Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures

Abdülhalim Akar; Uğur Özdemir

doi:10.46413/boneyusbad.1663810

EN TR

Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures

Abstract

Aim: The purpose of this study was to emphasize the importance of conducting a biopsy during percutaneous vertebroplasty surgery for vertebral compression fractures. Material and Method: 73 patients with vertebral compression fractures who did not have primary malignancy or metabolic disease were included in the study. All patients had percutaneous vertebroplasty and biopsies were obtained during the procedure. Fracture levels were recorded. The patients’ preoperative and postoperative pain levels were evaluated with VAS scores. Results: Of the 73 patients we treated, 13 were male and 60 were female. The patients’ average age was 75.60 (range 51-91). Biopsies were obtained from 116 fractured vertebral levels of a total of 73 patients. The biopsy of 1 patient (0.86%) was observed to be compatible with multiple myeloma. The mean VAS score of the patients was 9.22 preoperatively and 1.34 in the postoperative 6th week. No statistically significant relationship between fracture level or patient age and pain was found (p>0.05). Conclusions: In the study, it was seen that even if osteoporosis is very common in the etiology of patients operated on due to VCF, it is important to take biopsies from all levels. Although rare, unexpected malignancies can be considered a cause of VCFs.

Keywords

Compression fracture, Vertebroplasty, Biopsy, Pain, Malignancy

Vertebra Kompresyon Kırıklarının Tedavisinde Uygulanan Perkütan Vertebroplasti Cerrahisinde Rutin Biyopsinin Önemi

Abstract

Amaç: Vertebra çökme kırığı olan hastalarda kırık seviyeleri ile ağrı arasındaki ilişkiyi ve perkütan vertebroplasti cerrahisi sırasında biyopsinin gerekliliğini araştırmak. Gereç ve Yöntem: Primer malignitesi veya metabolik hastalığı olmayan ve vertebral kompresyon kırığı olan 73 hasta çalışmaya alındı. Tüm hastalara perkutan vertebroplasti uygulandı ve işlem sırasında kemik biyopsisi alındı. Hastaların kırık seviyeleri, ameliyat öncesi ve sonrası ağrı skorları kayıt edildi. Kırık seviyeleri ve hasta yaşlarının ağrı ile arasındaki ilişki değerlendirildi. Bulgular: Tedavi etiğimiz 73 hastanın 13’ü erkek 60’ı kadındı. Hastaların yaş ortalaması 75,60 (aralık 51-91) idi. Toplam 73 hastadan 116 kırık vertebra seviyesinden biyopsi alındı. Biyopsi materyalleri patoloji laboratuvarında incelendi. 1 (%0,86) hastanın biyopsisi multipl myelom ile uyumlu olduğu görüldü. Hastaların ameliyat öncesi VAS skoru ortalaması 9,22 iken ameliyat sonrası 6. Haftada ise 1,34 (p<0,001) olarak kayıt edildi. İstatistiksel olarak bakıldığında, kırık seviyesi ve hasta yaşı ile ağrı arasında bir ilişki saptanmadı (p>0,001). Sonuç: Yaptığımız bu çalışmada VKK nedeni ile opere edilen hastaların etiyolojilerinde osteoporoz çok sık görülse de beklenmeyen malignensiler nadir olarak görülebilmektedir. Bu nedenle her kırk seviyesinden biyopsi almanın önemli olduğunu düşünmekteyiz. VKK da görülen ağrı kırık seviyesi ve hasta yaşlarından bağımsızdır. Perkütan vertebroplasti ile bu ağrılar hızlıca azaltılabilmektedir.

Keywords

Çökme kırığı, Vertebroplasti, Biyopsi, Ağrı, Malignite

Supporting Institution

yoktur.

Project Number

Proje çalışması değildir.

Ethical Statement

Etik kurul dosyası yüklenmiştir.

Thanks

Dergide görev alan tüm akademisyen arkadaşlarıma emekleri için şimdiden çok teşekkür ederiz. İyi çalışmalar dileriz.

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Details

Primary Language

English

Subjects

Aged Care Nursing

Journal Section

Research Article

Authors

Abdülhalim Akar ^*
0000-0002-3153-4799
Türkiye

Uğur Özdemir
0000-0003-2889-8118
Türkiye

Publication Date

December 19, 2025

Submission Date

March 23, 2025

Acceptance Date

July 18, 2025

Published in Issue

Year 2025 Volume: 7 Number: 3

DOI

https://doi.org/10.46413/boneyusbad.1663810

IZ

https://izlik.org/JA28GP34KP

APA

Akar, A., & Özdemir, U. (2025). Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, 7(3), 877-883. https://doi.org/10.46413/boneyusbad.1663810

AMA

1.Akar A, Özdemir U. Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7(3):877-883. doi:10.46413/boneyusbad.1663810

Chicago

Akar, Abdülhalim, and Uğur Özdemir. 2025. “Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi 7 (3): 877-83. https://doi.org/10.46413/boneyusbad.1663810.

EndNote

Akar A, Özdemir U (December 1, 2025) Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7 3 877–883.

IEEE

[1]A. Akar and U. Özdemir, “Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, vol. 7, no. 3, pp. 877–883, Dec. 2025, doi: 10.46413/boneyusbad.1663810.

ISNAD

Akar, Abdülhalim - Özdemir, Uğur. “Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7/3 (December 1, 2025): 877-883. https://doi.org/10.46413/boneyusbad.1663810.

JAMA

1.Akar A, Özdemir U. Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7:877–883.

MLA

Akar, Abdülhalim, and Uğur Özdemir. “Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, vol. 7, no. 3, Dec. 2025, pp. 877-83, doi:10.46413/boneyusbad.1663810.

Vancouver

1.Abdülhalim Akar, Uğur Özdemir. Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025 Dec. 1;7(3):877-83. doi:10.46413/boneyusbad.1663810

Importance of Routine Biopsy in Percutaneous Vertebroplasty Surgery Applied for the Treatment of Vertebral Compression Fractures

Abstract

Keywords

Vertebra Kompresyon Kırıklarının Tedavisinde Uygulanan Perkütan Vertebroplasti Cerrahisinde Rutin Biyopsinin Önemi

Abstract

Keywords

Supporting Institution

Project Number

Ethical Statement

Thanks

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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