A corpectomy or vertebrectomy is a
surgical procedure
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
that involves removing all or part of the
vertebral body
The spinal column, a defining synapomorphy shared by nearly all vertebrates,Hagfish are believed to have secondarily lost their spinal column is a moderately flexible series of vertebrae (singular vertebra), each constituting a characteristic ...
(
Latin
Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...
: ''corpus vertebrae'', hence the name corpectomy), usually as a way to decompress the
spinal cord
The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
and nerves. Corpectomy is often performed in association with some form of
discectomy
A discectomy (also called open discectomy, if done through a 1/2 inch or larger skin opening) is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an int ...
.
When the vertebral body has been removed, the surgeon performs a
vertebral fusion
Spinal fusion, also called spondylodesis or spondylosyndesis, is a neurosurgical or orthopedic surgical technique that joins two or more vertebrae. This procedure can be performed at any level in the spine (cervical, thoracic, or lumbar) and pre ...
. Because a space in the column remains from the surgery, it must be filled using a block of bone taken from the
pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton).
The ...
or one of the leg bones or with a manufactured component such as a cage. This
bone graft
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly. Some small or acute fractures can be cured wit ...
holds the remaining vertebrae apart. As it heals, the vertebrae grow together and
fuse
Fuse or FUSE may refer to:
Devices
* Fuse (electrical), a device used in electrical systems to protect against excessive current
** Fuse (automotive), a class of fuses for vehicles
* Fuse (hydraulic), a device used in hydraulic systems to protect ...
.
References
Neurosurgery
Orthopedic surgical procedures
Surgical removal procedures
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