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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-6-8
pubmed:abstractText
We evaluated the safety and histological results of percutaneous transpedicular biopsy in patients undergoing vertebroplasty for vertebral collapse. Over a 6 year period, we carried out biopsies in 46 patients who underwent percutaneous injection of acrylic surgical cement for 57 collapsed vertebrae, because the diagnosis was not clearly established on clinical or imaging grounds. All procedures were performed under fluoroscopic guidance via a coaxial bitranspedicular approach used for vertebroplasty. We performed a clinical examination and CT after every procedure and approximately 6 months thereafter. Biopsies contributed to in 55 (96.5%) of the 57 vertebral lesions. Biopsy material was inadequate in one case (1.7%) and one biopsy was a false-negative (1.7%). The accuracy of the histological results was 98.2%, allowing a correct diagnosis in 55 of the 56 procedures. Of the 37 lesions in 28 patients with a history of a tumour, the final diagnosis was osteoporotic collapse in 25 (67.6%), metastasis in nine (24.3%), and myeloma in three (8.1%). The final diagnosis in the 19 lesions in 17 patients without a known tumour was osteoporotic collapse in 12 (63.2%), metastasis in five (26.3%), and amyloidosis in two (10.5%), the latter in one patient. No complications were observed.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0028-3940
pubmed:author
pubmed:issnType
Print
pubmed:volume
43
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
409-12
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2001
pubmed:articleTitle
Percutaneous coaxial transpedicular biopsy of vertebral body lesions during vertebroplasty.
pubmed:affiliation
Service de Neuroradiologie Diagnostique et Interventionnelle Charot, Groupe Hospitalo-Universitaire, Paris, France.
pubmed:publicationType
Journal Article