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June 1, 1963


JAMA. 1963;184(9):737. doi:10.1001/jama.1963.03700220113049

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Iliac-Crest Biopsy in Medical Diagnosis.  —U. Nitschke and I. Giegler reported (Med Welt [no 12] pp 639-644 1962) their experience in performing 320 iliac-crest biopsies (December, 1958 to May, 1961) by the method of Bartelheimer with a V-2 steel-puncture cannula 3 to 3.5 cm long. Local anesthesia was sufficient as a rule. Control biopsies were carried out up to six times; severe hemorrhage occurred only once. In three cases no material could be obtained because the spaces in the trabecular net were too wide as a result of gross destruction (plasmacytoma) or rarefaction (osteoporosis). Probing by injection needle while the patient was under anesthesia and observing the number and intensity of hammer beats required, allowed estimation of bony thickness. Inspection of the osseous cylinder removed by drilling may be illuminating. Chemical decalcification is more gentle than is that by electrolysis. Senile osteoporosis was encountered almost exclusively in those over 70

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