Availability of Vertebroplasty Needle as Alternative Bone Biopsy Needle for the Spinal Lesions
10.4055/jkoa.2022.57.2.178
- Author:
Myung-Sang MOON
1
;
Seung Myung WI
;
Won Rak CHOI
;
Hyeon Gyu LIM
Author Information
1. Department of Orthopaedic Surgery, Cheju Halla General Hospital, Jeju, Korea
- Publication Type:Technical Note
- From:The Journal of the Korean Orthopaedic Association
2022;57(2):178-182
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
