22327 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic

Name of the Procedure:

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic

Summary

The open treatment of thoracic vertebral fractures or dislocations is a surgical procedure where a surgeon makes an incision in the back (posterior approach) to repair or stabilize one fractured or dislocated segment of the thoracic spine.

Purpose

This procedure addresses fractures or dislocations of the thoracic vertebrae. The goals are to stabilize the spine, alleviate pain, prevent further injury, and restore normal spinal alignment and function.

Indications

• Severe back pain due to a vertebral fracture or dislocation.
• Neurological deficits like numbness, tingling, or weakness.
• Spinal instability or deformity.
• Failure of non-surgical treatments.
• Trauma or osteoporosis-induced fractures.

Preparation

• Fasting for 6-12 hours before surgery.
• Stopping certain medications as advised by the doctor.
• Preoperative imaging (e.g., X-rays, MRI, CT scans).
• Blood tests and a medical evaluation to ensure fitness for surgery.

Procedure Description

1. The patient is administered general anesthesia.
2. The surgeon makes an incision along the back over the affected vertebra.
3. Muscles are moved aside to expose the vertebral column.
4. The fractured or dislocated vertebra is realigned.
5. Screws, rods, or plates may be used to stabilize the vertebra.
6. The incision is closed with sutures or staples.
7. A sterile dressing is applied.

Duration

The procedure typically takes between 3 to 6 hours, depending on the complexity.

Setting

The procedure is performed in a hospital operating room.

Personnel

• Orthopedic or neurosurgeon.
• Surgical nurses.
• Anesthesiologist.
• Surgical technician.

Risks and Complications

• Infection at the incision site.
• Blood loss or blood clots.
• Damage to spinal cord or nerves.
• Hardware failure or malfunction.
• Long-term pain or stiffness.
• Anesthesia-related complications.

Benefits

• Relief from severe pain.
• Stabilization of the spine.
• Prevention of further injury.
• Improved mobility and quality of life.

Recovery

• Hospital stay for a few days after surgery.
• Pain management with medications.
• Wearing a brace for support.
• Physical therapy to regain strength and mobility.
• Follow-up appointments for progress evaluation.
• Full recovery may take several months.

Alternatives

• Non-surgical treatments like rest, medications, and physical therapy.
• Minimally invasive spinal procedures.
• Pros: Less invasive, shorter recovery time.
• Cons: May not be suitable for severe fractures or dislocations.

Patient Experience

During the procedure, the patient will be under general anesthesia and not feel anything. Post-surgery, the patient may experience pain, which will be managed with medications. Physical rehabilitation will be essential for recovery.