Percutaneous transpedicular biopsy of the spine

TY - JOUR

T1 - Percutaneous transpedicular biopsy of the spine

AU - Hadjipavlou, A. G.

AU - Arya, S.

AU - Crow, W. N.

AU - Maggio, W. W.

AU - Lander, P.

AU - Nardone, E. M.

AU - Eyal, A.

PY - 1996

Y1 - 1996

N2 - This paper presents our technique, pitfalls and results of percutaneous transpedicular lumbosacral and thoracic spine biopsy under local anesthesia. Fifty-five patients underwent 57 biopsies. Forty-eight procedures were performed with fluoroscopic guidance and seven with CT guidance. The results were as follows: infectious spondylodiscitis, 17; tuberculous, 2; coccidiomycosis, 2; primary neoplasms, 4; metastatic neoplasms, 13; osteoporotic fractures, 7; osseous repair for insufficiency fractures, 5; Paget's disease of bone, 1; four biopsies were negative and subsequently proven to be 'false negative' and were related to faulty biopsy techniques. Pitfalls can be avoided when adhering to the details of the technique described in this paper. These pitfalls can occur while retrieving the instrumentation without simultaneous withdrawal of the guiding pin; crushing pathological soft tissue against sclerotic or normal bane; or when encountering a sclerotic lesion distal to normal bone without using a sequential type of biopsy specimen-removal technique. The approach is safe, efficacious, cost effective and avoids such complications as nerve root injury, pneumothorax and hematoma.

AB - This paper presents our technique, pitfalls and results of percutaneous transpedicular lumbosacral and thoracic spine biopsy under local anesthesia. Fifty-five patients underwent 57 biopsies. Forty-eight procedures were performed with fluoroscopic guidance and seven with CT guidance. The results were as follows: infectious spondylodiscitis, 17; tuberculous, 2; coccidiomycosis, 2; primary neoplasms, 4; metastatic neoplasms, 13; osteoporotic fractures, 7; osseous repair for insufficiency fractures, 5; Paget's disease of bone, 1; four biopsies were negative and subsequently proven to be 'false negative' and were related to faulty biopsy techniques. Pitfalls can be avoided when adhering to the details of the technique described in this paper. These pitfalls can occur while retrieving the instrumentation without simultaneous withdrawal of the guiding pin; crushing pathological soft tissue against sclerotic or normal bane; or when encountering a sclerotic lesion distal to normal bone without using a sequential type of biopsy specimen-removal technique. The approach is safe, efficacious, cost effective and avoids such complications as nerve root injury, pneumothorax and hematoma.

UR - https://www.scopus.com/pages/publications/0029743971

M3 - Article

SN - 0268-0882

VL - 11

SP - 103

EP - 108

JO - Journal of Interventional Radiology

JF - Journal of Interventional Radiology

IS - 3

ER -