scholarly journals Postoperative lumbar paraspinal compartment syndrome

2021 ◽  
Vol 14 (3) ◽  
pp. e236040
Author(s):  
Niloufar Saadat ◽  
Kourosh Rezania
Keyword(s):  
Compartment Syndrome ◽  
Fatty Infiltration ◽  
Radicular Pain ◽  
Acute Stage ◽  
Paraspinal Muscles ◽  
Left Lower Extremity ◽  
Transient Rise ◽  
Lower Limb Pain ◽  
Lower Lumbar ◽  
Lumbar Paraspinal Muscles

Lower lumbar paraspinal muscles constitute a compartment as they are surrounded by distinct fascial and bony boundaries. Lumbar paraspinal compartment syndrome is a rare entity, often caused by intense exercise, but also can be a postoperative complication. We present a 60-year-old man with low back pain, numbness in the left lower back and radicular pain in the left lower extremity, which started after a surgery that involved prolonged positioning on the left side 7 years before, and persisted to the day of evaluation. There was an immediate transient rise in the creatine kinase after surgery. Electromyography showed a left lower lumbar–sacral plexopathy and a lumbar spine MRI revealed fatty infiltration of the lower lumbar–sacral paraspinal muscles. The emergence of radicular lower limb pain was likely due to the compression of the proximal portion of lumbar–sacral plexus during the acute stage of rhabdomyolysis.

scholarly journals Case Study: Acute Lumbar Paraspinal Compartment Syndrome in an Austere Military Environment

2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Limited Resources ◽  
Paraspinal Muscles ◽  
Medical Department ◽  
Wound Therapy ◽  
Lower Back ◽  
Lumbar Paraspinal Muscles

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.

Association Between Deep Posterior Cervical Paraspinal Muscle Morphology and Clinical Features in Patients With Cervical Ossification of the Posterior Longitudinal Ligament

2021 ◽  
pp. 219256822198965
Author(s):  
Toru Doi ◽  
Nozomu Ohtomo ◽  
Fumihiko Oguchi ◽  
Keiichiro Tozawa ◽  
Hiroyuki Nakarai ◽  
...  
Keyword(s):  
Clinical Features ◽  
Fatty Infiltration ◽  
Neck Disability Index ◽  
Posterior Longitudinal Ligament ◽  
Paraspinal Muscle ◽  
Paraspinal Muscles ◽  
Muscle Area ◽  
Cross Sectional ◽  
Study Results ◽  
Neck Disability

Study Design: A retrospective observational study. Objective: To clarify the association of the paraspinal muscle area and composition with clinical features in patients with cervical ossification of the posterior longitudinal ligament (OPLL). Methods: Consecutive patients with cervical OPLL who underwent cervical magnetic resonance imaging (MRI) before surgery were reviewed. The cross-sectional area (CSA) and fatty infiltration ratio (FI%) of deep posterior cervical paraspinal muscles (multifidus [MF] and semispinalis cervicis [SCer]) were examined. We assessed the association of paraspinal muscle measurements with the clinical characteristics and clinical outcomes, such as Neck Disability Index (NDI) score. Moreover, we divided the patients into 2 groups according to the extent of the ossified lesion (segmental and localized [OPLL-SL] and continuous and mixed [OPLL-CM] groups) and compared these variables between the 2 groups. Results: 49 patients with cervical OPLL were enrolled in this study. The FI% of the paraspinal muscles was significantly associated with the number of vertebrae ( ρ = 0.283, p = 0.049) or maximum occupancy ratio of OPLL ( ρ = 0.397, p = 0.005). The comparative study results indicated that the NDI score was significantly worse (OPLL-SL, 22.9 ± 13.7 vs. OPLL-CM, 34.4 ± 13.7) and FI% of SCer higher (OPLL-SL, 9.1 ± 1.7% vs. OPLL-CM, 11.1 ± 3.7%) in the OPLL-CM group than those in the OPLL-SL group. Conclusions: Our results suggest that OPLL severity may be associated with fatty infiltration of deep posterior cervical paraspinal muscles, which could affect neck disability in patients with cervical OPLL.

scholarly journals Is ultrasound-guided caudal steroid injection effective in the management of lower lumbar radicular pain? A two-center prospective observational study on 150 patients

2020 ◽  
Vol 87 (4) ◽  
pp. 364-365
Author(s):  
François Robin ◽  
Guillaume Coiffier ◽  
Jean-David Albert ◽  
Christelle Darrieutort-Laffite ◽  
Simon Rio ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Steroid Injection ◽  
Radicular Pain ◽  
Ultrasound Guided ◽  
Lumbar Radicular Pain ◽  
Lower Lumbar

The fatty degeneration of lumbar paraspinal muscles on computed tomography scan according to age and disc level

2017 ◽  
Vol 17 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Shin Heon Lee ◽  
Seung Won Park ◽  
Young Baeg Kim ◽  
Taek Kyun Nam ◽  
Young Seok Lee
Keyword(s):  
Computed Tomography ◽  
Fatty Degeneration ◽  
Computed Tomography Scan ◽  
Paraspinal Muscles ◽  
Lumbar Paraspinal Muscles ◽  
Disc Level ◽  
Tomography Scan
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