Usefulness of Computed Tomography (CT)-Guided Biopsy for Etiological Diagnosis of Vertebral Destruction Syndrome
|Alejandro Antonio Reyes-Sánchez1,2, Claudia Obil-Chavarría3, Guadalupe Sánchez-Bringas3 and Eleazar Lara-Padilla1|
|1Instituto Politécnico Nacional. Escuela Superior de Medicina. Mexico;n|
|2División de Cirugía de Columna Vertebral, Instituto Nacional de Rehabilitación, Mexico|
|3Servicio de Cirugía de Columna Vertebral, Instituto Nacional de Rehabilitación Mexico|
|*Corresponding Author :||Alejandro Antonio Reyes-Sánchez, PhD
Instituto Nacionla de Rehabilitación Mexico
D. F., Distrito Federal Mexico
Tel: +52 55 5999 1000
E-mail: [email protected]
|Received September 25, 2015; Accepted March 21, 2016; Published March 23,2016|
|Citation:Reyes-Sánchez AA, Obil-Chavarría C, Sánchez-Bringas G, Lara-Padilla E (2016) Usefulness of Computed Tomography (CT)-Guided Biopsy for Etiological Diagnosis of Vertebral Destruction Syndrome. J Spine 5:295. doi:10.4172/2165-7939.1000295|
|Copyright: © 2016 Reyes-Sánchez AA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Purpose: It has been observed to biopsy directed by computerized axial tomography as axis for the diagnosis of vertebral destruction syndrome VDS. Evaluate the usefulness of CT-guided biopsy to determine the etiology of VDS.
Method: Cross-sectional, analytical study of diagnostic tests, which took place in individuals of any age who were admitted with a diagnosis of syndrome of vertebral destruction, attended for the first time. The sample size consisted of 91 patients; computerized axial tomography-guided biopsy was performed. We compared the results of the biopsy between two pathologists from different institution.
Results: Definitive histological findings were grouped into 7 categories: osteomyelitis (15.3%), tumors (38.46%), metastasis (37.36%), normal tissue (3.29%), inflammation (2.19%), and showing inadequate 0%, Pott’s disease (3.29%). According to the values of Z obtained by test of 2 proportions, with a n = 91, p = 0.05, the critical value of Z, two-tailed, was from 1.966 (±); they found no significant difference between the results reported by 2 different pathology services in vertebral biopsy guided by CT in Vertebral destruction syndrome; determining that this part of the process is a counselor on a 96.7% and final by 79%.
Conclusion: Percutaneous biopsy guided by tomography is an essential tool for the diagnosis of the syndrome of vertebral destruction approach and the ability to get diagnostics in the 96.7% indicates that it is a fundamental in the study of this syndrome.