{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:03Z","timestamp":1740148623604,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Definir a efic\u00e1cia da bi\u00f3psia vertebral percut\u00e2nea guiada por fluoroscopia.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Este \u00e9 um estudo prospectivo de pacientes com s\u00edndrome de destrui\u00e7\u00e3o vertebral em uma institui\u00e7\u00e3o. Os pacientes foram submetidos a bi\u00f3psias vertebrais transpediculares percut\u00e2neas guiadas por fluoroscopia, com obten\u00e7\u00e3o de tecido \u00f3sseo e tecido do disco intervertebral, para estudo histopatol\u00f3gico e microbiol\u00f3gico. Idade, sexo, segmento vertebral, estado neurol\u00f3gico, e resultados de bi\u00f3psia e de cultura foram analisados.<\/jats:p><jats:p>\n          Resultados\u2003A idade m\u00e9dia dos pacientes foi de 53,8 anos (gama: 2 a 83 anos), e o principal local acometido da coluna foi a segmento lombar, em 62% dos casos. Segundo a escala de disfun\u00e7\u00e3o da American Spinal Injury Association (ASIA), no pr\u00e9-operat\u00f3rio, 49% dos pacientes foram classificados como ASIA E, e 100% apresentavam dor. A etiologia definitiva foi identificada em 83% dos pacientes. A etiologia foi agrupada em tr\u00eas categorias: infecciosa, neopl\u00e1sica, e degenerativa (osteopor\u00f3tica). O grupo infeccioso era composto por 36% dos pacientes da amostra, e Staphylococcus aureus foi o agente mais comumente identificado; em 34,9% dos casos, a etiologia era neopl\u00e1sica, principalmente mieloma m\u00faltiplo e doen\u00e7a metast\u00e1tica por c\u00e2ncer de pr\u00f3stata; 21,7% dos pacientes apresentavam osteoporose. O tempo cir\u00fargico m\u00e9dio foi de 47,5\u2009minutos, e a perda m\u00e9dia de sangue foi de 10\u2009mL. Nenhuma complica\u00e7\u00e3o foi relatada.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Nesta s\u00e9rie, a bi\u00f3psia percut\u00e2nea transpedicular guiada por fluoroscopia teve 83% de efic\u00e1cia no diagn\u00f3stico etiol\u00f3gico da s\u00edndrome de destrui\u00e7\u00e3o vertebral. Este procedimento minimamente invasivo deve ser considerado bom, f\u00e1cil, barato e reprodut\u00edvel, com baixo risco de complica\u00e7\u00f5es em curto e longo prazos.<\/jats:p>","DOI":"10.1055\/s-0040-1718950","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:36:18Z","timestamp":1630362978000},"page":"453-458","source":"Crossref","is-referenced-by-count":2,"title":["Efic\u00e1cia da bi\u00f3psia vertebral percut\u00e2nea guiada por fluoroscopia"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8352-9732","authenticated-orcid":false,"given":"Jos\u00e9 Nicol\u00e1s","family":"Mireles-Cano","sequence":"additional","affiliation":[{"name":"Cirurgia de Coluna, Departamento de Neurocirurgia, Hospital Regional de Alta Especialidad del Baj\u00edo, Universidad de Guanajuato, Le\u00f3n, Guanajuato, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1538-3633","authenticated-orcid":false,"given":"Alejandro Miranda","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Departamento de Neurocirurgia, Hospital Regional de Alta Especialidad del Baj\u00edo, Universidad de Guanajuato, Le\u00f3n, Guanajuato, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2502-1356","authenticated-orcid":false,"given":"Oscar Guillermo","family":"Garc\u00eda-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Neurocirurgia Pedi\u00e1trica, Departamento de Neurocirurgia, Hospital Regional de Alta Especialidad del Baj\u00edo, Universidad de Guanajuato, Le\u00f3n, Guanajuato, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4386-1946","authenticated-orcid":false,"given":"Ricardo Mart\u00ednez","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cirurgia Ortop\u00e9dica, Departamento de Cirurgia Ortop\u00e9dica e Traumatologia, Centenario Hospital Miguel Hidalgo, Aguascalientes, Aguascalientes, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"issue":"03","key":"ref1","first-page":"205","article-title":"S\u00edndrome de destrucci\u00f3n vertebral","volume":"76","author":"A Alp\u00edzar-Aguirre","year":"2008","journal-title":"Cir Cir"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/00007632-199303000-00013","article-title":"Percutaneous biopsy in the anterior thoracic spine","volume":"18","author":"C S Metzger","year":"1993","journal-title":"Spine"},{"key":"ref3","first-page":"749","article-title":"Destructive spinal lesions: diagnosis by needle biopsy","volume":"17","author":"R C Robertson","year":"1935","journal-title":"J Bone Joint Surg"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.2106\/00004623-196951080-00004","article-title":"Aspiration biopsy of the spine. 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