Sacral Biopsy: Safe Working Channel by Tubular System

  • Pedro Luis Bazán Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina http://orcid.org/0000-0003-0060-6558
  • Felipe Baudino Zoya Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina https://orcid.org/0009-0006-2080-2475
  • Micaela Cinalli Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina https://orcid.org/0000-0003-2057-4469
Keywords: Bone biopsy, biopsy, fine needle, primary sacral tumor, seeding

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.

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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

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Published
2024-02-15
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

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