CPT® Code 22819

1. Indications

The kyphectomy procedure, as described by CPT® Code 22819, is indicated for patients suffering from significant kyphosis, which may be due to various underlying conditions. The following are the explicitly provided indications for performing this procedure:

• Severe Kyphosis A pronounced curvature of the spine that leads to a humped back appearance, often causing discomfort or functional impairment.
• Deformed Vertebrae Presence of damaged or malformed vertebrae that contribute to the abnormal curvature and may require surgical intervention for correction.
• Spinal Instability Conditions that result in instability of the spine, necessitating surgical stabilization through resection and reconstruction.

2. Procedure

The kyphectomy procedure involves several critical steps to ensure effective correction of the spinal deformity. The following procedural steps are outlined:

• Step 1: Anesthesia Administration The patient is placed under general anesthesia to ensure comfort and immobility during the surgical procedure.
• Step 2: Surgical Exposure A circumferential exposure of the spine is achieved, which may involve making incisions on both the anterior and posterior aspects of the spine to access the affected vertebral segments.
• Step 3: Resection of Vertebral Segments The surgeon carefully removes the damaged and deformed vertebral segments, including both the body and posterior elements, to alleviate the curvature and restore spinal alignment.
• Step 4: Stabilization After resection, the surgeon utilizes bone grafts and metal rods and wires to stabilize the spine, ensuring that the remaining vertebrae are properly aligned and secured.
• Step 5: Closure The surgical site is then closed in layers, and the incisions are sutured to promote healing.

3. Post-Procedure

Following the kyphectomy procedure, patients typically require a period of recovery that may involve hospitalization for monitoring and pain management. Post-operative care includes instructions for activity restrictions to promote healing and prevent complications. Physical therapy may be recommended to aid in rehabilitation and to strengthen the back muscles. Patients are also advised to follow up with their healthcare provider to monitor the surgical site and ensure proper recovery. It is essential to adhere to any prescribed medication regimens to manage pain and prevent infection during the recovery phase.