Abstract
Introduction
It has been observed in biopsy directed by TAC as an axis for the diagnosis of vertebral syndrome of destruction.
Material and Method: Cross-sectional, analytical study of diagnostic tests, which took place in individuals of any age who were admitted with a diagnosis of the syndrome of vertebral destruction, attended for the first time. The sample size consisted of 91 patients. Computerized axial tomography–guided biopsy was performed. We compared the results of the biopsy between the two pathologists from different institutions.
Results
Definitive histological findings were grouped into the following seven categories: osteomyelitis (15.3%), tumors (38.46%), metastasis (37.36%), normal tissue (3.29%), inflammation (2.19%), showing inadequate (0%), and Pott disease (3.29%). According to the values of Z obtained by a test of two proportions, with n = 91, p = 0.05, the critical value of Z, two-tailed, was from 1966 (+ and −); they found no significant difference between the results reported by the two different pathology services in vertebral biopsy guided by CT in vertebral destruction syndrome; determining that this part of the process is a counselor on a 96.7% and final by 79%.
Conclusion
Percutaneous biopsy guided by tomography is an essential tool for the diagnosis of the syndrome of vertebral destruction approach and the ability to get diagnostics in the 96.7% indicates that it is a fundamental in the study of this syndrome.