Acute Lumbar Paraspinal Compartment Syndrome after Weightlifting - A Case Report - (근력 운동 후 발생한 급성 요추부 척추 주위 근육의 구획 증후군 - 증례 보고 -)

Ki-Won Kim (김기원); 하지윤; Jun Seok Lee (이준석); Yong Soo Cho (조용수)

Acute Lumbar Paraspinal Compartment Syndrome after Weightlifting - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2018, 25(3), pp.133-139
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Ki-Won Kim ¹, 하지윤 ², Jun Seok Lee ², Yong Soo Cho ¹

¹가톨릭대학교 의과대학 여의도성모병원 정형외과학교실
²가톨릭대학교 의과대학 성바오로병원 정형외과학교실

Accredited

ABSTRACT

Study Design: Case report. Objectives: To report 2 cases of acute lumbar paraspinal compartment syndrome due to weightlifting. Summary of Literature Review: Acute lumbar paraspinal compartment syndrome is very rare, but it causes muscle necrosis and acute renal failure. Therefore, it should be treated immediately. Materials and Methods: A 31-year-old male patient and a 30-year-old male patient visited the emergency room due to severe back pain. The left paraspinal compartment pressure of the 31-year-old patient was measured as 35 mm Hg using the Whitesides technique. The paraspinal compartment pressure of the 30-year-old patient was measured as 22 mm Hg on the left side and 30 mm Hg on the right side. We diagnosed acute lumbar paraspinal compartment syndrome and performed a fasciotomy. This study received Institutional Review Board approval (ID: SC18ZESE0032). Results: Lab findings improved after fasciotomy. The operative wounds healed after fasciocutaneous flap placement. Conclusions: Acute lumbar paraspinal compartment syndrome is very rare, but should be considered in patients with severe back pain.

KEYWORDS

Paraspinal compartment syndrome, Fasciotomy, Rhabdomyolysis

Citation status

* References for papers published after 2023 are currently being built.

[journal] Matsen FA 3rd / 1975 / Compartmental syndrome. An unified concept / Clin Orthop Relat Res 113 : 8~14

[journal] Whitesides TE / 1996 / Acute compartment syndrome. Update on diagnosis and treatment / J Am Acad Orthop Surg 4(4) : 209~218

[journal] Volkmann R / 1881 / Ischaemic muscle paralyses and contractures. 1881 / Clin Orthop Relat Res 456 : 20~21

[journal] PECK D / 1981 / Evidence for the existence of compartment syndromes of the epaxial muscles / Anat Rec 198 : 199~201

[journal] Carr D / 1976 / Lumbar paraspinal compartment syndrome. a case report with physiologic and anatomic studies / Spine (PhilaPa 1976) 10(9) : 816~820

[journal] Minnema BJ / 2008 / A case of occult compartment syndrome and nonresolving rhabdomyolysis / Journal of General Internal Medicine 23(6) : 871~874

[journal] Ferreira J / 2003 / Lumbar paraspinal rhabdomyolysis and compartment syndrome after abdominal aortic aneurysm repair / Journal of Vascular Surgery 37(1) : 198~201

[journal] Songcharoen P / 1994 / Lumbar paraspinal compartment pressure in back muscle exercise / J Spinal Disord 7(1) : 49~53

[journal] Bogduk N / 1980 / A reappraisal of the anatomy of the human lumbar erector spinae / J Anat 131(3) : 525~540

[journal] Paryavi E / 2010 / Acute exertional lumbar paraspinal compartment syndrome / Spine (Phila Pa 1976) 35(25) : 1529~1533

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03