J Korean Orthop Assoc.  2022 Apr;57(2):178-182. 10.4055/jkoa.2022.57.2.178.

Availability of Vertebroplasty Needle as Alternative Bone Biopsy Needle for the Spinal Lesions

• Moon MS
• Wi SM
• Choi WR
• Lim HG

• KMID: 2528436
• DOI: http://doi.org/10.4055/jkoa.2022.57.2.178

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.

Keyword

spine; biopsy; vertebroplasty needle; transpedicular route; tissue study