Gil-Ortiz Cuauhtemoc, Ramírez-Romero Alberto, Bonifacio-Delgadillo Dulce, Lagos-Servellon Javier
Department of Neuroscience Centro Médico Nacional "20 de Noviembre" Mexico City Mexico.
Clin Case Rep. 2021 Nov 6;9(11):e05034. doi: 10.1002/ccr3.5034. eCollection 2021 Nov.
Percutaneous vertebroplasty (PV) is a minimally invasive procedure that requires the injection of cement into a fractured vertebral body. Spine Jack® 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® system as treatment for multilevel compression fractures in patients with vertebral osteoporosis due to Cushing disease.
A 55-year-old man with lumbago, impaired deambulation 6 weeks 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-L5 vertebrae secondary to Cushing disease. PV was performed with a Spine Jack® intracorporal implant device, in three sessions, and multiple levels were operated at each intervention. Post-operative course demonstrated improvement of pain, height, correction of the kyphotic angle and Oswestry score, without any neurological deficits despite having nine vertebral fractures.
Percutaneous vertebroplasty with the Spine Jack® 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-free while avoiding major surgery.
经皮椎体成形术（PV）是一种微创手术，需要将骨水泥注入骨折的椎体。Spine Jack®是一种椎体成形术系统，其体内植入物旨在恢复骨质疏松性椎体骨折患者的椎体高度。尚无使用Spine Jack®系统进行经皮椎体成形术治疗库欣病所致椎体骨质疏松症患者多节段压缩骨折的报道病例。
一名55岁男性，出现腰痛，就诊前6周行走能力受损，Oswestry评分为72%，视觉模拟量表（VAS）评分为9分。影像学检查显示，继发于库欣病的T5、T8、T11、T12及L1-L5椎体骨质疏松性骨折。使用Spine Jack®体内植入装置进行了3次经皮椎体成形术，每次干预均对多个节段进行了手术。术后病程显示疼痛减轻、身高增加、后凸角得到矫正，Oswestry评分改善，尽管有9处椎体骨折，但未出现任何神经功能缺损。
使用Spine Jack®系统进行经皮椎体成形术是治疗库欣病所致多节段椎体骨折的一种安全有效的方法，可改善生活质量，使患者在避免大手术的同时保持无痛。
