Хирургија за корпектомија

Who Requires Corpectomy Surgery?

A corpectomy is generally advised if less invasive spinal procedures do not provide relief or are impossible. You might require a corpectomy if you have:

• Spinal cord compression as a result of injury or degenerative disorders
• Cervical spondylotic myelopathy
• Herniated or collapsed intervertebral discs
• Vertebral fractures due to accidents or osteoporosis
• Spinal tumors or metastatic cancers of the vertebral body
• Infectious diseases like tuberculosis or osteomyelitis

Physicians typically advise the surgery when nerve compression results in persistent pain, numbness, muscle weakness, or bladder/bowel dysfunction.

Types of Corpectomy Surgery Procedure

The type of corpectomy is based on the spinal location and the approach:

Cervical Corpectomy

A cervical corpectomy is performed on the neck vertebrae (cervical spine). It is used to treat degenerative disease or spinal cord compression.

Thoracic Corpectomy

A thoracic corpectomy is performed on the mid-back vertebrae. It is used to treat tumors, trauma, or deformities.

Lumbar Corpectomy

A lumbar corpectomy is performed on the lower back. Although it is less frequently used, it can be used for spinal trauma or infections.

Anterior Corpectomy

An anterior corpectomy is performed by approaching the spine from the front (anterior) to reach the vertebral body.

Posterior Corpectomy

In a posterior corpectomy, the surgeon gains access to the spine from the back (posterior), typically when a tumor or trauma is found at the back of the spine.

Minimally Invasive Corpectomy

Minimally invasive corpectomy is performed through smaller incisions and advanced imaging devices. It minimizes trauma, blood loss, and recovery time.

Предоперативна евалуација и дијагностика

A thorough preoperative evaluation is crucial. The following steps are typically involved:

• Клинички преглед
• МНР скенира
• CT scans or X-rays
• EMG or nerve conduction studies
• Тестовите на крвта
• Anesthesia evaluation

These diagnostics assist the surgeon in planning the most effective and safest method.

Selection and Surgical Planning Before Corpectomy

Surgical planning involves identifying:

• The specific vertebrae to be removed
• The method of surgery (anterior, posterior, or lateral)
• Material to be implanted or used as a graft (autograft, allograft, or synthetic cage)
• Method of stabilizing with plates, screws, or rods
• Fusion approach to ensure long-term spinal stability

Surgeons also educate the patient about the surgery, expected outcome, risks, and recovery duration. If needed, physiotherapy begins pre-operatively to improve post-surgery outcomes.

Corpectomy Surgery Process

Corpectomy surgery lasts about 3 to 6 hours, depending on how complex the operation is. The procedure entails:

• Анестезија: Се администрира општа анестезија.
• Surgical access: An incision is made for surgical exposure of the spine.
• Отстранување: The damaged vertebral body and intervertebral discs are removed carefully to decompress the spinal cord and nerves.
• Grafting and Implant: A bone graft, cage, or spacer is used to fill the void and maintain spinal height.
• Стабилизација: Metal plates or screws are used to stabilize the area and aid fusion.
• Затворање: The incision is closed, and sterile dressings are used.

The patient is then transferred to a recovery room for observation.

Risks & Potential Complications of Corpectomy Surgery

Although a well-established surgery, corpectomy is not without some risks, which include:

• Инфекција на хируршката локација
• Bleeding or blood clotting
• Dural tears resulting in spinal fluid leaks
• Failure of the implant or improper placement
• Non-union or failed fusion
• Damage to nerves, which may result in pain, numbness, or weakness
• Adjacent segment disease (degeneration of the adjacent vertebrae over time)
• Компликации поврзани со анестезија

Selecting an experienced surgeon minimizes these risks considerably.

What to Expect After Corpectomy Surgery?

Patients are immediately kept in a recovery room following surgery. Here’s what you can expect:

• Pain control with medication
• Drainage tubes to allow fluid to escape
• Spinal bracing (especially for cervical cases)
• Encouraging early mobility within 24-48 hours
• Monitoring of neurological status and vital signs

The majority of patients remain hospitalized for 5 to 7 days, depending on the complexity of the procedure and post-op state.

Постоперативно закрепнување и долгорочна нега

Recovery from a corpectomy procedure consists of the following:

• Physical therapy to restore mobility and strength
• Pain medication and antibiotics as directed
• X-rays or MRIs followed regularly to ensure spinal fusion
• Activity restrictions for a few weeks (lifting, bending, driving)
• Return to work gradually (generally in 6–12 weeks)

Fusion generally takes 3–6 months. Patients should practice good posture, quit smoking, and adhere to all medical advice for long-term success.

Corpectomy Surgery Success Rate in India

Indian hospitals report a very high success rate of 85% to 95% in corpectomy surgery. This is based on the patient's condition and the surgeon's expertise. Patients find relief from pain and neurological improvement in most cases. Success in India can be linked to:

• State-of-the-art surgical technology
• Highly trained neurosurgeons and spine specialists in orthopedics
• Effective pre-and post-operative care

Corpectomy Surgery Cost in India

One of the reasons that India is a popular destination for international patients is that spinal surgeries are very cost-effective. India offers corpectomy surgery at a cost ranging between USD 5,000 to USD 8,000.

Type of corpectomy (cervical, thoracic, lumbar), city and hospital, type of implants, surgeon's qualifications, and hospital stay, all affect the cost of corpectomy in India. The cost here is much less than in the US or Europe, where the same surgery can be as high as  USD 30,000.

Documents Required for Patients Traveling to India for Corpectomy Surgery

For international patients looking for corpectomy surgery in India, it is necessary to present certain documentation to have a smooth medical journey. These include:

• Валиден пасош: Важи минимум шест месеци од датумот на патувањето.
• Медицинска виза (М виза): Одобренo од индиската амбасада/конзулат од медицински причини.
• Писмо со покана од индиската болница: Формално писмо во кое се објаснува текот на третманот и колку долго ќе трае.
• Неодамнешни медицински картони: Рентгенски снимки, магнетни резонанци, крвни тестови и упат од лекар во матичната земја.
• Пополнет формулар за апликација за виза: Со фотографии со големина за пасош според спецификациите.
• Доказ за средства: Банкарски изводи датирани во последните неколку месеци или здравствено осигурување.
• Виза за медицински придружник: Потребно е за придружник или лице кое се грижи за пациентот што патува со него.

Препорачливо е да се обратите до индискиот конзулат или до вашиот медицински фасилитатор за најнови информации и помош со документацијата.

Why Choose India for Corpectomy Surgery?

India is now a center for global patients because of its:

• State-of-the-art hospitals with JCI and NABH accreditations
• Experienced spine surgeons with international training
• Availbaility of latest technology with minimally invasive procedures
• Inexpensive treatment packages with surgery, stay, medication, and post-operative care
• Помалку време на чекање
• Multilingual patient care staff and international patient services

Top Corpectomy Surgeons in India

Some of the top spine and neurosurgeons in India are:

1. Д-р Сандип Ваишја, Институт за истражување на меморијалот Фортис, Гургон
2. Д-р Сајан К Хегде, Болници Аполо, Ченај
3. Д-р Абрар Ахмед, болница Аполо Глениглс, Калкута
4. Д-р Хитеш Гарг, Болница „Артемис“, Гургон
5. Д-р Бипин Валија, Специјална болница „Макс Супер“, Делхи

These experts have performed thousands of complex spine surgeries with exceptional outcomes.

Best Hospitals for Corpectomy Surgery in India

India has highly rated hospitals that perform corpectomy surgery, including:

1. Супер специјалистичка болница за здравствена заштита Аакаш, Делхи
2. Болница Аполо, Ахмедабад
3. Болница Фортис, Делхи
4. Супер специјалистичка болница Нанавати Макс, Мумбаи
5. Манипал болница, Бангалор

These hospitals offer advanced neurosurgical and orthopedic departments, 24/7 ICU support, and personalized rehabilitation.

Често поставувани прашања (често поставувани прашања)

Is corpectomy surgery painful?

Pain is managed effectively using anesthesia during the surgery and painkillers afterward. Some discomfort is expected, but it subsides with recovery.

How long will it take to recover from a corpectomy?

Full recovery may take 3–6 months. However, most patients return to daily activities within 6–12 weeks post-surgery.

Can corpectomy be performed minimally invasively?

Yes, minimally invasive corpectomy is possible in India, based on your condition and your surgeon's opinion.

Will I require a spinal fusion following a corpectomy?

Yes, spinal fusion with the help of bone grafts and implants is normally done to stabilize the spine following removal of the vertebrae.

Is it safe to go to India for spine surgery?

Yes. India has a robust medical tourism industry with top players like EdhaCare assisting international patients with visa support, and world-class surgical outcomes.