CPT® Code 63090

Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment

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 surgery is performed on the lower thoracic, lumbar, or sacral regions of the spine and can be approached either through the abdomen (transperitoneal) or from the side (retroperitoneal). The procedure often requires a collaborative effort between a general surgeon, who handles the exposure, and a spine surgeon, who performs the corpectomy. The surgical technique involves careful dissection to protect vital structures, removal of diseased tissue, and stabilization of the spine through bone grafting and possibly internal fixation. This comprehensive approach aims to alleviate symptoms and restore spinal stability for improved patient outcomes.