alexa Usefulness of Computed Tomography (CT)-Guided Biopsy fo
ISSN: 2165-7939

Journal of Spine
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Research Article

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.


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