Sacral Biopsy: Safe Working Channel by Tubular System

Main Article Content

Pedro Luis Bazán
Felipe Baudino Zoya
Micaela Cinalli

Abstract

There is no standardized protocol for sacral biopsies, the choice of method and technique depends on the surgeon based on their experience and diagnostic suspicion. Preoperative planning is necessary to preserve the approach site and reduce complications of the technique such as insufficient specimen, neurovascular damage, or tumor seeding. The aim of our work is to present our experience performing a sacral tumor biopsy with a minimally invasive technique using a tubular system. We present a 34-year-old female patient with suspected primary sacral tumor (mainly giant cell tumor and chordoma). The approach for a fluoroscopy-guided core needle biopsy was planned, and a safe working channel was created using a tubular system.
Conclusion: Bone biopsy, assisted by a tubular system to create a safe channel, is an option to consider in the case of suspected tumors at risk of seeding.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Bazán, P. L., Baudino Zoya, F., & Cinalli, M. (2024). Sacral Biopsy: Safe Working Channel by Tubular System. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(1), 59-63. https://doi.org/10.15417/issn.1852-7434.2024.89.1.1838
Section
Case Presentations
Author Biographies

Pedro Luis Bazán, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

Felipe Baudino Zoya, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

Micaela Cinalli, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina

References

1. Exner GU, Kurrer MO, Mamisch-Saupe N, Cannon SR. The tactics and technique of musculoskeletal biopsy.
EFORT Open Reviews 2017;2(2):51-7. https://doi.org/10.1302/2058-5241.2.160065

2. Mankin HJ, Lange TA, Spanier SS. The hazards of biopsy in patients with malignant primary bone and soft-tissue tumors. J Bone Joint Surg Am 1982;64(8):1121-7. PMID: 7130225

3. Fischbein NJ, Kaplan MJ, Holliday RA, Dillon WP. Recurrence of clival chordoma long the surgical pathway. AJNR
Am J Neuroradiol 2000;21(3):578-83. PMID: 10730655

4. Dirks M, Ewerbeck NK, Ballhause TM, Weiß S, Luebke A, Schlickewei C, et al. The diagnostic accuracy of 332 incisional biopsies in patients with malignant tumors in the musculoskeletal system. World J Surg Oncol 2023;21(1). https://doi.org/10.1186/s12957-022-02883-w

5. Traina F, Errani C, Toscano A, Pungetti C, Fabbri D, Mazzotti A, et al. Current concepts in the biopsy of
musculoskeletal tumors. J Bone Joint Surg Am 2015;97(1):e7. https://doi.org/10.2106/jbjs.n.00661

6. Errani C, Traina F, Perna F, Calamelli C, Faldini C. Current concepts in the biopsy of musculoskeletal tumors. Sci
World J 2013;2013:1-7. https://doi.org/10.1155/2013/538152 4

7. Sciubba DM, Petteys RJ, Garces-Ambrossi GL, Noggle JC, McGirt MJ, Wolinsky J-P, et al. Diagnosis and
management of sacral tumors. J Neurosurg Spine 2009;10(3):244-56. https://doi.org/10.3171/2008.12.spine08382

8. Radaelli S, Fossati P, Stacchiotti S, Akiyama T, Asencio JM, Bandiera S, et al. The sacral chordoma margin. Eur J
Surg Oncol 2020;46(8):1415-22. https://doi.org/10.1016/j.ejso.2020.04.028

9. Bazán PL, Terraza S, Borri ÁE, Medina M. Sacrectomía parcial por abordaje posterior único. Rev Asoc Arg Ortop
Traumatol 2017;82(2):109-15. https://doi.org/10.15417/604

Most read articles by the same author(s)