Role of Corpectomy in Spine Surgery

Corpectomy is a surgical procedure of removing the entire or a part of the vertebral body which involves decompression of neural elements and maintaining sagittal balance of the spine. Corpectomy is a technically demanding procedure with increased risk of postoperative morbidity. However, this procedure is done in selected cases, to remove anterior neural compression, deformity correction, tumor resection and in cases where anterior support is needed (trauma and infection).

A case series with corpectomy from cervical to lumbar level performed during the last year is presented. Conditions which included were degenerative, deformity, trauma, infection and tumors.

Background

A 23 year old male presented with spinal deformity. Posterior hemivertebra with kyphotic deformity was detected and he did not
have any neurological deficits.

Diagnosis and Treatment

Pre-operative ct scan showing deformed spine of the patient with VRT showing unsegmented posterior hemivertebra

Intra op image after corpectomy and instrumentation Complete vertebral column resection was done in posterior approach with posterior instrumentation and deformity correction

Pre and post op clinical images showing significant correction of the spinal deformity