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KMID : 0361620220570020178
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Journal of the Korean Orthopaedic Association
2022 Volume.57 No. 2 p.178 ~ p.182
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Availability of Vertebroplasty Needle as Alternative Bone Biopsy Needle for the Spinal Lesions
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Moon Myung-Sang
Wi Seung-Myung
Choi Won-Rak
Lim Hyeon-Gyu
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Abstract
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Fifty-eight patients were subjects in this study. The clinical diagnosis was the presumed osteoporotic spine fractures in 48 patients, infections in seven patients, and tumors in three patients. Image-intensifier-guided closed transpedicular needle biopsy with a vertebroplasty needle (11 gauge, 120-mm length needle with a stylet Luer lock syringe) for the thoracolumbar lesions were performed under local anesthesia. The overall results showed a high histological diagnostic yield: in the 48 osteoporotic fractures, 36 (75%) were confirmed to be osteoporotic bones. In the seven infectious lesions, the lesions were confirmed to be tuberculosis in five and pyogenic in two. In the three tumors one was a malignant lymphoma, while tumor tissues were not found in two cases. No biopsy associated complications were found. The image-intensifier-guided closed vertebroplasty needle biopsy is a safe and reliable procedure with high diagnostic accuracy and should be an integral part of managing the spinal pathology.
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KEYWORD
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spine, biopsy, vertebroplasty needle, transpedicular route, tissue study
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