Percutaneous needle biopsy of the spine

The results of 75 percutaneous needle biopsies of the spine were analyzed. There were 8 cervical, 25 thoracic, 27 lumbar, and 15 sacral biopsies. An accurate diagnosis was made in 92% of all cases. Metastatic disease yielded the best accuracy rate (96%). The lowest accuracy rate (82%) was noted with...

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Bibliographic Details
Published inSpine (Philadelphia, Pa. 1976) Vol. 17; no. 5; p. 561
Main Authors Kattapuram, S V, Khurana, J S, Rosenthal, D I
Format Journal Article
LanguageEnglish
Published United States 01.05.1992
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Biopsy, Needle - adverse effects
Biopsy, Needle - standards
Child
Diagnostic Errors
Evaluation Studies as Topic
Female
Humans
Male
Middle Aged
Needles
Spine - pathology
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Summary:The results of 75 percutaneous needle biopsies of the spine were analyzed. There were 8 cervical, 25 thoracic, 27 lumbar, and 15 sacral biopsies. An accurate diagnosis was made in 92% of all cases. Metastatic disease yielded the best accuracy rate (96%). The lowest accuracy rate (82%) was noted with benign primary tumors and fractures. The results were better in female patients than male (97% vs. 86%). Larger needles gave slightly better accuracy (97%). No relationship between accuracy and spine level was found. There were two complications: one pneumothorax and an episode of self-limited hemorrhage. Percutaneous needle biopsy is a safe and reliable method of obtaining a diagnosis in many different spine lesions.
ISSN:0362-2436
DOI:10.1097/00007632-199205000-00014