Case 167: Transpedicular Approach for a Lower Cervical Body Lesion

Bhavin Jankharia -

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 60-year old presented with a C7 body lesion on PET, confirmed on MRI.

She was referred for a biopsy.

Do you go anterior? Posterior? What route do you take and why? Which one do you choose from the standard routes available?

The video describes the case and the rationale behind using the transpedicular route in her case.

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Region: Cervical Spine
Age: 60 yrs
Findings: C7 body and posterior element lesion
Lesion Biopsied: C7 body lesion
Size of Lesion: Not relevant
Gun: 11G Cook bone biopsy and 18G BARD, 20 mm throw, long
No of cores: 3 for histopath
Sedation: Yes
Position & Approach: Prone, transpedicular - narrow pedicle C7
Time Taken (marker to wash-out): 15 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Metastatic adenocarcinoma from breast primary

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Table of Contents and Other Spine Biopsies

Table of Contents
Table of Contents
CT Guided BiopsyBhavin Jankharia

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