Can someone tell me the difference in these 2 procedures?

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finallyreallycrazy
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 12/18/2010 5:24 PM (GMT -6)   
OK, so after reading the notes from my Neurosurgeon, he is considering a "corpectomy".  What is the difference between that and a discectomy and what are the differences in the healing and post op?  I have done some internet research, but am still not sure if I am understanding the difference if there is one.
 
Thanks








Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 12/18/2010 6:07 PM (GMT -6)   
I'm sorry to hear you are feeling so poorly, but I have no information about these two procedures. I hope someone will be by soon with additional information.

Good luck!
Retired Mom

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3702
   Posted 12/18/2010 6:26 PM (GMT -6)   
finallyreallycrazy
 
The main difference is in a deskectomy they only remove the disk, and then fuse the two vertebra ( the one above and below the removed disk) together. With a Corpectomy they remove at least two disk and then they also remove the vertebra between the two disk, and then they fuse that entire space together. It is a much more  dangerous and complicated surgery. I found a really good explanation of the procedure at. The web site. spine-health.com look up Anterior Cervical Corpectomy Spine Surgery.  This is a much more extensive surgery than a regular ACDF Anterior Cervical Diskectomy and Fusion. They also mention that if a multilevel fusion is done then the surgeon might also do a supplemental posterior fusion and instrumentation to help stabilize the spine. Which definitely maked the recovery more difficult a longer. I just had a posterior fusion of the articular joints at C-3/4 and there is no comparison to that  of an ACDF, the posterior fusion is definitely  more painful and a much longer and difficult recovery! Anyway I gather that this is how he wants to fix your problem with the crushed disks. From the sounds of it there is very little choice if your vertebra is that bad and crushed, that is probably the only option.  I think the thing to remember  and keep reminding yourself that this is a very difficult surgery and the recovery will be longer and much more difficult! If you do that then I am sure that it will be easier for you handle.  I did not  believe when my doctor when he explained that to me, and I found my recovery from my last surgery  a real surprise and definitely  more difficult!  I had unreasonable expectations about my recovery and that just made it that much harder!
 
Good Luck to You!
 
White Beard

 


Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 12/18/2010 6:26 PM (GMT -6)   
corpectomy is a surgical procedure that involves removing part of the vertebral body

A Discectomy (also called open discectomy) is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 12/18/2010 9:59 PM (GMT -6)   
Wow not a easy decision for you to make and I hope you can read up on it,
wish I had some advise to offer, but will send lots of Prayers for you.
(((((((((((((((((((((((((((((Finallyreallycrazy)))))))))))))))))))))))))))))))))))
healing hugz and prayers
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc (Lower Lumbar S1-L3 and Cervical C5,C6, C8 and T1), Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's, Ocular Migraines, mild carpel tunnel, ect.... "Would be nice if we could use the edit button in real life"...

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finallyreallycrazy
Regular Member


Date Joined Mar 2010
Total Posts : 105
   Posted 12/18/2010 10:24 PM (GMT -6)   
All I know at this point is that is his only solution, but he will have to go thru the back of my neck this time.  His biggest concern is that my spine will not able to support the necessary hardward.







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