Abstract
The purpose of this study was to systematically review the available evidence on lumbar paraspinal compartment syndrome with specific reference to patient demographics, aetiology, types, diagnosis, clinical features, and treatment. This was an Institutional Review Board-exempt study performed at a Level 1 trauma center. A PubMed search was conducted with the title query: lumbar paraspinal compartment syndrome. Eleven articles met our search criteria. Three of the patients with acute paraspinal compartmental syndrome treated with fasciotomy had a full recovery and were able to resume skiing after four months. The aetiology of the onset of lumbar paraspinal compartment syndrome is broadly divided into acute and chronic. Lumbar paraspinal compartment syndrome is one of the causes of back pain with diagnostic clinical features which should be considered in the differential diagnosis of a patient with low back pain. Prospective multicentre trials may provide the surgeon with more insight into the diagnosis and management of lumbar paraspinal compartment syndrome.
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References
von Volkmann R (1881) Die ischämischen Muskellähmungen und Kontracturen. Centralblatt für Chirurgie, Leipzig 8:801–803
Carr D, Gilbertson L, Frymoyer J, Krag M, Pope M (1985) Lumbar paraspinal compartment syndrome. A case report with physiologic and anatomic studies. Spine (Phila Pa 1976) 10:816–820
Khan RJ, Fick DP, Guier CA, Menolascino MJ, Neal MC (2005) Acute paraspinal compartment syndrome. A case report. J Bone Joint Surg Am 87:1126–1128
Kitajima I, Tachibana S, Hirota Y, Nakamichi K (2002) Acute paraspinal muscle compartment syndrome treated with surgical decompression: a case report. Am J Sports Med 30:283–285
DiFazio FA, Barth RA, Frymoyer JW (1991) Acute lumbar paraspinal compartment syndrome. A case report. J Bone Joint Surg Am 73:1101–1103
Ferreira J, Galle C, Aminian A, Michel P, Guyot S, De Wilde JP et al (2003) Lumbar paraspinal rhabdomyolysis and compartment syndrome after abdominal aortic aneurysm repair. J Vasc Surg 37:198–201
Osamura N, Takahashi K, Endo M, Kurumaya H, Shima I (2000) Lumbar paraspinal myonecrosis after abdominal vascular surgery: a case report. Spine (Phila Pa 1976) 25:1852–1854
Haig AJ, Hartigan AG, Quint D (2009) Low back pain after nonspinal surgery: the characteristics of presumed lumbar paraspinal compartment syndrome. PM R 1:383–388
Sava J, Moelleken A, Waxman K (1999) Cardiac arrest caused by reperfusion injury after lumbar paraspinal compartment syndrome. J Trauma 46:196–197
Wik L, Patterson JM, Oswald AE (2010) Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed. Clin Rheumatol 29:803–805
Konno S, Kikuchi S, Nagaosa Y (1994) The relationship between intramuscular pressure of the paraspinal muscles and low back pain. Spine (Phila Pa 1976) 19:2186–2189
Xu YM, Bai YH, Li QT, Yu H, Cao ML (2009) Chronic lumbar paraspinal compartment syndrome: a case report and review of the literature. J Bone Joint Surg Br 91:1628–1630
Barker PJ, Briggs CA (1999) Attachments of the posterior layer of lumbar fascia. Spine (Phila Pa 1976) 24:1757–1764
Moore KL, Dalley AF (1999) Clinically oriented anatomy. Williams and Wilkins, New York, pp 503–663
Vleeming A, Pool-Goudzwaard AL, Stoeckart R, van Wingerden JP, Snijders CJ (1995) The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine (Phila Pa 1976) 20:753–758
Peck D, Nicholls PJ, Beard C, Allen JR (1986) Are there compartment syndromes in some patients with idiopathic back pain? Spine (Phila Pa 1976) 11:468–475
Bogduk N, Macintosh JE (1984) The applied anatomy of the thoracolumbar fascia. Spine (Phila Pa 1976) 9:164–170
Gracovetsky S, Farfan HF, Lamy C (1977) A mathematical model of the lumbar spine using an optimized system to control muscles and ligaments. Orthop Clin North Am 8:135–153
Gracovetsky S, Farfan H, Helleur C (1985) The abdominal mechanism. Spine (Phila Pa 1976) 10:317–324
Fairbank JC, O'Brien JP (1980) The abdominal cavity and thoracolumbar fascia as stabilizers of the lumbar spine in patients with low back pain: Engineering aspects of the spine. Medical Engineering Publications, London, pp 83–88
McGill SM, Norman RW (1988) Potential of lumbodorsal fascia forces to generate back extension moments during squat lifts. J Biomed Eng 10:312–318
Tesh KM, Dunn JS, Evans JH (1987) The abdominal muscles and vertebral stability. Spine (Phila Pa 1976) 12:501–508
Hukins DL, Aspden RM, Hickey DS (1990) Thorecolumlbar fascia can increase the efficiency of the erector spinae muscles. Clin Biomech (Bristol, Avon) 5:30–34
Yahia LH, Pigeon P, DesRosiers EA (1993) Viscoelastic properties of the human lumbodorsal fascia. J Biomed Eng 15:425–429
Detmer DE, Sharpe K, Sufit RL, Girdley FM (1985) Chronic compartment syndrome: diagnosis, management, and outcomes. Am J Sports Med 13:162–170
Turnipseed WD, Hurschler C, Vanderby R Jr (1995) The effects of elevated compartment pressure on tibial arteriovenous flow and relationship of mechanical and biochemical characteristics of fascia to genesis of chronic anterior compartment syndrome. J Vasc Surg 21:810–816, discussion 816–817
Farfan HF (1975) Muscular mechanism of the lumbar spine and the position of power and efficiency. Orthop Clin North Am 6:135–144
Hodak E, Gadoth N, David M, Sandbank M (1986) Muscle damage induced by isotretinoin. Br Med J (Clin Res Ed) 293:425–426
Tillman DM, White SI, Aitchinson TC (1990) Isotretinoin, creatinine kinase and exercise. Br J Dermatol 123:22–23
Farkash U, Shabshin N, Pritsch Perry M (2009) Rhabdomyolysis of the deltoid muscle in a bodybuilder using anabolic-androgenic steroids: a case report. J Athl Train 44:98–100
Singhal P, Horowitz B, Quinones MC, Sommer M, Faulkner M, Grosser M (1989) Acute renal failure following cocaine abuse. Nephron 52:76–78
Styf J (1987) Pressure in the erector spinae muscle during exercise. Spine (Phila Pa 1976) 12:675–679
Styf J, Lysell E (1987) Chronic compartment syndrome in the erector spinae muscle. Spine (Phila Pa 1976) 12:680–682
Crenshaw AG, Styf JR, Mubarak SJ, Hargens AR (1990) A new "transducer-tipped" fiber optic catheter for measuring intramuscular pressures. J Orthop Res 8:464–468
Songcharoen P, Chotigavanich C, Thanapipatsiri S (1994) Lumbar paraspinal compartment pressure in back muscle exercise. J Spinal Disord 7:49–53
Nachemson AL (1981) Disc pressure measurements. Spine (Phila Pa 1976) 6:93–97
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Nathan, S.T., Roberts, C.S. & Deliberato, D. Lumbar paraspinal compartment syndrome. International Orthopaedics (SICOT) 36, 1221–1227 (2012). https://doi.org/10.1007/s00264-011-1386-4
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DOI: https://doi.org/10.1007/s00264-011-1386-4