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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.

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