Computerized tomography-guided percutaneous transforaminodiscal biopsy sampling of vertebral body lesions.
OBJECTIVE
The posterolateral approach is the common route for obtaining percutaneous biopsy samples in lumbar and thoracic vertebral bodies (VBs). This procedure, however, is associated with the risk of complications. Because of this, the authors devised a new method for percutaneous biopsy sampling of VB lesions.


METHODS
The percutaneous computerized tomography (CT)-guided transforaminodiscal biopsy procedure was undertaken in 20 patients during a 10-month period. The VBs in 18 cases were successfully accessed using this technique. There were no procedure-related complications.


CONCLUSIONS
Transforaminodiscal CT-guided spinal biopsy procedure is a safe and effective method for accessing VB lesions. It is possible to obtain a biopsy sample in the major part of the VB. This technique is a good alternative to the standard posterolateral approach.
Sucu
Hasan Kamil
HK
Department of Neurosurgery, Izmir Atatürk Training and Research Hospital, Izmir, Turkey. hsucu@yahoo.com
Bezircioglu
Hamdi
H
Ciçek
Canan
C
Erşahin
Yusuf
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000379:methods*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D025321:Surgery, Computer-Assisted; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome