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

Yıl 2025, Cilt: 7 Sayı: 3, 877 - 883, 19.12.2025

Abdülhalim Akar , Uğur Özdemir

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

Öz

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.

Anahtar Kelimeler

Compression fracture , Vertebroplasty , Biopsy , Pain , Malignancy

Proje Numarası

Proje çalışması değildir.

Vertebra Kompresyon Kırıklarının Tedavisinde Uygulanan Perkütan Vertebroplasti Cerrahisinde Rutin Biyopsinin Önemi

Öz

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.

Anahtar Kelimeler

Çökme kırığı , Vertebroplasti , Biyopsi , Ağrı , Malignite

Etik Beyan

Etik kurul dosyası yüklenmiştir.

Destekleyen Kurum

yoktur.

Proje Numarası

Proje çalışması değildir.

Teşekkür

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

Kaynakça

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