Percutaneous vertebroplasty or kyphoplasty: which one do I choose?

摘要

Percutaneous vertebroplasty (PV) and kyphoplasty (KP) have both become popular for the treatment of painful vertebral compression fractures. However, there is often a question as to which should be used and how patients should be selected for each procedure. There has arisen considerable competition between the two procedures, and this has resulted in conflicting information and procedural claims, making the selection difficult. With over 500 peer-reviewed articles in the medical literature about these procedures, there remains no easy solution to this problem. I have had the good fortune to be associated with the introduction of both of these procedures in the United States, and with this experience I will try to analyze why there still exist unanswered questions .