Corpectomy

A corpectomy is a surgical procedure performed to relieve pressure on the spinal cord and nerve roots by removing part or all of a vertebral body and the adjacent intervertebral discs. It is most commonly performed in the cervical spine (neck) to treat conditions such as spinal cord compression, cervical myelopathy, tumours, fractures, or severe degenerative disease.

Treatment

The procedure is performed under general anaesthesia. The cervical spine is accessed through a small incision at the front of the neck. The surgeon removes the affected vertebral body, adjacent intervertebral discs, and any structures compressing the spinal cord or nerve roots, such as bone spurs or thickened ligaments.

Following decompression, the removed bone is typically replaced with a bone graft, cage, or implant to restore spinal stability and maintain normal spinal alignment. Spinal fusion is usually performed at the same time, using plates and screws where necessary to stabilise the spine while the bones heal and fuse together.

Recovery

Following surgery, your neck may feel stiff or sore, and you may find it uncomfortable to sit or remain in one position for extended periods. Activities such as lifting, bending, or twisting may be restricted during the early stages of recovery to avoid placing unnecessary strain on the neck and spine. Pain medication is commonly prescribed to assist with post-operative discomfort.

Recovery varies depending on the individual patient and the extent of the surgery performed. As a general guide, patients can expect:

• A hospital stay of approximately three to five days
• Avoidance of heavy lifting during the initial recovery period, with gradual progression of activity as advised
• Time away from work to allow for healing and recovery
• A temporary return to work on modified or restricted duties, if required
• Restrictions on driving for approximately four to six weeks, depending on recovery progress and medical advice
• Avoidance of swimming for four to six weeks
• Physiotherapy and rehabilitation, as required
• Ongoing pain management, if necessary

Dr Tollesson will provide specific recovery recommendations based on your individual condition, surgical procedure, and recovery progress.