Value of routine transpedicular biopsies in kyphoplasty and vertebroplasty for vertebral compression fractures A survey among 250 spine surgeons

Osterhoff, Georg, Rappert, Denis, Scheyerer, Max J., Disch, Alexander C., Ullrich, Bernhard W., Spiegl, Ulrich A. and Schnake, Klaus J. . Value of routine transpedicular biopsies in kyphoplasty and vertebroplasty for vertebral compression fractures A survey among 250 spine surgeons. Unfallchirurgie. NEW YORK: SPRINGER. ISSN 2731-703X

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DOI:10.1007/s00113-022-01210-y

Abstract

Background Transpedicular cement augmentation is an established therapeutic option in the treatment of pathologic compression fractures of the spine. In addition to osteoporosis, underlying metastatic diseases or, more rarely, a primary bone tumor are recurrent causes of vertebral compression fractures without adequate trauma. Objective To obtain a current opinion among spine surgeons in Germany, Switzerland, and Austria on the value of transpedicular biopsy during kyphoplasty and vertebroplasty of vertebral body fractures. Material and methods A web-based (UmfrageOnline (R)) questionnaire with 11 questions was created and sent to the email distribution lists of the German Spine Society (DWG), the Austrian Society for Spine Surgery (spine.at), and the Swiss Society for Spinal Surgery (SGS), as well as to the email distribution list of the Spine Section of the German Society for Orthopedics and Trauma Surgery (DGOU). Results Of a total of 2675 spine surgeons contacted 250 (9.3%) responded to the survey. Approximately one third (29.8%) of respondents regularly perform a transpedicular biopsy with each kyphoplasty or vertebroplasty. Reasons cited for biopsy were image morphology (79.7%) or history of suspected (66.0%) or present (71.4%) tumor disease. Reasons cited against routine biopsy were the associated costs and the limited informative value of the biopsies obtained. Discussion Nearly one third of the spine surgeons surveyed regularly perform a transpedicular biopsy with each kyphoplasty or vertebroplasty. Almost all respondents perform biopsies at least when there is an imaging morphologic suspicion of tumor disease or tumor disease is known or suspected based on risk factors. Future studies need to further clarify the cost-effectiveness of transpedicular biopsy.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Osterhoff, Georg	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Rappert, Denis	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Scheyerer, Max J.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Disch, Alexander C.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Ullrich, Bernhard W.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Spiegl, Ulrich A.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Schnake, Klaus J.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED