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Joint Bone Spine
Volume 73, n° 5
pages 532-537 (octobre 2006)
Doi : 10.1016/j.jbspin.2006.01.013
Received : 7 September 2005 ;  accepted : 18 January 2006
Percutaneous computed-tomography-guided biopsy of the spine: 229 procedures
 

Hasan Kamil Sucu a, , Canan Çiçek a, Türkan Rezanko b, Hamdi Bezircioğlu a, Yusuf Erşahin c, Mine Tunakan b, Mustafa Minoğlu a
a Department of Neurosurgery, Atatürk Training and Research Hospital, Izmir, Turkey 
b Department of Pathology, Atatürk Training and Research Hospital, Izmir, Turkey 
c Division of Pediatric Neurosurgery, Ege University Faculty of Medicine, Izmir, Turkey 

Corresponding author.
Abstract
Objectives

Percutaneous biopsy of the spine is an effective and well-evaluated procedure. Only very few series containing more than a hundred patients have been reported so far and there is no agreement about the factors affecting the diagnostic rate. We aimed to find out if there is any factor influencing the success rate of the spinal biopsy using our biopsy series.

Methods

Two hundred and twenty-nine procedures were performed in 201 patients between November 2001 and August 2005. All procedures were performed under computed tomography guidance. The side was chosen according to the extension of the lesion. When the lesion was in the midline or extended to both sides, we preferred to obtain biopsy from the right side. The puncture point and the needle trajectory were planned on both lateral computed tomography scout scan and axial scans.

Results

We found that the diagnostic rate was not affected by the variables such as age, gender, type and diameter of the biopsy needle, diagnosis as well as lesion localization and level. The success rate of the repeat biopsies was considerably lower than the first procedures.

Conclusions

The diagnostic rate is not affected by any of the variables but the approach, chosen can vary with the level, localization, and lesion characteristics.

The full text of this article is available in PDF format.

Keywords : Computerized tomography, Percutaneous spinal biopsy, Spine




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