CPT® Code 63088

Add-On Code

Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each additional segment (List separately in addition to code for primary procedure)

Vertebral corpectomy is a surgical procedure that involves the resection or removal of a vertebral body, which is the main part of a vertebra, along with the intervertebral discs located above and below the affected vertebra. This procedure is typically indicated for patients suffering from severe spinal stenosis, which is a narrowing of the spinal canal that can lead to compression of the spinal cord or nerve roots. Conditions such as bone spurs, fractures, tumors, or infections affecting the spine may also necessitate this intervention. The procedure is performed using a combined thoracolumbar approach, which allows access to the lower thoracic and lumbar regions of the spine. A co-surgeon team, often consisting of a thoracic surgeon and a spine surgeon, typically collaborates during the operation to ensure optimal exposure and execution of the corpectomy. The surgical approach involves making an incision over the thorax, dissecting the overlying muscles, and potentially resecting one or more ribs to gain adequate access to the thoracic spine. The procedure is intricate and requires careful dissection to remove the intervertebral discs, bone spurs, and any other structures that may be compressing the spinal cord or nerve roots. Following the removal of the vertebral body, additional procedures such as bone grafting and fusion may be performed to stabilize the spine and promote healing.