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KMID : 0388720180250030133
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Journal of Korean Society of Spine Surgery
2018 Volume.25 No. 3 p.133 ~ p.139
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Acute Lumbar Paraspinal Compartment Syndrome after Weightlifting: A Case Report
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Ha Ji-Yoon
Lee Jun-Seok
Cho Yong-Soo
Kim Ki-Won
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Abstract
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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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KEYWORD
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Paraspinal compartment syndrome, Fasciotomy, Rhabdomyolysis
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