Role of Fluoroscopic Guided Percutaneous Transpedicular Biopsy in Diagnosing Spinal Pathologies

Chandrasekaran, P (2008) Role of Fluoroscopic Guided Percutaneous Transpedicular Biopsy in Diagnosing Spinal Pathologies. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Percutaneous transpedicular biopsy of the vertebral lesion is considered an alternate to paraspinal biopsy for lesions involving the vertebral bodies of the thoracic and lumbosacral spine. It has been reported to be an efficacious, safe and cost effective approach. In most cases it can be done with the patients under local anesthesia with fluoroscopic guidance. AIM: 1. To evaluate the efficacy of the technique of fluoroscopic guided percutaneous transpedicular biopsy of vertebral bodies in spinal pathologies. 2. To come to a sure histopathological diagnosis in vertebral body lesions. MATERIALS AND METHODS: The study was conducted in Department of Orthopaedics, Madras Medical College and Government General Hospital, Chennai, over a period of 1 year from August 2006-Spetember 2007. Selective patients with symptomatic vertebral body lesion were taken for the study. The relevant history was taken and salient clinical findings were noted in all patients. General examination with detailed clinical, neurological and orthopaedic examination was done to arrive for a provisional clinical diagnosis. Non radiological investigations including E S R, Mantoux test and serum alkaline phosphatase was done. Bleeding time and clotting time was done in all cases. RESULTS: Out of 20 cases 60% were male and 40% were female. The youngest age is 22yrs and oldest is 68yrs. High incidences of 16 cases were seen in the age group between 20yrs and 50yrs. Pain was the constant symptom that made patients to seek medical advice which was found in all cases. Local tenderness in the spine was found in most of the patients. CONCLUSION: Percutaneous transpedicular biopsy of spine under C-arm guidance is a safe, rapid, reliable, sensitive and cost effective method of obtaining a diagnosis in different spine lesions. Performed efficaciously as an out patient procedure with high diagnostic success rate and minimal morbidity. Use depends on accurate placement of the trocar and qualified interdisciplinary clinical co-operation. Study requires further evaluation with a larger sample for comprehension.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Fluoroscopic Guided Percutaneous Transpedicular Biopsy ; Diagnosing ; Spinal Pathologies.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 14 Sep 2017 02:03
Last Modified: 14 Sep 2017 02:03

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