Olscamp A, Rollins J, Tao S S, Ebraheim N A
Department of Orthopedic Surgery, Medical College of Ohio, Toledo, 43699, USA.
Orthopedics. 1997 Dec;20(12):1149-52. doi: 10.3928/0147-7447-19971201-09.
This study reviews the results of 94 computed tomography (CT)-guided Craig needle biopsies of the spine and sacrum performed at one center. An indication for biopsy in this study was prompted by abnormal findings identified by one or more of the following diagnostic modalities: radiography, CT, magnetic resonance imaging (MRI), or bone scanning. These patients then underwent CT-guided Craig needle biopsy of the spine and sacrum for further evaluation. There were 1 biopsy of the cervical spine, 19 of the thoracic spine, 66 of the lumbar spine, and 8 of the sacrum. Biopsy sensitivity was 94.5% and specificity was 96.8%. This accuracy compared with other diagnostic modalities showed biopsy to be the gold standard for diagnosis of spine or sacral lesions. Of the 94 cases reviewed, 6 complications were noted. All complications were acute in nature and included 1 aortic puncture, 2 psoas punctures with associated psoas hematomas, 1 biopsy of an incorrect level, and 2 aborted procedures secondary to patient discomfort. No infections or neurological sequelae were seen. Although the benefits of CT-guided biopsy over open biopsy have been shown previously, this review demonstrates it is not without significant risk.
本研究回顾了在一个中心进行的94例计算机断层扫描（CT）引导下的脊柱和骶骨Craig针活检结果。本研究中活检的指征是由以下一种或多种诊断方式发现的异常结果所引发：X线摄影、CT、磁共振成像（MRI）或骨扫描。这些患者随后接受了CT引导下的脊柱和骶骨Craig针活检以进行进一步评估。颈椎活检1例，胸椎活检19例，腰椎活检66例，骶骨活检8例。活检敏感性为94.5%，特异性为96.8%。与其他诊断方式相比，这种准确性表明活检是诊断脊柱或骶骨病变的金标准。在回顾的94例病例中，记录到6例并发症。所有并发症均为急性，包括1例主动脉穿刺、2例腰大肌穿刺伴腰大肌血肿、1例活检部位错误以及2例因患者不适而中止的操作。未观察到感染或神经后遗症。尽管此前已表明CT引导下活检优于开放活检，但本综述表明其并非没有重大风险。
