Volume 4 | Issue 1 | April 2023 – September 2023 | page: 28-31 | Meet Shah, Ashok Rathod, Punith K, Rohan Killekar, Kunal Bharadwaj
Authors: Meet Shah, Ashok Rathod, Punith K, Rohan Killekar, Kunal Bharadwaj
 Department of Orthopaedics, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Meet Shah,
Department of Orthopaedics, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India.
Introduction: Tuberculosis is one of the leading causes of mortality worldwide due to a single infectious agent. Koch’s spine or spinal tuberculosis is one of the most crippling manifestations of extra-pulmonary tuberculosis. Owing to the lack of image-guided biopsy centers and the high prevalence of the disease, most of the patients are diagnosed and treated on clinical grounds. This practice was thought to lead to a delay in the diagnosis of other pathologies and multi-drug-resistant tuberculosis. This study aims to compare the diagnostic yield of fluoroscopy (C-arm) guided transpedicular biopsy done by orthopaedicians v/s CT guided biopsy done by radiologists in cases of Koch’s spine.
Materials and Methods: The study involved 60 consented patients with a clinico-radiological diagnosis of Koch’s spine randomly divided into 2 groups for biopsy 1) CT-guided biopsy to be done by radiologists 2) C-arm guided biopsy to be done by orthopedicians and results were compared.
Results: The use of CT-guided biopsy and C-arm guided biopsy in the diagnosis of Koch’s spine is increasing taking into consideration of increasing MDR TB. We got a positive answer in 70% of cases via CT-guided biopsy and 53.33% via C-arm guided biopsy. Detection of MDR TB on GeneXpert was the commonest diagnostic feature with a comparatively low rate of positive AFB smear and histopathology.
Conclusion: Results of C-arm guided biopsy are similar to CT guided biopsy with the latter being better.
Keywords: Koch’s spine, biopsy, multi-drug resistant tuberculosis
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|How to Cite this Article: Shah M, Rathod A, Punith K, Killekar R, Bharadwaj K | A Comparative Study About Diagnostic Yield of Fluoroscopy Guided Transpedicular Biopsy Done by Orthopaedicians v/s CT Guided Biopsy Done by Radiologists in Cases of Koch’s Spine| Back Bone: The Spine Journal | April 2023-September 2023; 4(1): 28-31 | https://doi.org/10.13107/bbj.2023.v04i01.057