Evaluación de la biopsia percutánea en el diagnóstico del síndrome de destrucción vertebral tóracico y lumbar / Percutaneous biopsy evaluation in the diagnosis of thoracic and lumbar vertebral destruction syndrome
Cir. & cir
;
75(6): 459-463, nov.-dic. 2007. tab
Artigo
em Espanhol
| LILACS
| ID: lil-568928
ABSTRACT
BACKGROUND:
The vertebral destruction syndrome is defined as those pathologies affecting the integrity of the vertebral structure, modifying its normal architecture and resulting in neurological deficit. Correct diagnosis is essential to define appropriate treatment. Biopsy, in addition to histopathological study, is a vital element for definitive diagnosis.METHODS:
We carried out a descriptive, deliberate interventional study in 20 patients with a diagnosis of vertebral destruction in whom a percutaneous transpendicular biopsy was done between January 2005 and July 2006. Variables analyzed were age, sex, affected segment, neurological condition, neurological deficit type, results of the biopsy and specific diagnosis.RESULTS:
There was a predominance of males (55%). The lumbar spine was the most affected region in 80% of patients. Of the biopsies performed, 10% were reported as normal tissue, 20% with degenerative changes, 15% with inflammatory changes, 15% with primary tumoral lesion, 5% with chronic osteomyelitis, 10% with tuberculosis, 15% with tumoral metastasis and 10% necrotic devitalized bone tissue. Of these patients, 55% were treated nonsurgically, and the remaining 45% were treated surgically. No complications were reported.CONCLUSIONS:
Percutaneous transpedicular biopsy has only 55% specificity in diagnosis and for that reason is a less useful diagnostic method in our setting for destructive lesion diagnosis from the vertebral body.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Doenças da Coluna Vertebral
/
Vértebras Torácicas
/
Vértebras Lombares
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Cir. & cir
Assunto da revista:
Cirurgia Geral
Ano de publicação:
2007
Tipo de documento:
Artigo
País de afiliação:
México
Instituição/País de afiliação:
Secretaría de Salud/MX
Similares
MEDLINE
...
LILACS
LIS