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Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

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TRANSCUTANEOUS NEEDLE TREPANOBIOPSY IN CIRCUMSCRIBED DESTRUCTIVE LESIONS OF THE PEDIATRIC SPINE

https://doi.org/10.14531/ss2009.2.62-67

Abstract

Objective. To assess the informative value of transcutaneous needle trepanobiopsy in children for diagnostics of destructive vertebral lesions restricted to a single spinal motion segment.

Material and Methods. Fifty children with destructive vertebral lesions were examined. Standard radiologic (X-ray, CT, MRI, and radioisotope scanning) and laboratory (bone marrow puncture) tests were supplemented by radiologically controlled transcutaneous trepanobiopsy with a consequent cytological analysis of aspirated material. Procedure was performed in 26 children aged 5 to 16 years.

Results. Cytological conclusions based on transcutaneous biopsy findings were obtained for 23 impression smears, while 3 smears were not informative for analysis. Comparison of cytological and histologic findings revealed their agreement in 19 out of 26 patients (73.0 %), and after exclusion of non-informative impression smears – in 19 out of 23 patients (82.6 %).

Conclusion. Transcutaneous needle trepanobiopsy of vertebral bodies is a less invasive and highly informative technique increasing the possibility of preoperative diagnostics of circumscribed destructive vertebral lesions in children up to the level close to 80.0 %.

About the Authors

Aleksandr Yuryevich Mushkin
St. Petersburg Research Institute of Phthisiopulmonology, St. Petersurg
Russian Federation


Denis Borisovich Malamashin
St. Petersburg Research Institute of Phthisiopulmonology, St. Petersurg
Russian Federation


Larisa Anvarovna Krasilnikova
Research Institute of Oncology n.a. N.N. Petrov, St. Petersburg
Russian Federation


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Review

For citations:


Mushkin A.Yu., Malamashin D.B., Krasilnikova L.A. TRANSCUTANEOUS NEEDLE TREPANOBIOPSY IN CIRCUMSCRIBED DESTRUCTIVE LESIONS OF THE PEDIATRIC SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2009;(2):062-067. (In Russ.) https://doi.org/10.14531/ss2009.2.62-67



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ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)