Percutaneous transpedicular biopsy of the spine.
An open biopsy has minimal sampling error, but is a major procedure, with its inherent complications and morbidity. The complications of paraspinal needle biopsy of vertebral lesions are well known. Needle biopsies have a high incidence of false negatives, especially for tumors. Percutaneous transpedicular bopsy is efficacious, safe, and cost effective, and mostly performed under local anesthesia. Fluoroscopic monitoring enables real time positioning of the needle. Serious needle complications from percutaneous needle biopsy are uncommon. More than 50% of vertebral body tissue, including the disc is accessible via a unilateral transpedicular approach and amenable for biopsy.
Department Orthopaedics and Traumatology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur.
Y S
YS
Chooi
Ozlan I M
OI
Kamil
M
M
Fazir
Sidik Che
SC
Kob
D000293:Adolescent; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D013131:Spine / Q000473:pathology / Q000601:surgery*