CPT® Code 63306

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach

Vertebral corpectomy is a surgical procedure that involves the removal of a vertebral body along with the intervertebral discs situated above and below the affected vertebra. This operation is specifically indicated for the excision of intraspinal lesions or tumors that are located within the spinal canal and are either within or extending into the dura mater, which is the protective covering of the spinal cord. The procedure is performed on a single segment of the thoracic spine, which is the middle section of the vertebral column. Access to the thoracic spine is achieved through a thoracolumbar approach, which necessitates a thoracotomy, a surgical incision into the chest wall. This approach allows for adequate exposure of the thoracic spine, enabling the surgeon to effectively remove the lesion or tumor. Typically, this procedure is carried out by a surgical team, often involving a thoracic surgeon who performs the exposure and a spine surgeon who conducts the corpectomy. The operation requires careful dissection of the overlying muscles and may involve resection of one or more ribs to facilitate access to the thoracic spine. The use of a surgical microscope is common during the procedure to enhance visibility and precision when excising the lesion or tumor and repairing the dura mater post-excision.