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[CT-guided spinal biopsy in spondylodiscitis]

P G Vinicoff1, E Gutschik, S E Hansen

  • 1H:S Bispebjerg Hospital, røntgenafdelingen, klinisk mikrobiologisk afdeling.

Ugeskrift for Laeger
|October 24, 1998
PubMed
Summary

Percutaneous CT-guided spine biopsy is effective for diagnosing spondylodiscitis, with a 67% success rate in identifying infectious organisms. This minimally invasive procedure is crucial for timely and appropriate patient treatment.

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Area of Science:

  • Radiology
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Spondylodiscitis diagnosis often requires microbiological confirmation.
  • Percutaneous CT-guided biopsy offers a minimally invasive approach for tissue sampling.

Purpose of the Study:

  • To evaluate the efficacy and safety of CT-guided spine biopsy for diagnosing spondylodiscitis.
  • To determine the yield of microbiological diagnosis from percutaneous biopsies.

Main Methods:

  • Retrospective review of 18 patients with spondylodiscitis undergoing CT-guided spine biopsy.
  • Biopsies performed under local or general anesthesia.
  • Immediate microbiological cultivation of biopsy material.

Main Results:

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  • Successful microbiological diagnosis in 12 out of 18 patients (67%).
  • No complications observed during or after the procedures.
  • Infection sites included thoracic (5) and lumbar (13) spine.
  • Most biopsies performed under local anesthesia.

Conclusions:

  • CT-guided spine biopsy is a safe and effective method for microbiological diagnosis of spondylodiscitis.
  • The procedure provides satisfactory material for microbiological investigation.
  • Establishing a microbiological diagnosis is essential for guiding appropriate treatment.