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International Patient CareCorpectomy and Spinal Fusion Surgery by Expert Neurosurgeons
At Medicover Hospitals, our neurosurgeons, with qualifications like MS, MCh, and DNB, perform Corpectomy and Spinal Fusion using open surgical techniques. This procedure addresses spine conditions effectively, often resulting in shorter hospital stays and reduced recovery times for patients across India.
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What is Corpectomy and Spinal Fusion?
Corpectomy is a surgical procedure involving the removal of a vertebral body (the main part of a spinal bone) along with the intervertebral discs. Spinal Fusion is performed after corpectomy to stabilize the spine by joining two or more vertebrae together. This procedure is primarily focused on the spine, which is a crucial part of the body's skeletal system.
This surgery is needed for conditions like spinal fractures, tumors, or severe degenerative diseases affecting the spine. If left untreated, these conditions can lead to chronic pain, nerve damage, or paralysis. Modern surgical approaches for corpectomy and spinal fusion include minimally invasive techniques and robotic-assisted surgery. These methods aim to reduce recovery time and improve surgical outcomes.
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Complete Guide To Corpectomy And Spinal Fusion
Everything you need to know about the procedure, preparation, and recovery
Corpectomy and Spinal Fusion Surgery Indications
Doctors recommend corpectomy and spinal fusion when conservative treatments fail to relieve symptoms. This procedure is often necessary to address severe spinal conditions that affect stability and function.
Spinal Cord Compression
Patients may experience numbness, weakness, or difficulty walking. Imaging may reveal significant compression of the spinal cord. When medications and physical therapy do not alleviate symptoms, surgery is considered.
Severe Degenerative Disc Disease
Chronic back pain and stiffness are common symptoms. MRI or X-rays show disc degeneration and vertebral collapse. Surgery is recommended when pain persists despite non-surgical treatments.
Spinal Tumours
Symptoms include persistent pain and neurological deficits. Scans may detect tumours compressing the spinal cord. Surgery is advised when the tumour causes significant symptoms or threatens spinal stability.
Spinal Fractures
Patients often report sudden pain and mobility issues. X-rays or CT scans confirm vertebral fractures. Surgery is needed when fractures lead to instability or neurological compromise.
Infectious Spondylitis
Symptoms include severe back pain and fever. Blood tests and imaging may indicate infection in the spine. Surgery is considered when antibiotics and other treatments do not resolve the infection.
How to Prepare for Corpectomy and Spinal Fusion?
Proper preparation for corpectomy and spinal fusion is crucial to ensure a smooth surgery and recovery. It helps minimise complications and aids in a quicker healing process.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least a week before surgery.
- Fasting: Do not eat or drink anything for at least 8 hours before the procedure to ensure safe anaesthesia.
- Pre-Surgery Tests: Complete all required blood tests, imaging, and any other tests as advised by your doctor.
- Clothing: Wear loose, comfortable clothing on the day of surgery to ease movement and comfort post-operation.
- Transportation: Arrange for someone to drive you home after the procedure, as you will not be able to drive yourself.
- Medication List: Bring a list of all medications you are currently taking, including dosages, to the hospital.
- Home Preparation: Prepare your home for recovery by setting up a comfortable resting area with easy access to essentials.
- Smoking and Alcohol: Avoid smoking and alcohol for at least a week before surgery to promote better healing.
Corpectomy and Spinal Fusion Surgery (Step-by-Step)
Overview: Corpectomy and spinal fusion are performed by neurosurgeons. The surgery typically lasts 3 to 5 hours. It is done under general anaesthesia to ensure the patient is asleep and pain-free.
- Preparation: The patient is positioned on the operating table. Vital signs are monitored. General anaesthesia is administered to induce sleep.
- Incision: A small incision, usually 1-2 cm, is made over the affected area of the spine. This allows access to the vertebrae.
- Removal of Vertebra: Using surgical instruments like a curette or harmonic scalpel, the surgeon carefully removes the damaged vertebra and any surrounding tissue causing compression.
- Insertion of Bone Graft: A bone graft is placed in the space left by the removed vertebra. This helps in the fusion process, promoting bone growth over time.
- Stabilization: Metal plates, screws, or rods are used to stabilize the spine. This ensures proper alignment and support during healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the area and prevent infection.
- Recovery: The patient is moved to the recovery room. They are monitored as they wake from anaesthesia. Pain management and mobility exercises are discussed.
Who Performs Corpectomy and Spinal Fusion Surgery?
Corpectomy and spinal fusion surgeries are performed by neurosurgery doctors. These specialists are trained in diagnosing and treating conditions affecting the spine and nervous system. They use precise techniques and instruments to ensure effective treatment.
Recovery After Corpectomy and Spinal Fusion Surgery
Recovery from corpectomy and spinal fusion surgery requires patience and adherence to medical advice. Expect a gradual return to normal activities, with initial discomfort and limited mobility.
Day 1-3:
- Hospital stay for monitoring and pain management.
- Start with a liquid diet, progressing to soft foods like curd and soups.
- Minimal movement, assisted walking may begin.
Day 4-7:
- Discharge from hospital if stable.
- Continue soft diet - include dal-rice, khichdi, and moong dal.
- Gradually increase walking with support.
- Avoid bending, lifting, or twisting.
Week 2-4:
- Follow-up appointment to check healing.
- Introduce gentle exercises as advised by physiotherapist.
- Continue nutritious diet to aid recovery.
- May return to light work or school duties if approved by doctor.
Month 2-3:
- Increase activity level gradually.
- Resume normal diet, focusing on balanced nutrition.
- Continue physiotherapy exercises.
- Avoid strenuous activities until fully healed.
When to Seek Urgent Help:
- Severe pain not relieved by medication.
- Signs of infection: fever, redness, or discharge at incision site.
- Numbness or weakness in limbs.
- Difficulty breathing or chest pain.
Please contact the hospital for current details as insurance panels may change.
Benefits of Corpectomy and Spinal Fusion Surgery
Corpectomy and spinal fusion surgery can provide significant relief and improve quality of life for patients with spinal issues.
- Pain Relief: Reduces pressure on nerves, alleviating chronic pain.
- Stability Improvement: Enhances spinal stability by fusing vertebrae.
- Deformity Correction: Corrects spinal deformities, improving posture.
- Nerve Function Preservation: Protects nerve function by removing damaged vertebrae.
Risks and Complications of Corpectomy and Spinal Fusion Surgery
While beneficial, corpectomy and spinal fusion surgery carries certain risks. It's important to be aware of these potential complications.
Common Risks
- Infection: Risk of infection at the surgical site.
- Bleeding: Potential for significant blood loss during surgery.
- Chronic Pain: Persistent pain despite surgery.
Rare Risks
- Nerve Damage: Possibility of nerve injury leading to weakness or numbness.
- Non-union: Failure of the bones to fuse properly.
- Hardware Failure: Breakage or loosening of surgical implants.
- Adjacent Segment Disease: Degeneration of spinal segments near the fusion site.
Cost of Corpectomy and Spinal Fusion Surgery
The cost of Corpectomy and Spinal Fusion Surgery can vary from ₹2,50,000 to ₹5,50,000, based on several factors. These include the surgical approach, duration of hospital stay, room category, required diagnostics, and post-operative care.
At Medicover Hospitals, we ensure transparent pricing for all procedures. We offer support for insurance and TPA, including CGHS, ESI, and major TPAs. A cashless facility is also available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Corpectomy and Spinal Fusion surgery cost at Medicover Hospitals?
The cost of Corpectomy and Spinal Fusion surgery varies from ₹2,50,000 to ₹5,50,
2. Please contact Medicover Hospitals for detailed pricing information. 2. Is Corpectomy and Spinal Fusion surgery covered under health insurance at Medicover?
Corpectomy and Spinal Fusion surgery may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I need a brace after spinal fusion?
Yes, a brace is often recommended after spinal fusion to support the spine. It helps in stabilizing the area during the healing process.
4. Can I drive after Corpectomy surgery?
Driving is usually not advised for several weeks post-surgery. Consult your doctor for specific timelines based on your recovery.
5. What foods help recovery after spinal fusion?
Eating protein-rich foods like dal-rice and curd can aid recovery. These foods provide essential nutrients for healing and strength.
6. Will I have limited mobility after surgery?
Temporary mobility limitations are common after surgery. Physical therapy is crucial to regain strength and improve movement over time.
7. Is there a risk of nerve damage?
Nerve damage is a potential risk during Corpectomy and Spinal Fusion. Discuss concerns with your surgeon to understand preventive measures.
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