CPT® Code 63085

Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment

Vertebral corpectomy is a surgical procedure that entails the removal of a vertebral body, which is the main part of a vertebra, along with the intervertebral discs situated above and below the affected vertebra. This operation is primarily indicated for patients suffering from severe spinal stenosis, which is a narrowing of the spinal canal that can lead to pressure on the spinal cord and nerve roots. The presence of bone spurs, which are bony projections that develop along the edges of bones, can exacerbate this condition by further impinging on the spinal structures. Additionally, vertebral corpectomy may be performed to address other serious conditions such as fractures, tumors, or infections affecting the spine. The procedure is specifically conducted in the thoracic region of the spine using a transthoracic approach, which necessitates a thoracotomy—a surgical incision into the chest wall. This approach allows for optimal access to the thoracic spine, and it is often executed by a surgical team that includes both a thoracic surgeon, who is responsible for the initial exposure of the thoracic cavity, and a spine surgeon, who performs the corpectomy itself. The operation involves a series of meticulous steps, including the incision of the skin over the thorax, dissection of the overlying muscles, and potential resection of one or more ribs to facilitate adequate exposure of the spine. The use of a surgical microscope aids in the careful dissection and removal of the intervertebral discs and any bone spurs that may be compressing the spinal cord or nerve roots. Following the excision of the vertebral body, additional procedures such as bone grafting and fusion may be performed to ensure stability and support for the spine. Overall, vertebral corpectomy is a complex procedure aimed at alleviating significant spinal pathologies while ensuring the structural integrity of the spine is maintained post-surgery.