{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T18:07:57Z","timestamp":1776622077089,"version":"3.51.2"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T00:00:00Z","timestamp":1636156800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Percutaneous vertebroplasty (PV) is a minimally invasive procedure that requires the injection of cement into a fractured vertebral body. Spine Jack\u00ae is a vertebroplasty system with an intracorporal implant designed to restore the height of the vertebral body in osteoporotic vertebral fractures. There are no reported cases of PV with Spine Jack\u00ae system as treatment for multilevel compression fractures in patients with vertebral osteoporosis due to Cushing disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 55\u2010year\u2010old man with lumbago, impaired deambulation 6\u00a0weeks prior to presentation, with Oswestry score of 72% and a visual analogue scale (VAS) score of 9 points. Imaging studies showed osteoporotic fractures at T5, T8, T11, T12, and L1\u2010L5 vertebrae secondary to Cushing disease. PV was performed with a Spine Jack\u00ae intracorporal implant device, in three sessions, and multiple levels were operated at each intervention. Post\u2010operative course demonstrated improvement of pain, height, correction of the kyphotic angle and Oswestry score, without any neurological deficits despite having nine vertebral fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Percutaneous vertebroplasty with the Spine Jack\u00ae system is a safe and effective procedure to treat multilevel vertebral fractures due to Cushing disease, improving the quality of life and allowing the patient to remain pain\u2010free while avoiding major surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.5034","type":"journal-article","created":{"date-parts":[[2021,11,7]],"date-time":"2021-11-07T01:34:28Z","timestamp":1636248868000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Multilevel percutaneous vertebroplasty with the Spine Jack\u00ae system in a patient with Cushing disease"],"prefix":"10.1002","volume":"9","author":[{"given":"Cuauhtemoc","family":"Gil\u2010Ortiz","sequence":"first","affiliation":[{"name":"Department of Neuroscience Centro M\u00e9dico Nacional \"20 de Noviembre\" Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Ram\u00edrez\u2010Romero","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Centro M\u00e9dico Nacional \"20 de Noviembre\" Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3502-9992","authenticated-orcid":false,"given":"Dulce","family":"Bonifacio\u2010Delgadillo","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Centro M\u00e9dico Nacional \"20 de Noviembre\" Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7168-0179","authenticated-orcid":false,"given":"Javier","family":"Lagos\u2010Servellon","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Centro M\u00e9dico Nacional \"20 de Noviembre\" Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2009.03.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2016.02.01"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/173872"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.03.009"},{"issue":"4","key":"e_1_2_9_6_1","first-page":"137","article-title":"Cushing's syndrome and bone mineral density: lowest Z scores in young patients","volume":"65","author":"Eerden AW","year":"2007","journal-title":"Neth J Med"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1586\/17446651.2015.983473"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.10.027"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5458"},{"issue":"3","key":"e_1_2_9_10_1","first-page":"555","article-title":"Percutaneous vertebroplasty compared with optimal pain medication treatment: short\u2010term clinical outcome of patients with subacute or chronic painful osteoporotic vertebral compression fractures. 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