Bone Marrow Trephine Biopsies from Posterior Superior Iliac Crest in
Living Neonates.
Abstract
Cytopenias are common among neonates in neonatal intensive care units
(NICU). Although, bone marrow aspirations (BMA) are often performed as
part of diagnostic work up but trephine marrow biopsies (BMB) have not
been reported from living neonates. BMB is indispensable to accurately
assess the cellularity and architecture. There is paucity of literature
regarding the technique of BMB in neonates. In this report, for the
first time, we describe trephine BMB from Posterior superior iliac crest
(PSIC) using 18 guage BMA needle in six living neonates admitted to NICU
where bone marrow biopsy findings helped in understanding the underlying
mechanism and diagnosis of cytopenias.