Vertebral Body Replacement

Overview

Vertebral body replacement (VBR) is a complex surgical procedure used to treat severe spinal conditions involving damage or degeneration of the vertebrae. This technique involves the removal of a damaged vertebra and its replacement with an artificial implant designed to restore spinal stability and alignment. VBR is performed by highly skilled spine surgeons with expertise in spinal reconstruction and advanced techniques for spinal implant placement. The procedure is most commonly indicated for patients with spinal tumors, trauma-related fractures, infections, or degenerative diseases that severely compromise the vertebral structure. Mr. Irfan Malik provides effective solutions to eliminate this issue and ensures long-term pain relief for patients.

Key Benefits

Vertebral body replacement offers several key benefits, especially for patients who have suffered significant vertebral damage:

• Restores Spinal Stability   
• Pain Relief   
• Improved Mobility   
• Minimally Invasive Options   
• Customization

Conditions Treated

Vertebral body replacement is typically indicated for severe spinal conditions, including:

• Spinal Fractures: Severe fractures of the vertebrae, often caused by trauma, osteoporosis, or high-impact injuries, which cannot be repaired through non-surgical methods.
• Spinal Tumors: Benign or malignant growths that affect the vertebral body, often requiring surgical intervention to remove the tumor and restore spinal stability.
• Infections: Conditions such as osteomyelitis or discitis that cause damage to the vertebrae and surrounding tissues, leading to the need for replacement.
• Degenerative Disc Disease: In cases where the vertebrae are severely affected by degenerative conditions that lead to collapse or instability.
• Spondylolisthesis: The forward slippage of one vertebra over another, leading to spinal instability and nerve compression.
• Spinal Deformities: Severe cases of scoliosis, kyphosis, or lordosis, where structural damage to the vertebrae may necessitate replacement to restore spinal alignment.

Treatment Process

The treatment process for vertebral body replacement involves several key stages: pre-procedure, the procedure itself, and post-procedure care.

Pre-Procedure

Before surgery, the patient undergoes a thorough assessment, including a detailed medical history, physical examination, and diagnostic imaging, such as X-rays, CT scans, or MRI, to evaluate the condition of the vertebra and surrounding structures. The surgeon discusses the risks and benefits of the procedure with the patient and explains the expected outcomes. Pre-surgical instructions may include fasting, discontinuing certain medications, and arranging for post-operative care.

The Procedure

Vertebral body replacement is typically performed under general anesthesia. The surgeon makes an incision near the affected vertebra to access the spine. The damaged vertebra is carefully removed, and the space is prepared for the implant. The vertebral body replacement implant, often made from titanium, PEEK (polyetheretherketone), or other biocompatible materials, is placed in the empty vertebral space. The implant is designed to mimic the height, width, and strength of the original vertebra, providing support and stability. Depending on the case, the surgeon may also perform spinal fusion to stabilize the spine further. The incision is then closed, and the patient is monitored in the recovery room.

Post-Procedure

After the surgery, patients are closely monitored for any complications and to manage pain. Most patients are encouraged to begin gentle movement within the first few hours to promote blood circulation and prevent blood clots. Early mobilization is essential for recovery. Pain management is tailored to each patient, and physical therapy may be recommended to restore strength and flexibility in the spine. Follow-up appointments are crucial for monitoring the healing process, ensuring that the implant is properly integrated, and assessing the success of spinal fusion is performed. Full recovery can take several weeks to months, depending on the extent of the procedure and the individual’s health.