Biopsy Principles and Techniques for Spinal Tumors

A major advance has been made in the diagnosis, classification and treatment of neoplasms of the spine. The biopsy represents a final step in the diagnosis of such lesions. Although technically it may be a minor procedure, it is well established that poorly conceived or executed biopsy may result in adverse outcome. In this article, we discuss issues related to preoperative work-up, optimal planning, and executing of the vertebral and paraspinous biopsy.