Acute Lumbar Paraspinal Compartment Syndrome after Weightlifting: A Case Report
10.4184/jkss.2018.25.3.133
- Author:
Ji Yoon HA
1
;
Jun Seok LEE
;
Yong Soo CHO
;
Ki Won KIM
Author Information
1. Department of Orthopedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Paraspinal compartment syndrome;
Fasciotomy;
Rhabdomyolysis
- MeSH:
Acute Kidney Injury;
Adult;
Back Pain;
Compartment Syndromes;
Emergency Service, Hospital;
Ethics Committees, Research;
Humans;
Male;
Necrosis;
Rhabdomyolysis;
Wounds and Injuries
- From:Journal of Korean Society of Spine Surgery
2018;25(3):133-139
- CountryRepublic of Korea
- Language:Korean
-
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.
