| Objective To explore the effect of the selection of responsible vertebrae in percutaneous vertebroplasty (PVP) and percutaneous vertebral kyphosis angioplasty (PKP) on the prognosis. Methods Clinical data of 276 patients, who underwent PVP or PKP from January 1, 2007 to June 1, 2011 in our hospital, were retrospectively analyzed. Among them, 204 patients had operation on single vertebra, 66 patients had operation on double vertebrae, and 6 patients had operation on triple vertebrae. Physical examination and imaging reading, including X-ray, CT, and MRI were performed seriously preoperative to select right responsible vertebrae, and the decision was made to perform PVP or PKP. Results All the 276 patients could exercise off bed at the 2nd day after the operation. They could recover to the situation before injury only 1 month after the operation. No complications such as segmental vessels or spinal cord puncture injury, pulmonary embolism, or vascular embolism occurred. Conclusion The right selection of responsible vertebrae can effectively avoid the failure of the operation. PVP and PKP can rapidly relieve pain, restore partial vertebral height, improve the quality of life, and improve efficacy. |