Case 166: Translaminar Vertebral Body Lesion Biopsy

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 65-years old under treatment for metastatic carcinoma breast had a focal osteolytic lesion in the S1 vertebral body.

She was referred for a biopsy. This was the only approach. Hence, the plan was to biopsy using a translaminar approach, while making sure that the left S1 nerve root and the thecal sac are not injured

The video describes the case and the use of this translaminar approach.

Region: Spine, Sacrum
Age: 65 yrs
Findings: Osteolytic lesion S1 body
Lesion Biopsied: Same
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy and 18G BARD 20 mm throw, long
No of cores: 5 for histopath
Sedation: Yes
Position & Approach: Prone, translaminar S1 between nerve root and thecal sac
Time Taken (marker to wash-out): 12 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastasis from known breast primary

Table of Contents and Other Spine Biopsies

Table of Contents

Table of Contents

CT Guided BiopsyBhavin Jankharia

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