Efficacy of Percutaneous Transpedicular Needle Biopsy in Vertebral Pathologies Under Fluoroscopic Guidance
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2014, Vol 26, Issue 01
Abstract
To evaluate the efficacy of positive findings on Transpedicular needle biopsy under fluoroscopic guidance in clinically identifiable cases of vertebral pathologies. Methodology: A total of 55 patients were included in the study, from February 2009 to August 2009, at Shaikh Zayed Hospital, Lahore. 37(67.3%) were male and 18(32.7%) were female. Patients with bleeding diathesis, decreased platelet count (< 75,000), suspected vascular lesion &un co-operative patient were excluded from the study. Patients were followed up till the arrival of biopsy report. Outcome was classified as positive or negative. Positive result was suggested by patient’s clinical course. Insufficient material for reporting was labeled as negative result. Results: The age ranged from 18–80 years. Mean age of patients was 53.54 ±16.99 years. Positive diagnosis was obtained in 38 out of 55(69.1%) patients. The result was negative in 17(30.9%) patients. Out of 38 positive results, 28(50.9%) were of Tumor /Mets, 8(14.5%) of Infection, 2(3.6%) of Osteoporosis. Conclusion: Our results show that image-guided percutaneous transpedicular needle biopsy is 69.1% effective and safe and had no complications.
Authors and Affiliations
SyedImranBukhari
Functional Outcome of Diaphyseal Fracture of Femur Managed by Locked Intra-Medullary Nailing in Adults
The purpose of our study was to determine the outcome of diaphyseal fracture of femur managed by locked intramedullary nailing in adults and to compare these results with other available published studies. Study Desig...
Outcome of Facet Joint Steroid Injection in Combination with Lignocaine in Chronic Low Back Ache.
ABSTRACT Objective: To determine the effectiveness of facet joint steroid injection in combination with lignocaine in chronic low back ache by measuring the reduction of pain intensity. Methods: This Descriptive study...
One Year Mortality in Elderly Patients with Fracture Proximal Femur Managed Surgically in District Headquarter Hospital Rawalpindi
Objective: To determine one year mortality rate in elderly patients who were operated for fracture proximal femur in District Headquarter Hospital Rawalpindi. Methods: This descriptive study was conducted in Orthopaed...
Prenatal Diagnosis ofCTEV
To establish prenatal diagnosis of club foot and compare it with post natal findings. Study Design: Observational study. Study Place: Teaching hospitals of Lahore, private hospitals. Patient and Methods: The stu...
Sacroiliac joint pain (SIJP) after lumbar/Lumbosacral fusion: Our experience
Objective: To evaluate risk factors for SIJP following lumbar or Lumbosacral fusion in our population. Methods: This retrospective study was conducted in Orthopedic and Spine department of Ziauddin University hospita...