Vertebral biopsy: Navigated under advanced technology.(Integrated Operation Theater Spine Suite)

Completed

• Conditions: Other specified acquired deformities of musculoskeletal system,

• Registration Number: CTRI/2022/02/040500
• Lead Sponsor: Stavya Spine Hospital and Research Institute

Brief Summary

Symptomaticvertebral and disco-vertebral lesions are often detected radiologically but arediagnosed with *variable accuracy ranging from 95% for lytic lesions to 42%for mixed pathologies*. Management of spinal lesions depends largely onhighly specific modalities like biopsy and histopathology. *The f*irstever transpedicular(TP) biopsy(TPB) was performed by Stringham et al in 1994. *P*edicle has been used as a gateway to vertebral body either via open orminimally invasive methods owing to our understanding of vertebral anatomy andexperience *with* *TP* fixation. Despite emerging techniques, sample inadequacy remains themost important factor that necessitates the need for a repeat biopsy. The TPB *hasa diagnostic accuracy ranging from 75% -90%* in both CT guidedradio-diagnostic centre biopsy as well as percutaneous biopsy in operationtheatre. Presenting here in this article is an add on technique as amodification to enhance *the quality and* quantity of sample obtained by usinga biopsy cannula, thereby increasing the diagnostic yield of TPB, in turnguiding towards *an appropriate line* of management. The authors have utilized the similar cannula that wasused for the percutaneous continuous drainage (PCD-2014) of psoas abscess andTPB( 2009). These conventional techniques were pioneered by Dr Bharat R Dave and has contributed immensely to thepatient diagnosis and treatment nationally and practiced by spine surgeons ondaily basis now .

***Objective******:***

Theprimary objective of the present study is to add additional techniquemodification of biopsy in spine specifically with IOTS to get quality samplesin precious biopsy, soft material biopsy or a hard sclerotic lesion. Theobjective is to describe the technical steps in achieving it supported bypictures and images acquired in one patient already operated.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-02-25
• Last Update Posted: 2023-06-07

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1

Inclusion Criteria

Patient indicated for biopsy.

Exclusion Criteria

Not fitting in inclusion criteria.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary objective of the present study is to add additional technique modification of biopsy in spine specifically with IOTS to get quality samples in precious biopsy, soft material biopsy or a hard sclerotic lesion.	1 month

Secondary Outcome Measures

Name	Time	Method
The Secondary objective is to describe the technical steps in achieving biopsy sample.	1 month

Trial Locations

Locations (1)

Stavya Spine Hospital & Research Institute; 🇮🇳 Ahmadabad, GUJARAT, India

Stavya Spine Hospital & Research Institute

🇮🇳Ahmadabad, GUJARAT, India

Dr Ajay Krishnan

Principal investigator

9824302768

drajaykrishnan@yahoo.co.in