to get rid of muscular dystrophy, which leads to kyphoscoliosis.

Orthosis is a mechanical correction of the spine using corrective orthopedic corsets, belts and reclinators. Such devices allow you to develop correct posture and fix the shape of the spine. For kyphoscoliosis, treatment in this way is used in the early stages of the disease.

Acupuncture involves influencing acupuncture points. With the right approach, this method of treatment can eliminate pain, normalize blood circulation in the spinal region, and relieve the patient of congestion. For kyphoscoliosis in adults, acupuncture treatment has recently been actively used.

Kinesitherapy includes unique exercises performed on special installations. They help strengthen the corset muscles and also help restore posture.

The essence manual therapy consists of influencing the patient’s muscles, joints, and spine, which is carried out by the hands of a specialist. The goal of this treatment method is to eliminate vertebral displacements, blockages, and also get rid of deformities.

Therapeutic massage can be prescribed to patients who have kyphoscoliosis of the thoracic spine, as well as other types of this disease. This method of treatment helps improve blood circulation, increase muscle plasticity, and activate metabolic processes that occur in muscle tissue. Therapeutic massage is not prescribed as primary therapy. It is used as additional method treatment.

Treatment of the disease by medication involves the use of drugs whose action is aimed at relieving pain and inflammatory processes.

Surgery

Surgical treatment of kyphoscoliosis is prescribed for severe cases diseases that lead to spinal deformation accompanied by pronounced pain, progressive neurological disorders, deterioration in the functioning of the thoracic and pelvic organs. Surgery involves the use of special metal structures, which include hooks, rods, and screws. They allow you to align the spinal column and are also used for its local fixation. During the recovery period after surgery, a patient diagnosed with kyphoscoliosis needs to wear a plaster corset for several months.

Forecast

A favorable treatment outcome depends on the rate of disease progression and its degree. As a rule, grade 1 and 2 kyphoscoliosis can be completely cured. In such cases, it is possible to get rid of the curvature of the spine. It must be taken into account that treatment of kyphoscoliosis should be carried out until the age of 13-15, when a person is in a period of active growth. Therefore, timely diagnosis and treatment of the disease is very important. This allows for higher treatment effectiveness and increases the chances of a full recovery.

With kyphoscoliosis of the last degrees, the prognosis is less favorable. IN in this case It is impossible to completely straighten the spine. However, it is possible to stop the progression of the deformity if adequate treatment is used. In most cases, partial correction is possible.

ICD 10. Class XIII (M30-M49)

ICD 10. Class XIII. SYSTEMIC CONNECTIVE TISSUE LESIONS (M30-M36)

Included: autoimmune diseases:

collagen (vascular) diseases:

Excluded: autoimmune diseases affecting one organ or

one cell type (coded according to the category of the corresponding condition)

M30 Polyarteritis nodosa and related conditions

M30.0 Polyarteritis nodosa

M30.1 Polyarteritis with pulmonary involvement [Churg-Strauss]. Allergic granulomatous angiitis

M30.2 Juvenile polyarteritis

M30.3 Mucocutaneous lymphonodular syndrome [Kawasaki]

M30.8 Other conditions associated with polyarteritis nodosa. Polyangiitis cross syndrome

M31 Other necrotizing vasculopathies

M31.0 Hypersensitivity angiitis. Goodpasture's syndrome

M31.1 Thrombotic microangiopathy. Thrombotic thrombocytopenic purpura

M31.2 Lethal median granuloma

M31.3 Wegener's granulomatosis. Necrotizing respiratory granulomatosis

M31.4 Aortic arch syndrome [Takayasu]

M31.5 Giant cell arteritis with polymyalgia rheumatica

M31.6 Other giant cell arteritis

M31.8 Other specified necrotizing vasculopathies. Hypocomplementemic vasculitis

M31.9 Necrotizing vasculopathy, unspecified

M32 Systemic lupus erythematosus

Excludes: lupus erythematosus (discoid) (NOS) (L93.0)

M32.0 Drug-induced systemic lupus erythematosus

If necessary, an additional code is used to identify the medicinal product. external reasons(Class XX).

M32.1+ Systemic lupus erythematosus with damage to other organs or systems

Pericarditis in systemic lupus erythematosus (I32.8*)

Systemic lupus erythematosus with:

M32.8 Other forms of systemic lupus erythematosus

M32.9 Systemic lupus erythematosus, unspecified

M33 Dermatopolymyositis

M33.0 Juvenile dermatomyositis

M33.1 Other dermatomyositis

M33.9 Dermatopolymyositis, unspecified

M34 Systemic sclerosis

M34.0 Progressive systemic sclerosis

Combination of calcification, Raynaud's syndrome, esophageal dysfunction, sclerodactyly and telangiectasia

M34.2 Systemic sclerosis caused by drugs and chemical compounds

If it is necessary to identify the cause, use an additional external cause code (class XX).

M34.8 Other forms of systemic sclerosis

Systemic sclerosis with:

M34.9 Systemic sclerosis, unspecified

M35 Other systemic connective tissue disorders

Excludes: reactive perforating collagenosis (L87.1)

Sjögren's syndrome with:

M35.1 Other crossover syndromes. Mixed disease connective tissue

Excludes: polyangiitis cross syndrome (M30.8)

M35.3 Polymyalgia rheumatica

Excluded: polymyalgia rheumatica with giant cell arteritis (M31.5)

M35.4 Diffuse (eosinophilic) fasciitis

M35.5 Multifocal fibrosclerosis

M35.6 Recurrent Weber-Christian panniculitis

M35.7 Hypermobile syndrome of looseness, excessive mobility. Familial ligament laxity

Excludes: Ehlers-Danlos syndrome (Q79.6)

M35.8 Other specified systemic connective tissue disorders

M35.9 Systemic connective tissue disorders, unspecified

Autoimmune disease (systemic) NOS. Collagen (vascular) disease NOS

M36* Systemic connective tissue disorders in diseases classified elsewhere

Excluded: arthropathy in diseases classified

Excludes: arthropathy in Henoch-Schönlein purpura (M36.4*)

M36.4* Arthropathy in hypersensitivity reactions classified elsewhere

Arthropathy with Henoch-Schönlein purpura (D69.0+)

M36.8* Systemic connective tissue lesions in other diseases classified elsewhere

Systemic connective tissue lesions with:

DORSOPATHIES (M40-M54)

The following additional fifth characters indicating the location of the lesion are given for optional use with the corresponding headings of the Dorsopathies block, excluding headings M50 and M51; see also note on page 644.

0 Multiple parts of the spine

1 Area of ​​the back of the head, first and second cervical vertebrae

3 Cervicothoracic region

4 Thoracic region

5 Thoracic lumbar region

6 Lumbar

7 Lumbosacral region

8 Sacral and sacrococcygeal region

9 Unspecified location

DEFORMING DORSOPATHS (M40-M43)

M40 Kyphosis and lordosis [localization code see above]

Excludes: spinal osteochondrosis (M42. -)

M40.1 Other secondary kyphosis

M40.2 Other and unspecified kyphosis

M40.3 Straight back syndrome

M41 Scoliosis [localization code see above]

Excluded: congenital scoliosis:

kyphoscoliotic heart disease (I27.1)

after medical procedures (M96. -)

M41.0 Infantile idiopathic scoliosis

M41.1 Juvenile idiopathic scoliosis

Scoliosis in adolescents

M41.2 Other idiopathic scoliosis

M41.3 Thoracogenic scoliosis

M41.4 Neuromuscular scoliosis. Scoliosis due to cerebral palsy, Friedreich's ataxia, polio and other neuromuscular disorders

M41.5 Other secondary scoliosis

M41.8 Other forms of scoliosis

M41.9 Scoliosis, unspecified

M42 Osteochondrosis of the spine [localization code see above]

M42.0 Juvenile osteochondrosis of the spine. Calvet's disease. Scheuermann's disease

Excludes: positional kyphosis (M40.0)

M42.1 Osteochondrosis of the spine in adults

M42.9 Spinal osteochondrosis, unspecified

M43 Other deforming dorsopathies [localization code see above]

Excludes: congenital spondylolysis and spondylolisthesis (Q76.2)

lumbalization and sacralization (Q76.4)

curvature of the spine with:

M43.2 Other fusions of the spinal column. Ankylosis of the back joints

Excludes: ankylosing spondylitis (M45)

condition associated with arthrodesis (Z98.1)

pseudarthrosis after fusion or arthrodesis (M96.0)

M43.3 Habitual atlantoaxial subluxation with myelopathy

M43.4 Other habitual anlantoaxial subluxations

M43.5 Other habitual vertebral subluxations

Excludes: biomechanical damage NEC (M99. -)

by body area

M43.8 Other specified deforming dorsopathies

M43.9 Deforming dorsopathy, unspecified. Curvature of the spine NOS

SPONDILOPATHIES (M45-M49)

M45 Ankylosing spondylitis [localization code see above]

Excludes: arthropathy due to Reiter's disease (M02.3)

juvenile (ankylosing) spondylitis (M08.1)

M46 Other inflammatory spondylopathies [localization code see above]

M46.0 Spinal enthesopathy. Loss of attachment of ligaments or muscles of the spine

M46.1 Sacroiliitis, not elsewhere classified

M46.2 Vertebral osteomyelitis

M46.3 Intervertebral disc infection (pyogenic)

If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

M46.5 Other infectious spondylopathies

M46.8 Other specified inflammatory spondylopathies

M46.9 Inflammatory spondylopathies, unspecified

M47 Spondylosis [localization code see above]

Includes: arthrosis or osteoarthritis of the spine, degeneration of facet joints

M47.0+ Anterior spinal or vertebral artery(G99.2*)

M47.1 Other spondyloses with myelopathy. Spondylogenic spinal cord compression + (G99.2*)

M47.2 Other spondyloses with radiculopathy

Lumbosacral spondylosis > without myelopathy

Thoracic spondylosis > or radiculopathy

M47.9 Spondylosis, unspecified

M48 Other spondylopathies [localization code see above]

M48.0 Spinal stenosis. Caudal caudal stenosis

M48.1 Ankylosing Forestier hyperostosis. Diffuse idiopathic skeletal hyperostosis

M48.3 Traumatic spondylopathy

M48.4 Spinal fracture associated with overexertion. Overload [stress] fracture of the spine

M48.5 Vertebral fracture, not elsewhere classified. Vertebral fracture NOS

Wedge-shaped vertebral deformity NOS

Excludes: vertebral destruction due to osteoporosis (M80. -)

current injury - see injuries by body area

M48.8 Other specified spondylopathies. Ossification of the posterior longitudinal ligament

M48.9 Spondylopathy, unspecified

M49* Spondylopathies in diseases classified elsewhere [see location code above]

Excludes: psoriatic and enteropathic arthropathy (M07. -*, M09. -*)

Excludes: neuropathic spondylopathy with tabes dorsalis (M49.4*)

M49.4* Neuropathic spondylopathy

Neuropathic spondylopathy with:

M49.5* Destruction of the spine in diseases classified elsewhere

Metastatic vertebral fracture (C79.5+)

M49.8* Spondylopathies in other diseases classified elsewhere

Kyphoscoliosis: features of the disease and clinical category

Kyphoscoliosis is a serious pathology skeletal system, in which deformation of the spinal column occurs. The disease is determined by a combination of two pathologies - kyphosis and scoliosis.

As the deformity worsens, internal organs including the heart, lungs, liver, and kidneys may be compressed. A dangerous complication is the impact on vital organs, leading the patient to deep disability.

Nature of the pathology

Kyphoscoliosis is deformation of the spinal column posteriorly and laterally. Already at the second stage, there is an impact on the mobility and volume of the lungs, posture. As kyphoscoliosis develops, the changes are irreversible, and alignment of the axis of the spinal column takes a long period. For advanced kyphoscoliosis, treatment is predominantly surgical. The following changes are noted against the background of the disease:

• violation of gas exchange;
• decrease in lung volume;
• violation of the anatomy of the chest;
• cardiac dysfunction;
• pulmonary hypertension (including quiescent state).

Kyphoscoliosis is diagnosed in almost 1% of the population. The main reason is considered to be transferred to early age polio, but in most cases the cause is a combination of multiple factors of a congenital or acquired nature.

ICD-10 code

In the modern classification of the disease, kyphoscoliosis is included as an independent disease, but medical commissions various institutions (for example, selection for military service) divide the disease into the degree of curvature such as kyphosis or scoliosis. The disease category kyphoscoliosis code according to ICD-10 occupies the serial number M-41 - scoliosis (including kyphoscoliosis of the thoracic spine). The following conditions are excluded from the category:

• ICD 10 does not include scoliosis of the thoracic spine;
• a consequence of bone tissue defects;
• positional scoliosis;
• a disease that occurs after medical procedures (surgery, exercise therapy);
• complication of cardiac activity.

Classification and main types

The disease is classified according to several important criteria: etiology, degree of curvature and deformation. These indicators allow doctors to determine the exact stage of development of the disease and determine further tactics for managing the patient.

By etiology

The nature of kyphoscoliosis may be as follows:

• congenital (rib deformation during intrauterine development);
• hereditary by an autosomal dominant type of inheritance (genomic disorders in the presence of similar diseases in the family);
• idiopathic (the cause of the pathology remains unclear).

In the latter case, a number of numerous factors can influence the occurrence of kyphoscoliosis, among which it is impossible to identify any one true cause of its occurrence.

According to the severity of deformation

The degree of deformation is an important aspect of the final diagnosis. Diagnosis is sometimes based on a simple visual examination of the patient and palpation. The main reasons are:

• I degree. The lateral displacement of the spine and twisting are minimal, the angle of pathological curvature varies within degrees.
• II degree. The deformation is more pronounced, the angle of curvature is determined by the interval from 55 to 65 degrees.
• III degree. The beginning of irreversible changes in the skeleton of the spinal column, visible to others. Against the background of deformation, posture and gait change. The angle of curvature reaches 75 degrees.
• IV degree. The spine is severely curved, the sternum is subject to deformation, pelvic bones, the back and front hump begins to form. The angle of curvature exceeds 75 degrees.

Diagnostic measures

The first signs of kyphoscoliosis are rarely noted visually, and therefore patients usually consult a doctor at stage 2 of the disease, when long-term rehabilitation treatment is required. To make a final diagnosis, an instrumental research method is used - an X-ray image in several projections. During a physical examination of the patient, the following changes may be noted:

• formation of stoop;
• change in the position of the shoulders in relation to each other;
• narrowing of the chest;
• asymmetry of the pelvic bones;
• severe deformation when bending forward;
• weakness of the abdominal muscles.

Additionally, consultation with a neurologist for skin sensitivity and tendon structures is important. Changes are determined by palpation of the neck and back. If there is a lack of data on the curvature and deviations in the neuropathological direction, the method of layer-by-layer study of tissues using magnetic resonance imaging and CT examination is used.

In the later stages of the development of pathology with complications of internal organs and systems, consultations and examinations of specialized specialists are prescribed: urologist, gynecologist, pulmonologist, gastroenterologist, hepatologist and others in the related field of medicine.

Treatment tactics

Unfortunately, kyphoscoliosis in the later stages of development cannot be treated adequate treatment. Prevention of progression of deformity at an early stage is to prevent further curvature of the spine and twisting of small vertebrae. As conservative treatment the following methods are used:

• orthopedic products (bandages, corsets, devices);
• therapeutic exercises (exercises for kyphoscoliosis at an early stage can achieve good results);
• breathing exercises;
• painkillers for pain.

The prognosis for the disease is favorable when diagnosed at an early stage of the pathology. In other cases, the prognosis is less favorable due to the development of deformity and associated complications.

Scoliosis. Kyphoscoliosis

RCHR (Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan)

Version: Archive - Clinical protocols Ministry of Health of the Republic of Kazakhstan (Order No. 239)

general information

Short description

Congenital scoliosis is characterized by: congenital deformation of the spine; there may be malformations of the vertebrae or anomalies of the chest, cervical spine, pelvic and shoulder girdle.

It is typical for other forms of scoliosis: the development of scoliotic deformation and curvature of the spine may be based on various anomalies (dysplasia of the lumbosacral spine, accessory wedge-shaped vertebrae and other malformations of the latter).

Q 67.5 Congenital spinal deformity

Q 76.3 Congenital scoliosis caused by a bone malformation

Q 76.4 Other congenital anomalies of the spine not associated with scoliosis

M 41.0 Infalty idiopathic scoliosis

M 41.1 Juvenile idiopathic scoliosis

M 41.2 Other idiopathic scoliosis

M 41.3 Thoracic scoliosis

M 41.4 Neuromuscular scoliosis

M 41.5 Other secondary scoliosis

M 41.8 Other forms of scoliosis

M 41.9 Scoliosis, unspecified

Classification

I. Congenital scoliosis.

II. Dysplastic scoliosis.

III. Idiopathic scoliosis.

Diagnostics

Complaints and medical history: the disease occurs in children with congenital scoliosis from birth. In other forms of scoliosis - as the child grows.

Physical examination: poor posture, spinal deformity, weakness, fatigue, pain along the spine.

Laboratory studies: changes in clinical, biochemical analyzes in the absence of concomitant pathology is not observed.

Instrumental studies: X-rays of the spine being examined show curvature in the frontal and sagittal planes.

Indications for consultation with specialists: ENT - doctor, dentist - for the rehabilitation of infections of the nasopharynx, oral cavity, ECG abnormalities- consultation with a cardiologist, if you have IDA - with a pediatrician, if viral hepatitis, zoonotic and intrauterine and other infections - an infectious disease specialist, for neurological pathology - a neurologist, for endocrine pathology - an endocrinologist.

Minimum examination when referred to a hospital:

1. General blood test.

2. General urine analysis.

Basic diagnostic measures:

1. General blood test.

2. General urine analysis.

3. X-ray of the spine in 2 projections.

Additional diagnostic measures:

1. Urinalysis according to Addis-Kakovsky according to indications.

2. Urinalysis according to Zimnitsky according to indications.

3. Urine culture with colony selection according to indications.

4. Chest X-ray according to indications.

RCHR (Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan)
Version: Archive - Clinical protocols of the Ministry of Health of the Republic of Kazakhstan - 2010 (Order No. 239)

Other forms of scoliosis (M41.8)

general information

Short description

Congenital scoliosis is characterized by: congenital deformation of the spine; there may be malformations of the vertebrae or anomalies of the chest, cervical spine, pelvic and shoulder girdle.

It is typical for other forms of scoliosis: the development of scoliotic deformation and curvature of the spine may be based on various anomalies (dysplasia of the lumbosacral spine, accessory wedge-shaped vertebrae and other malformations of the latter).

Protocol"Scoliosis. Kyphoscoliosis"

ICD-10 codes:

Q 67.5 Congenital spinal deformity

Q 76.3 Congenital scoliosis caused by a bone malformation

Q 76.4 Other congenital anomalies of the spine not associated with scoliosis

M 41.0 Infalty idiopathic scoliosis

M 41.1 Juvenile idiopathic scoliosis

M 41.2 Other idiopathic scoliosis

M 41.3 Thoracic scoliosis

M 41.4 Neuromuscular scoliosis

M 41.5 Other secondary scoliosis

M 41.8 Other forms of scoliosis

M 41.9 Scoliosis, unspecified

Classification

I. Congenital scoliosis.

II. Dysplastic scoliosis.

III. Idiopathic scoliosis.

Diagnostics

Diagnostic criteria

Complaints and anamnesis: The disease occurs in children with congenital scoliosis from birth. In other forms of scoliosis - as the child grows.

Physical examination: poor posture, spinal deformity, weakness, fatigue, pain along the spine.

Laboratory research: There are no changes in clinical and biochemical tests in the absence of concomitant pathology.

Instrumental studies: X-rays of the spine under study show curvature in the frontal and sagittal planes.

Indications for consultation with specialists: ENT - doctor, dentist - for sanitation of infections of the nasopharynx, oral cavity, in case of ECG disorders - consultation with a cardiologist, in the presence of IDA - pediatrician, in case of viral hepatitis, zoonotic and intrauterine and other infections - an infectious disease specialist, in case of neurological pathology - a neurologist, in case of endocrine pathology - endocrinologist.

Minimum examination when referred to a hospital:

1. General blood test.

2. General urine analysis.

4. Stool scraping.

Basic diagnostic measures:

1. General blood test.

2. General urine analysis.

3. X-ray of the spine in 2 projections.

4. Stool scraping.

Additional diagnostic measures:

1. Urinalysis according to Addis-Kakovsky according to indications.

2. Urinalysis according to Zimnitsky according to indications.

3. Urine culture with colony selection according to indications.

4. Chest X-ray according to indications.

Differential diagnosis

Differential diagnosis: Scheuermann-Mau disease, spinal tuberculosis.

Sign	Scoliosis	Scheuermann-Mau	Spinal tuberculosis
Onset of the disease	Congenital scoliosis, idiopathic scoliosis.	Aseptic necrosis of the vertebral bodies, a consequence of spinal trauma, malnutrition of the vertebral bodies.	Typically, the primary tuberculosis focus is in the prebronchial glands or lungs, from where the tuberculosis infection enters the body or vertebral arches by hematogenous route.
Costal hump	Often.	No. There is a kyphotic deformity.	No.
Limitation of movements	Often.	Not always.	Often.
X-ray confirmation	In congenital scoliosis, the presence of additional rudimentary vertebral bodies or an additional rib. With idiopathic scoliosis, there is pronounced torsion of the vertebrae, curvature of the spinal column.	Wedge-shaped flattening is noted, most often of the thoracic vertebral bodies.	Depending on the stage of the disease, destructive polymorphic disorders of the bodies and arches of the spine are noted.
Mantoux test	Negative.	Negative.	Positive.

Treatment abroad

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Treatment

Treatment tactics

Treatment goals: strengthening the muscles of the back, chest and abdomen. Ability to maintain posture.

Not drug treatment: Exercise therapy, physiotherapy, massage, heat therapy. Manufacturing of corset, reclinator.

Drug treatment: calcium supplements (osteogenon or calcium-D3 nycomed), multivitamins.

Preventive actions: eliminate axial loads.

Further management: The goal is to earlier restore the range of active and passive movements in the spine and eliminate pain.

Essential medications: multivitamins, ostegenone, calcium-D3 nycomed.

Additional medications: iron preparations (actiferrin, ferrum lek, ranferon).

Indicators of treatment effectiveness:

1. Elimination of pain in the spine.

2. Restoring range of motion in the spine.

3. Restoration of the muscles of the back, chest and abdomen, maintaining posture.

Hospitalization

Indications for hospitalization: planned. In order to eliminate pain in the spine, strengthen the back muscles; prevention of progression of the process.

Information

Sources and literature

1. Protocols for diagnosis and treatment of diseases of the Ministry of Health of the Republic of Kazakhstan (Order No. 239 of 04/07/2010)
   1. 1. Guide to traumatology and orthopedics, edited by N.P. Novachenko. 2. Clinical recommendations for practitioners based on evidence-based medicine. 2nd edition, GEOTAR, 2002. 3. Disease and damage to the spine in children. V.L. Andrianov, G.A. Bairov, V.I. Sadofeva, R.E. Raye. 4. Ambulatory treatment children with orthopedic diseases. R.Ya. Usoskina, K.A. Krumin, T.Ya Seglin.

Information

Attention!

• By self-medicating, you can cause irreparable harm to your health.
• The information posted on the MedElement website and in the mobile applications "MedElement", "Lekar Pro", "Dariger Pro", "Diseases: Therapist's Guide" cannot and should not replace a face-to-face consultation with a doctor. Be sure to contact a medical facility if you have any illnesses or symptoms that concern you.
• The choice of medications and their dosage must be discussed with a specialist. Only a doctor can prescribe the right medicine and its dosage taking into account the disease and condition of the patient’s body.
• MedElement website and mobile applications"MedElement", "Lekar Pro", "Dariger Pro", "Diseases: Therapist's Directory" are solely information and reference resources. The information posted on this site should not be used to unauthorizedly change doctor's orders.
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In Russia, the International Classification of Diseases, 10th revision (ICD-10) has been adopted as a single normative document for recording morbidity, reasons for the population's visits to medical institutions of all departments, and causes of death.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Russian Ministry of Health dated May 27, 1997. No. 170

The release of a new revision (ICD-11) is planned by WHO in 2017-2018.

With changes and additions from WHO.

Processing and translation of changes © mkb-10.com

ARTICLES

ICD 10. DISEASES OF THE MUSCULAR SYSTEM AND CONNECTIVE TISSUE.

Diseases of the musculoskeletal system and connective tissue (M00-M99)

Deforming dorsopathies (M40-M43)

M40.0 Positional kyphosis

Excludes: spinal osteochondrosis (M42.-)

M40.1 Other secondary kyphosis

M40.3 Straight back syndrome

M40.4 Other lordoses

M40.5 Lordosis, unspecified

M41.3 Thoracogenic scoliosis

M41.4 Neuromuscular scoliosis

M41.8 Other forms of scoliosis

M41.9 Scoliosis, unspecified

M42 Osteochondrosis of the spine

Excludes: positional kyphosis (M40.0)

M43 Other deforming dorsopathies

M43.2 Other spinal fusions

Excludes: ankylosing spondylitis (M45) pseudarthrosis after fusion or arthrodesis (M96.0) condition associated with arthrodesis (Z98.1)

M43.4 Other habitual atlantoaxial subluxations

Excluded: biomechanical damage to NKD (M99.-)

Excludes: torticollis: - congenital sternomastoid (Q68.0) - due to birth trauma (P15.2) - psychogenic (F45.8) - spastic (G24.3) - current injury - see spinal injuries by body region

Excludes: kyphosis and lordosis (M40.-) scoliosis (M41.-)

M45 Ankylosing spondylitis

M45.0 Ankylosing spondylitis

Excludes: arthropathy in Reiter's disease (M02.3) Behçet's disease (M35.2) juvenile (ankylosing) spondylitis (M08.1)

M46.0 Spinal enthesopathy

M46.1 Sacroiliitis, not elsewhere classified

M46.2 Vertebral osteomyelitis

Comment: If necessary, identify the infectious agent, use an additional code (B95-B97)

M47.0 Anterior spinal or vertebral artery compression syndrome

M47.1 Other spondyloses with myelopathy

Excludes: vertebral subluxation (M43.3-M43.5)

M47.8 Other spondyloses

M47.9 Spondylosis, unspecified

M48 Other spondylopathies

M48.0 Spinal stenosis

M48.1 Forestier ankylosing hyperstosis

M48.2 "Kissing" vertebrae

M48.4 Spinal strain fracture

M48.5 Vertebral fracture, not elsewhere classified

Excludes: vertebral fracture due to osteoporosis (M80.-) current injury - see injuries by body region

M49 Spondylopathies in diseases classified elsewhere

M49.1 Brucellous spondylitis

M49.2 Enterobacterial spondylitis

Excludes: neuropathic spondylopathy with tabes dorsalis (M49.4)

M49.5 Destruction of the spine in diseases classified elsewhere

M49.8 Spondylopathies in other diseases classified elsewhere

M50 Lesions of intervertebral discs of the cervical spine

M50.0 Damage to the intervertebral disc of the cervical spine with myelopathy

M50.1 Damage to the intervertebral disc of the cervical spine with radiculopathy

Excludes: brachial radiculitis NOS (M54.1)

M50.3 Other cervical intervertebral disc degeneration

M50.8 Other lesions of the cervical intervertebral disc

M50.9 Lesion of the intervertebral disc of the cervical spine, unspecified

M51 Lesions of intervertebral discs of other parts

M51.0 Damage to the intervertebral disc of the lumbar and other parts with myelopathy

M51.1 Damage to the intervertebral disc of the lumbar and other parts with radiculopathy

Excluded: lumbar sciatica NOS (M54.1)

M51.3 Other specified intervertebral disc degeneration

M51.4 Schmorl's nodes (hernias)

M51.8 Other specified intervertebral disc lesion

M51.9 Intervertebral disc lesion, unspecified

M53 Other dorsopathies, not elsewhere classified

M53.0 Cervicocranial syndrome

M53.1 Cervicobrachial syndrome

Excluded: infrathoracic syndrome [lesion brachial plexus] (G54.0) lesion of the intervertebral disc of the cervical spine (M50.-)

M53.3 Sacrococcygeal disorders, not elsewhere classified

M53.8 Other specified dorsopathies

M53.9 Dorsopathy, unspecified

M54.0 Panniculitis affecting the cervical and spine

Excludes: panniculitis: - NOS (M79.3) - lupus (L93.2) - recurrent [Weber-Christian] (M35.6)

Excluded: neuralgia and neuritis NOS (M79.2) radiculopathy with: - lesions of the intervertebral disc of the lumbar and other parts (M51.1) - lesions of the intervertebral disc of the cervical spine (M50.1) - spondylosis (M47.2)

Excludes: cervicalgia due to intervertebral disc disorder (M50.-)

Excluded: sciatica: - caused by damage to the intervertebral disc (M51.1) - with lumbago (M54.4) damage to the sciatic nerve (G57.0)

Excludes: caused by intervertebral disc disease (M51.1)

Excluded: lumbago: - due to displacement of the intervertebral disc (M51.2) - with sciatica (M54.4)

Excluded: due to damage to the intervertebral disc (M51.-)

M54.8 Other dorsalgia

M54.9 Dorsalgia, unspecified

The abbreviation NOS stands for the phrase “not otherwise specified,” which is equivalent to the definitions: “unspecified” and “unspecified.”

ICD 10. Class XIII (M30-M49)

ICD 10. Class XIII. SYSTEMIC CONNECTIVE TISSUE LESIONS (M30-M36)

Includes: autoimmune diseases:

collagen (vascular) diseases:

Excluded: autoimmune diseases affecting one organ or

one cell type (coded according to the category of the corresponding condition)

M30 Polyarteritis nodosa and related conditions

M30.0 Polyarteritis nodosa

M30.1 Polyarteritis with pulmonary involvement [Churg-Strauss]. Allergic granulomatous angiitis

M30.2 Juvenile polyarteritis

M30.3 Mucocutaneous lymphonodular syndrome [Kawasaki]

M30.8 Other conditions associated with polyarteritis nodosa. Polyangiitis cross syndrome

M31 Other necrotizing vasculopathies

M31.0 Hypersensitivity angiitis. Goodpasture's syndrome

M31.1 Thrombotic microangiopathy. Thrombotic thrombocytopenic purpura

M31.2 Lethal median granuloma

M31.3 Wegener's granulomatosis. Necrotizing respiratory granulomatosis

M31.4 Aortic arch syndrome [Takayasu]

M31.5 Giant cell arteritis with polymyalgia rheumatica

M31.6 Other giant cell arteritis

M31.8 Other specified necrotizing vasculopathies. Hypocomplementemic vasculitis

M31.9 Necrotizing vasculopathy, unspecified

M32 Systemic lupus erythematosus

Excludes: lupus erythematosus (discoid) (NOS) (L93.0)

M32.0 Drug-induced systemic lupus erythematosus

If necessary, an additional external cause code (Class XX) is used to identify the drug.

M32.1+ Systemic lupus erythematosus with damage to other organs or systems

Pericarditis in systemic lupus erythematosus (I32.8*)

Systemic lupus erythematosus with:

M32.8 Other forms of systemic lupus erythematosus

M32.9 Systemic lupus erythematosus, unspecified

M33 Dermatopolymyositis

M33.0 Juvenile dermatomyositis

M33.1 Other dermatomyositis

M33.9 Dermatopolymyositis, unspecified

M34 Systemic sclerosis

M34.0 Progressive systemic sclerosis

Combination of calcification, Raynaud's syndrome, esophageal dysfunction, sclerodactyly and telangiectasia

M34.2 Systemic sclerosis caused by drugs and chemical compounds

If it is necessary to identify the cause, use an additional external cause code (class XX).

M34.8 Other forms of systemic sclerosis

Systemic sclerosis with:

M34.9 Systemic sclerosis, unspecified

M35 Other systemic connective tissue disorders

Excludes: reactive perforating collagenosis (L87.1)

Sjögren's syndrome with:

M35.1 Other crossover syndromes. Mixed connective tissue disease

Excludes: polyangiitis cross syndrome (M30.8)

M35.3 Polymyalgia rheumatica

Excludes: polymyalgia rheumatica with giant cell arteritis (M31.5)

M35.4 Diffuse (eosinophilic) fasciitis

M35.5 Multifocal fibrosclerosis

M35.6 Recurrent Weber-Christian panniculitis

M35.7 Hypermobile syndrome of looseness, excessive mobility. Familial ligament laxity

Excludes: Ehlers-Danlos syndrome (Q79.6)

M35.8 Other specified systemic connective tissue disorders

M35.9 Systemic connective tissue disorders, unspecified

Autoimmune disease (systemic) NOS. Collagen (vascular) disease NOS

M36* Systemic connective tissue disorders in diseases classified elsewhere

Excluded: arthropathy in diseases classified

Excludes: arthropathy in Henoch-Schönlein purpura (M36.4*)

M36.4* Arthropathy in hypersensitivity reactions classified elsewhere

Arthropathy with Henoch-Schönlein purpura (D69.0+)

M36.8* Systemic connective tissue lesions in other diseases classified elsewhere

Systemic connective tissue lesions with:

DORSOPATHIES (M40-M54)

The following additional fifth characters indicating the location of the lesion are given for optional use with the corresponding headings of the Dorsopathies block, excluding headings M50 and M51; see also note on page 644.

0 Multiple parts of the spine

1 Area of ​​the back of the head, first and second cervical vertebrae

3 Cervicothoracic region

4 Thoracic region

5 Thoracic lumbar region

6 Lumbar

7 Lumbosacral region

8 Sacral and sacrococcygeal region

9 Unspecified location

DEFORMING DORSOPATHS (M40-M43)

M40 Kyphosis and lordosis [localization code see above]

Excludes: spinal osteochondrosis (M42. -)

M40.1 Other secondary kyphosis

M40.2 Other and unspecified kyphosis

M40.3 Straight back syndrome

M41 Scoliosis [localization code see above]

Excluded: congenital scoliosis:

kyphoscoliotic heart disease (I27.1)

after medical procedures (M96. -)

M41.0 Infantile idiopathic scoliosis

M41.1 Juvenile idiopathic scoliosis

Scoliosis in adolescents

M41.2 Other idiopathic scoliosis

M41.3 Thoracogenic scoliosis

M41.4 Neuromuscular scoliosis. Scoliosis due to cerebral palsy, Friedreich's ataxia, polio and other neuromuscular disorders

M41.5 Other secondary scoliosis

M41.8 Other forms of scoliosis

M41.9 Scoliosis, unspecified

M42 Osteochondrosis of the spine [localization code see above]

M42.0 Juvenile osteochondrosis of the spine. Calvet's disease. Scheuermann's disease

Excludes: positional kyphosis (M40.0)

M42.1 Osteochondrosis of the spine in adults

M42.9 Spinal osteochondrosis, unspecified

M43 Other deforming dorsopathies [localization code see above]

Excludes: congenital spondylolysis and spondylolisthesis (Q76.2)

lumbalization and sacralization (Q76.4)

curvature of the spine with:

M43.2 Other fusions of the spinal column. Ankylosis of the back joints

Excludes: ankylosing spondylitis (M45)

condition associated with arthrodesis (Z98.1)

pseudarthrosis after fusion or arthrodesis (M96.0)

M43.3 Habitual atlantoaxial subluxation with myelopathy

M43.4 Other habitual anlantoaxial subluxations

M43.5 Other habitual vertebral subluxations

Excludes: biomechanical damage NEC (M99. -)

by body area

M43.8 Other specified deforming dorsopathies

M43.9 Deforming dorsopathy, unspecified. Curvature of the spine NOS

SPONDILOPATHIES (M45-M49)

M45 Ankylosing spondylitis [localization code see above]

Excludes: arthropathy due to Reiter's disease (M02.3)

juvenile (ankylosing) spondylitis (M08.1)

M46 Other inflammatory spondylopathies [localization code see above]

M46.0 Spinal enthesopathy. Loss of attachment of ligaments or muscles of the spine

M46.1 Sacroiliitis, not elsewhere classified

M46.2 Vertebral osteomyelitis

M46.3 Intervertebral disc infection (pyogenic)

If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

M46.5 Other infectious spondylopathies

M46.8 Other specified inflammatory spondylopathies

M46.9 Inflammatory spondylopathies, unspecified

M47 Spondylosis [localization code see above]

Includes: arthrosis or osteoarthritis of the spine, degeneration of facet joints

M47.0+ Anterior spinal or vertebral artery compression syndrome (G99.2*)

M47.1 Other spondyloses with myelopathy. Spondylogenic spinal cord compression + (G99.2*)

M47.2 Other spondyloses with radiculopathy

Lumbosacral spondylosis > without myelopathy

Thoracic spondylosis > or radiculopathy

M47.9 Spondylosis, unspecified

M48 Other spondylopathies [localization code see above]

M48.0 Spinal stenosis. Caudal caudal stenosis

M48.1 Ankylosing Forestier hyperostosis. Diffuse idiopathic skeletal hyperostosis

M48.3 Traumatic spondylopathy

M48.4 Spinal fracture associated with overexertion. Overload [stress] fracture of the spine

M48.5 Vertebral fracture, not elsewhere classified. Vertebral fracture NOS

Wedge-shaped vertebral deformity NOS

Excludes: vertebral destruction due to osteoporosis (M80. -)

current injury - see injuries by body area

M48.8 Other specified spondylopathies. Ossification of the posterior longitudinal ligament

M48.9 Spondylopathy, unspecified

M49* Spondylopathies in diseases classified elsewhere [see location code above]

Excludes: psoriatic and enteropathic arthropathy (M07. -*, M09. -*)

Excludes: neuropathic spondylopathy with tabes dorsalis (M49.4*)

M49.4* Neuropathic spondylopathy

Neuropathic spondylopathy with:

M49.5* Destruction of the spine in diseases classified elsewhere

Metastatic vertebral fracture (C79.5+)

M49.8* Spondylopathies in other diseases classified elsewhere

Scoliosis code according to ICD 10

Be healthy!

Scoliosis - symptoms. Scoliosis treatment / Likar.INFO Scoliosis (M41). [localization code see above] Included: kyphoscoliosis Excluded: congenital scoliosis. NOS (Q67.5). due to malformation of bones Halasana - plow pose: relieves excess weight - Enjoyoga June 28 Asana Plow pose cures osteochondrosis, straightens the spine and eliminates the main contraindications when performing. Symptoms and treatment of Scoliosis, diagnosis and prevention of the disease. Description of the disease Categories ICD-10 and drugs for therapy. M41 Scoliosis.

Scoliosis - Wikipedia International Classification of Diseases, 10th Revision (ICD-10) · Class 13 M41.0 Infantile idiopathic scoliosis; M41.1 Juvenile Osteoarthritis. is it possible to do yoga? It’s not advisable because osteoporosis is the fragility of bones, there can be fractures that you yourself won’t even notice how they broke! Need to. An excellent replacement for frisky fitness. It is possible, but very carefully. It will hurt. After. Again, how bad is the joint.

Diagnosis and treatment in South Korea- First Kamchatka Forum Accommodation prices depend on your wishes (from 60 dollars per day) arthrosis (destruction, stiffness of joints); hernia intervertebral disc, arthrosis of intervertebral joints, spinal stenosis This is how images are viewed by orthopedic surgeons, correlating them with the position of the patient’s body on the operating table. ICD-10

Spinal pathology with joint hypermobility m41 Scoliosis - International Classification of Diseases ICD 10 Classes, sections, diagnosis codes

Arthrosis of the Hip Joint 2nd Degree Price 24 oct Treatment of joint diseases without surgery Diagnosis of DOA of the hip joint 1st degree. I have 2-3 degrees of arthrosis. This list includes: nonspecific dorsalgia, scoliosis, disease. as aseptic necrosis of the apophyses of the vertebral bodies, in ICD-10 it is classified as

Dorsopathies (classification and diagnosis). Site of practical Scoliosis is a lateral curvature of the spinal column, combined with its torsion; radiographically; the angle of the primary arc of curvature is no more than 10°. ICD. M41 Scoliosis. Directory of diseases. . Synonyms: disease

ICD 10 Scoliosis - EROVA.RU - EROVA.ru

Feb CODE ICD -10: M-16 Coxarthrosis (arthrosis.

A method for diagnosing compression of the vertebral artery in the presence of marginal calcification of the uncovertebral joint with an area of ​​bone growths of the vertebral bodies, ossification of the facet joints, osteophytes, arthrosis of the uncovertebral and intervertebral joints. Thus, the term “dorsopathies” in accordance with ICD-10 should M41.4 Neuromuscular scoliosis (due to cerebral palsy,

Standard for diagnosis and treatment of pediatric rehabilitation Code according to ICD-10. M41. Scoliosis. Q76.3 Congenital scoliosis caused by a bone malformation. The surgeon usually faces three problems:

M41 Scoliosis - International Classification of Diseases.

Deforming arthrosis, symptoms and treatment of arthrosis Arthrosis is wear and tear of intra-articular cartilage. 26 Feb ICD-10 Code: M-16 Coxarthrosis (arthrosis of the hip joint) ICD-10 Code: M-40 Kyphosis and lordosis; ICD-10 CODE: M-41 Scoliosis

ICD 10. Class XIII. Diseases of the musculoskeletal system, etc.

M41 Scoliosis M41.0 Infantile idiopathic scoliosis. M41.1

Juvenile idiopathic scoliosis. M41.2 Other idiopathic

Scoliosis - Wikipedia

ICD 10 code: M40-M43 DEFORMATING DORSOPATHIES. [localization code see above] Included: kyphoscoliosis Excluded: congenital scoliosis. Abs training for back pain - SportsWiki encyclopedia Does your lower back hurt? Are crunches banned? This technique will help! And you've probably heard a lot about the benefits of strong abs. Let us repeat once again that Scoliosis (Greek σκολιός - curved, Latin scoliōsis) is a three-plane deformity. The angle of scoliosis is 1° - 10°. 2nd degree scoliosis. Scoliosis angle 11° - 25°. 3rd degree scoliosis. Scoliosis angle 26° - 50°. 4th degree of scoliosis. Scoliosis angle

Standard medical care patients with scoliosis ICD 10 code: M41 Scoliosis. [localization code see above] Included: kyphoscoliosis Excluded: M41.0 Infantile idiopathic scoliosis. M41.1 Weakness after ARVI, people tell me how to get rid of it faster, what methods. vitamins Take vitamins. Eat vegetables and fruits. More vitamins in any form. Eleuthorococcus tincture helps very well, every pharmacy has it, it costs a penny, and the result is excellent. There is a good way, but it is not for the lazy: you need to have an aloe plant so that it is 3 years old or more, it must not be watered for 3-4 days , then cut off the foxtail, grind it, add honey and lemon (ground with zest) in equal proportions. walnuts finely chopped, and add a tablespoon of vodka or cognac. Store in the refrigerator, take two teaspoons three times a day. This is an excellent tonic.

Prevention of back pain - Healing Gifts of Altai Prevention of back pain, manual myosculpture, body vitalization, Swimming, cycling and running are also useful means. Instead of immediately after stopping a car or landing a plane Nosological form: juvenile idiopathic scoliosis; other idiopathic scoliosis. ICD-10 code: M 41.1-M41.2. Phase: any

ICD-10. M41 Scoliosis - Library of Medical Knowledge The ICD-10 code for Scoliosis is M41. Code Scoliosis in the international classification of diseases ICD-10. M00-M99 Diseases of the musculoskeletal system and connective tissue.

• Arthrosis of the first metatarsophalangeal joint Restriction of movements in the 1st metatarsophalangeal joint - the main symptom Diagnosis: Pain during movement thumb up/down is a conservative treatment; a surgical solution to the problem is possible. ICD-10. M41 Scoliosis. Description of the code. Category: International classification of diseases ICD-10. Class: XIII. M00-M99. Musculoskeletal diseases
• Spinal kyphoscoliosis grades 1, 2, 3 and 4, treatment and May 26 ICD code X*(1) Average treatment time (number of days): 10. ICD code X*(1). M41.1 Juvenile idiopathic scoliosis
• Symptoms of lumbar osteochondrosis Also, pain in the lumbar spine appears when you This symptom is called the “locked back” symptom, and according to the International Classification of Diseases, 10th revision (ICD 10), Depending on which direction the scoliosis arch is open,

International Classification of Diseases 10th - Medi.ru July 13 ICD-10 codes: Q76.3 Congenital scoliosis caused by a bone malformation. Q67.5 Congenital spinal deformity

Arthrosis of the hands: treatment based on expediency Pain in the joints is periodic, which depends on the presence or is more complicated than the process of getting rid of arthrosis of the hands. However, the hands are constantly in motion, which significantly complicates the International Classification of Diseases, 10th Revision (ICD-10) Class 13 M41.0 Infantile idiopathic scoliosis; M41.1 Youth

Read also on the topic:

The code for Scoliosis in ICD-10 is M41.

m41 Scoliosis - International Classification of Diseases ICD 10 Classes, sections, diagnosis codes Temporomandibular joint - Surgical dentistry When the function of the joint changes, the shape of the face may change, and, conversely, changes. The clinical course of burn disease has 4 stages. The code for Scoliosis in ICD-10 is M41. Code Scoliosis in the international classification of diseases ICD-10. M00-M99 Diseases of the musculoskeletal system and connective tissue

Diagnosis code M41 - Scoliosis - ICD-10 online Scoliosis: X-ray image of the spine of a patient with right-sided scoliosis, which muscles are responsible for the force of a hand strike, primarily from technique and training. what they say about the dependence of one’s own weight and the force of a blow with a hand is only for those who do not understand anything about it. There are two main types of punch: straight and weighted. In the second, weight plays a more important role than training. But there is a big BUT with a weight strike, you need to swing, that is, move your hand back, as if gaining a swing, and hit wherever you hit, a good option is when your opponent stands like a stake and does not know how to move, then with one blow you can knock you down if you weigh over 80 kg. but if your opponent is normal, he will have time to hit you 5 times before you even swing. therefore, in close combat, a direct blow is more effective and dangerous, that is, when you throw your hand at the enemy from the position of the initial combat stance or even standing at attention. it's all about the sharpness of the movement. when you hit straight, spread the distance so that when you hit, the arm is completely straightened, and you also need to somehow collect all the force from the leg, transfer it to the back, from the back to the shoulder joint, and then, like a cobra, throw your arm in front, delivering a lightning-fast crushing blow to the enemy. when striking, it is better to take a position so that one leg is in support and the other is slightly behind, so the blow should begin with the one behind. as if pushing off, you move the shoulder of your striking hand forward a little and straighten your arm to strike. The important point is not to lose balance when performing. It’s better to practice this technique at home or in sparring with a friend. It helps to train well, let’s say in front of a mirror or mirror surface so you can see how you move and what’s wrong. What is also important is breathing and the ability to deliver a quick and strong series of blows (5-6) and not just one. in general, for impact power - bench press, dumbbell biceps press, reverse triceps push-up and shoulder muscles. box hard objects to build arm bones, perform a bench press on your fists. When boxing a virtual opponent in front of a mirror, take some weight in your hands, at least 0.5 kg (dumbbells), this will strengthen your hands and, as a result, give speed and force to the blow. Regarding the relationship between weight and punch force, my weight is 60 kg, the average punch is 150 kg. Here's your relationship)) almost all Shoulders, chest, back. Well, and hands, of course. But the hands are not the first thing. The main thing is the shoulder girdle, I completely agree with Nikita Sirin’s answer, but I also need to add something for maximum strength noona, also apply the weight of your ENTIRE body when you strike, I once watched a program that said almost all the muscles of the body are involved during a strike with the hand, so not just the entire shoulder girdle. The force of the blow depends, first of all, on the technique of the blow, on its correct placement. The hand at this moment is generally relaxed, although all the muscles are involved. In general, triceps and biceps. The first one extends the arm, the second one bends it. But since upon impact you need to turn the body, therefore the muscles of the back, abs, and chest also work. To improve your kick, take a dumbbell in each hand and hit it in front of you. Then try without them :) Well, yes, Satya Baba is an authoritative source, the rest are suckers.)) Most of all, of course, the force of the blow depends on the strength of the legs and back. Well, for suckers - yes - triceps, biceps and other anatomy. All muscles are responsible for the force of the blow, but the triceps are more than the rest).

Scoliosis (ICD code M41)

M41.0 Infantile idiopathic scoliosis

M41.1 Juvenile idiopathic scoliosis

Scoliosis in adolescents

M41.2 Other idiopathic scoliosis

M41.3 Thoracogenic scoliosis

M41.4 Neuromuscular scoliosis

Scoliosis due to cerebral palsy, Friedreich's ataxia, polio and other neuromuscular disorders

M41.5 Other secondary scoliosis

M41.8 Other forms of scoliosis

M41.9 Scoliosis, unspecified

Scoliosis ICD code M41

The International Statistical Classification of Diseases and Related Health Problems is a document used as a leading framework in health care. The ICD is a normative document that ensures the unity of methodological approaches and the international comparability of materials. Currently, the International Classification of Diseases, Tenth Revision (ICD-10, ICD-10) is in force. In Russia, health authorities and institutions transitioned statistical accounting to ICD-10 in 1999.

©g. ICD 10 - International Classification of Diseases, 10th Revision

Don't crunch!

treatment of joints and spine

• Diseases
  • Arothrosis
  • Arthritis
  • Ankylosing spondylitis
  • Bursitis
  • Dysplasia
  • Sciatica
  • Myositis
  • Osteomyelitis
  • Osteoporosis
  • Fracture
  • Flat feet
  • Gout
  • Radiculitis
  • Rheumatism
  • Heel spur
  • Scoliosis
• Joints
  • Knee
  • Brachial
  • Hip
  • Other joints
• Spine
  • Spine
  • Osteochondrosis
  • Cervical region
  • Thoracic region
  • Lumbar
  • Hernias
• Treatment
  • Exercises
  • Operations
  • From pain
• Other
  • Muscles
  • Ligaments

Scoliosis ICD

Features of diagnosis and treatment of scoliotic posture in children and adults

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​In some cases, it makes sense to use staples. This surgery helps correct a crooked spine. In most cases, the treatment is successful, and after a certain period of time they can be removed.​

How does scoliotic posture in a child differ from true scoliosis?

The patient being examined should be asked to stand upright. Signs of a developing disease will be:

Scoliosis can occur either at a very early age or as a result of surgery. Idiopathic scoliosis is a disease whose causes cannot be determined. As a rule, it develops during the development of the main skeleton.

​Most problems of this type fall under the category of idiopathic scoliosis, since in most cases the causes of the disease remain unknown. The disease may affect different departments spine:​

• ​Clinical picture​
• ​Treatment​
• ​There are some specific features treatment of scoliotic curve in children. They suggest:​
• ​Reduction of thoracic kyphosis in comparison with lumbar lordosis by up to 3 degrees (with scoliotic or kyphoscoliotic posture). If the thoracic convexity posteriorly in a child is reduced more significantly, scoliosis can be assumed;
• ​The radiograph shows the deviation of the spinous processes from the vertical axis;​

Scoliotic posture is a displacement of the spinal column in the lateral plane (frontal). The pathology is noticeable in an external view of a person’s back by the uneven height of the shoulder girdles, the lateral location of the spinal axis, the convexity and divergence of the shoulder blades. Unlike true scoliosis, with scoliotic posture, these changes disappear when a person assumes a horizontal position or leans forward.​

External symptoms of lateral curvature of the spinal axis

​Proper treatment will help a person return to a full life and no longer experience problems associated with the disease!​

• ​asymmetry of the blades;​
• ​This disease may not be diagnosed immediately. The fact is that due to the location of the arc, the center of gravity of the body is not disturbed so much and the person does not feel any difficulties. Left-sided scoliosis rarely leads to any complications or serious damage. However, if the disease is not treated, it may begin to progress.​
• ​chest;​
• ​untreated scoliosis: deformation of the chest, limitation of lung function and, as a consequence, polycythemia and pulmonary hypertension, heart failure (due to increased pressure from the chest).​
• ​ Scoliosis I degree - a slight lateral deviation of the spine and a small degree of torsion, detected x-ray; angle of the primary arc of curvature - no more than 10° Scoliosis II degree - noticeable deviation of the spine in the frontal plane, pronounced torsion; the angle of the primary arc of curvature is within 20–30° Stage III scoliosis - severe deformity, large rib hump, chest deformity; angle of the primary arc of curvature - 40–60° Scoliosis IV degree - severe deformation of the torso, kyphoscoliosis of the thoracic spine, pelvic deformity, spondyloarthrosis deformans. The angle of the main curvature reaches 60–90°, pulmonary and cardiac complications are possible.​
• ​Scoliosis​
• ​Normalization of the position of the head, neck, shoulder girdle, elimination of relative shortening of the limbs. For this purpose, classes are used on specific devices for curvature correction. Such exercise machines consist of a ladder with crossbars and hinges at the top. The crossbars are secured at the bottom with a special tie. As a result of using the equipment, vibrations during flexion-extension movements are eliminated. The inclined plane of the exercise bench creates a proportional load on the muscular corset of the child’s back;

​An increase in muscle tone on the side of the arc of curvature can lead to pinched nerves only with a pronounced degree of pathology.​

Treatment and exercises

​Externally, the head is tilted, the shoulders are located unevenly, the shoulder blades are apart, the nipples of the mammary glands are located at different heights.​

• ​The diagnosis is established based on the results of a lateral radiograph of the spine. It shows the lateral displacement of the axis of the spinal column in the standing position of the study. In a horizontal position, no curvature is observed.​
• ​Q76.3. Congenital scoliosis caused by a bone malformation.​
• ​unevenness of the hips in relation to the center line of the body;​
• ​C-shaped scoliosis is the most common type of disease. According to the ICD, this is the most simple form diseases. With C curvature, only one arc is observed. To diagnose C-shaped scoliosis, simply ask the patient to bend down. With this movement, his body will deviate significantly to one side.​
• ​lumbar.​

1. ​Diagnostics​
2. - lateral curvature of the spinal column, combined with its torsion; Depending on the cause, there may be only one bend or a primary and secondary compensatory bend, which can be stable (as a result of a malformation of muscles and/or bones) or unstable (as a result of uneven muscle contraction).​
3. ​Exercises to eliminate hypertonicity of skeletal muscles are prescribed by a doctor after a thorough examination of the condition of the spinal column. With a scoliotic curve, some muscle groups are in a state of persistent contraction, while others are relaxed. To maintain the spinal axis in the correct position, they must function synchronously;​

​The external symptoms of scoliotic posture are so specific that it is not a problem for a specialist to diagnose the disease during an external examination of the child.​

• ​The most reliable sign for distinguishing true scoliosis from scoliotic posture is the twisting of the spine along the axis (rotation) in the first case. In this case, on an x-ray you can see how the vertebrae are arranged in the form of a vertical ladder. As a result, when a person bends forward with scoliosis, one can observe protrusion of the ribs forward on the side of the scoliotic curve.​
• Classic scoliosis in a child is manifested by curvature of the spinal axis in the frontal plane (to the side). This deformity does not disappear when changing body position, unlike scoliotic posture.​
• Scoliosis is the most common type of deformity in children. It occurs 6 times more often in girls than in boys.​

​support on one side;​

Scoliosis - description, causes, symptoms (signs), diagnosis, treatment.

• ​In order to apply the correct treatment methods, it is necessary to understand the types of diseases and their treatment methods. It is worth considering the classification of diseases to establish a diagnosis.​

Short description

​Right-sided scoliosis usually progresses rapidly. One, mild degree the development of the disease can develop into a more complex one. Right-sided scoliosis, already in the third degree, causes severe twisting of the spine, and its right side is strongly displaced backward. The shoulder blades begin to protrude strongly.​​M41 Scoliosis​​ During the examination, it is necessary to find out the cause of scoliosis. An examination is carried out in the straight and bent positions of the patient's back, while paying attention to the asymmetry of the spine, shoulder blades, and muscles. The symmetry of the shoulders and hips is checked, the length of the legs is measured. X-rays of the spine are necessarily carried out in two projections with the patient’s body in horizontal and vertical positions. Radiologically, any curvature of the spine exceeding 10° can be detected.​​Frequency.​

​Correction of changes in lumbar lordosis and thoracic kyphosis is most optimal using a support ladder. It is used when performing therapeutic exercises.​

• ​Treatment of postural disorders in children involves a combined approach, taking into account the following methods:​

Causes

All organs in the human body work mutually and harmoniously. Scoliosis posture leads to displacement of the bony skeleton of the body, so other external signs are observed in pathology: Persistent lateral curvature of the spinal axis is observed in approximately 30 percent of our population (3 out of 10 people). During school years, the prevalence of true scoliosis is slightly lower – 10%.​

Symptoms (signs)

​By etiological factor a distinction is made between congenital and acquired scoliosis. unequal size of breasts in girls during development;

Diagnostics

​S-shaped scoliosis is characterized by the presence of two curves of the spinal column. If C-shaped scoliosis has only one arch inclined to one side, then S-shaped scoliosis significantly changes the shape of the spine. One curve is the main, scoliotic, and the other is compensatory. The second arc is formed in order to at least slightly level the position of the body in space. S-shaped scoliosis develops two curves simultaneously and is usually diagnosed with an x-ray. S-shaped scoliosis is characterized by curvature of the spine in both directions.​​In the fourth stage of the disease, severe compression of the internal organs of the chest, including the heart and lungs, occurs. Stagnation occurs, and ulcers, gastritis and other problems begin to develop in the digestive system.

Treatment

​According to the ICD, all types of disease can be divided into two types:​​TREATMENT​

The prevalence of scoliosis varies (in pediatric practice it is 3–5%). In 75% of cases, the etiology of the disease in adolescents is unknown. Scoliosis is more often found in girls with the onset of the disease in adolescence.​

​Exercises to eliminate sideways curvature of the spine using exercise machines:​

​Shortening of the limb on one side and enlargement on the other. The symptom is caused by damage to the joints lower limb, which accounts for the maximum load in adults. In children, the symptom occurs due to curvature of the knee joints with an asymmetrical position of the torso axis; Among adults, scoliotic posture is observed even more often - in 6 out of 10 people. If we take an average class of 20 students, then only 3-4 children have a physiological location of the spinal column. Of the two classes, at least one of the students has kyphoscoliotic posture (increased thoracic kyphosis with its rotation to the side).​

The basis of the origin of congenital scoliosis is anomalies in the development of the spine and ribs (additional wedge-shaped vertebrae and hemivertebrae, synostosis of the spinous processes, accessory ribs, synostosis of the ribs of one side, etc.), dysplasia of the lumbosacral spine, which defines the concept of “dysplastic scoliosis” ( spondylolysis, lumbarization, sacralization, obvious elevation of one shoulder above the other;

​The rarest and most severe form of the disease is Z-shaped curvature. It can only be detected by X-ray irradiation.​

• ​According to the ICD, left-sided scoliosis is characterized by the formation of an arch in the lumbar area. The slope of the bend begins to the left. The ICD code divides this disease into:
• ​right-sided scoliosis;​

Right-handed

​begin immediately after identifying spinal curvature.​

​Code according to the international classification of diseases ICD-10:​

​Put your feet on the stairs. Place a pillow under your lower back. Grab the bar located at chest level with your hands. Try to swing the ladder. This exercise will strengthen the back muscles, since the vibrations of the machine are transmitted to the muscle corset;​

• ​Wearing orthopedic corsets;​
• ​Displacement of the pelvis with a change in its angle of inclination. The ilium is elevated on the side of the curvature, since the spine is firmly fixed to the pelvic bones;

Features of kyphoscoliotic posture:

Left-handed

​After a long walk or staying in one position, pain may occur.​

• ​Since in almost 80% of cases the cause of the disease is unknown, doctors make a diagnosis of idiopathic scoliosis.​
• ​congenital;​
• ​left-sided scoliosis.​

​Basic principles: mobilization of the spine, correction of deformity and maintenance of correction.​

How is the disease classified by the number of bends?

​To eliminate curvatures, we recommend performing traction on a Swedish ladder. To do this, take the starting position as in the previous exercise. When extending, grab the bar, which is at its maximum height so that the gluteal region is slightly elevated above the floor. Hold the position for 5 minutes and return to the bench;​

​Relief of secondary symptoms;​

Rotation of the lumbar vertebrae in the lateral plane and the opposite displacement in the thoracic region in a child is observed with pronounced curvature. In adults almost always;

​Instability of curvature (disappears in a horizontal position);​

Dysplastic scoliosis

Any type of this disease requires treatment. The successful outcome will depend on how early action is taken. Treatment of this problem in an adult is especially difficult and most often requires complex surgery.​

Symptoms

In some cases, it can form dysplastic scoliosis. According to the ICD, this may be C-shaped scoliosis with deviation in any direction, but accompanied by complications. Dysplastic scoliosis is characterized by damaged tissues and vessels surrounding the spine. Most often, the first signs of the disease are noticed at an early age. Dysplastic scoliosis requires urgent medical treatment.​

• ​As the ICD explains, right-sided scoliosis is characterized by the formation of a curvature of the spine to the right side. The formation of the arch begins in the thoracic region. If C-shaped scoliosis is of an unfixed type, then with increasing loads on the back, it can worsen. Also, differences in the degree of curvature will be noticeable when X-ray studies in different positions, for example, lying and standing.​
• ​ The main method of treating scoliosis is conservative. Up to 3 years of life - correct positioning of the child, a plaster crib. For scoliosis of I-II degrees, unfavorable factors affecting posture are eliminated - the height of the chair and table should correspond to the height of the child, a bed with a hard surface, outdoor games are recommended , exercises for the back muscles. Corrective plaster beds, removable orthopedic corsets, massage, exercise therapy, and electrical muscle stimulation are used.
• ​Etiology​
• ​For the back, stretching in a lying position with an inclined plane is useful. Lie on the machine with the seat elevated and grab the bar overhead. Pull your body down while keeping your arms up. You should not stretch too hard, as this can cause pain.​
• ​Checking for correct sitting and standing;​
• The shoulder girdle is more inclined on the side of the curvature;

Treatment of the disease

Eliminates after conservative treatment;

​Acquired scoliosis is often a sign of other diseases. Static scoliosis is observed with shortening of the lower limb, unilateral congenital dislocation hips, ankylosis in a vicious position and contractures of the hip and knee joints. Neurogenic and myopathic scoliosis arise due to imbalance of the back muscles, oblique abdominal muscles after poliomyelitis, Little's disease, neurofibromatosis, syringomyelia, deforming muscular dystonia, Friedreich's familial ataxia, progressive muscular dystrophy of the Erb-Roth type, rickets. Scoliosis is known due to extensive post-burn scars of the torso, diseases and operations on the chest organs. Scoliosis can be caused by spinal tumors and paravertebral tumors. Metabolic disorders, such as cystinosis, mucopolysaccharidosis, Marfan syndrome, Ehlers-Danlos syndrome, are often accompanied by scoliosis.​

If such a diagnosis has been made to a child, immediate action must be taken. Until the spine is fully formed, treatment is possible. You need to contact a good specialist who will select the right treatment methods. He can also recommend a set of physical exercises to help straighten your posture.​

​In most cases the person does not experience any painful sensations. However, if you look closely, the problem is obvious.​

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EPIDEMIOLOGY

​When right-sided scoliosis is diagnosed, it is necessary to pay attention to the localization of the disease. Experts say that the higher the first bend is located, the more complex disease and it is more likely that it will progress, leading to serious consequences. Right-sided scoliosis can even lead to malignant processes.​

CLASSIFICATION, ETIOLOGY

​ Surgery indicated for ineffective long-term conservative treatment, scoliosis of III–IV degrees. Discotomy operations with posterior spondylodesis, tenoligamentocapsulotomy, wedge-shaped vertebrotomy, and corrective surgery using a special metal Harrington construct have been proposed. Achieve significant (albeit incomplete) fixation. Long-term results depend on the healing of the bone graft and fixation of the spine in the correct position.​

CONGENITAL SCOLIOSIS

​Group I: scoliosis of myopathic origin. The curvature is based on disorders of the development of muscle tissue and ligamentous apparatus. Group II - neurogenic scoliosis (due to poliomyelitis, neurofibromatosis, syringomyelia, etc.) Group III (congenital scoliosis) - scoliosis due to anomalies in the development of vertebrae and ribs (wedge-shaped additional vertebrae, unilateral synostosis ribs and transverse processes of the vertebrae) Group IV - scoliosis caused by diseases of the chest and spine (scar changes after empyema, burns, plastic surgery, trauma) Group V - idiopathic scoliosis.​ Thus, scoliotic posture, unlike true scoliosis, can be effectively treated with the right approach. The main thing is to prevent it from entering an irreversible state with persistent lateral curvature of the spinal column.​​Eliminating bad habits.​

ACQUIRED SCOLIOSIS

The head is shifted to the side opposite to the tilt of the shoulder girdle;

​Rarely leads to compression syndrome (pinched nerve fibers);​

​Idiopathic scoliosis is a special, most common form that manifests itself as an independent disease. Its origin remains unclear to this day. In the pathogenesis of scoliosis, great importance is attached to degenerative-dystrophic processes in the epiphyseal cartilage and the disc itself, and epiphysiolysis of the discs.​

Kyphoscoliosis- curvature of the spine in the posterior direction, as well as its lateral curvatures. Pathology reduces the volume and mobility of the lungs and chest. Kyphoscoliosis is found in 1% of the population, mainly in women. The deformity is clinically significant in 2% of affected individuals.

Code according to the international classification of diseases ICD-10:

Causes

Etiology unclear in 80% of cases. The main known cause is polio contracted in childhood.

Pathogenesis. With kyphoscoliosis, lung volumes are reduced, stiffness of the chest wall is observed, the load on the respiratory muscles is increased, the extensibility of the lung parenchyma is reduced, and the functional residual capacity of the lungs is reduced. With severe kyphoscoliosis, gas exchange is impaired: alveolar hypoventilation and an increase in p a CO 2 are observed. In patients with even moderate deformation of the chest wall (without clinical signs of cardiac dysfunction), kyphoscoliosis leads to pulmonary hypertension during exercise (sometimes at rest).

Symptoms (signs)

Clinical picture. The leading respiratory symptom is shortness of breath on exertion. The onset and severity of shortness of breath correlate with the degree of spinal curvature, as determined by chest x-ray. Hypoventilation is typical for persons with severe deformity. Bronchitic symptoms are not typical until the development of the clinical picture of chronic bronchitis or atelectasis. Complications of prolonged hypoxemia (pulmonary hypertension, dysfunction of the right ventricle of the heart and cor pulmonale) can develop in the later stages of the disease.

X-ray of the chest organs. The ribs on the side of the convex part of the spinal curvature area are widely spaced and rotated posteriorly, forming a characteristic hump. The ribs on the concave side are gathered together and shifted anteriorly.

Treatment

Treatment. The main method of preventing symptoms of the disease is early detection of kyphoscoliosis in adolescents. Stages III and IV scoliosis provide grounds for mechanical or surgical correction. At an early stage of the disease, mechanical correction using orthopedic devices is possible. Surgical correction is achieved by surgery, metal rods are used for local fixation of the spine, after which the patient wears a plaster corset for several months . Surgery does not improve maximum respiratory capacity, but may increase oxygen saturation in the blood. At best, the operation preserves lung function as it was at the time of the intervention. Periodic overinflation of the lungs using devices that create positive and negative pressures increases the compliance of the lungs and pO 2.

Complications- respiratory failure and cor pulmonale resulting from inadequate ventilation.

ICD-10. M41 Scoliosis. Kyphoscoliosis