Low Back Pain After Nonspinal Surgery: The Characteristics of Presumed Lumbar Paraspinal Compartment Syndrome

Haig, Andrew J.; Hartigan, Anne; Quint, Douglas J.

doi:10.1016/j.pmrj.2008.12.011

Cited by 16 publications

(34 citation statements)

References 19 publications

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“…MRI findings in acute lumbar paraspinal compartment syndrome were striking and uniform in the six cases reported [3,[7][8][9][10]. All patients had increased signal intensity on T2 weighted images, mimicking the presence of paraspinal oedema.…”

Section: Discussionmentioning

confidence: 69%

“…The seven patients who were treated conservatively resumed their physical activity after six months, but with mild chronic back pain on vigorous exertion [5,[8][9][10]. Patients who underwent fasciotomy for chronic paraspinal syndrome resumed their work activities without any difficulty after four to six months.…”

Section: Discussionmentioning

confidence: 99%

“…Five patients had an atraumatic acute syndrome following either downhill skiing (three patients), [2,3,5] surfboarding (one patient) [4], or weight lifting (one patient) [4]. One patient had a direct injury to the paraspinal muscle [9] and three patients developed acute syndrome following non-spinal surgery such as aortic bypass and gastric bypass [6][7][8]. One patient was reported to have abused isotretoinoin, cocaine, and testosterone [10].…”

Section: Aetiologymentioning

confidence: 99%

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Lumbar paraspinal compartment syndrome

Nathan

Roberts

Deliberato

2011

International Orthopaedics (SICOT)

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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 Boardexempt 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.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Aetiologymentioning

confidence: 99%

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Lumbar paraspinal compartment syndrome

Nathan

Roberts

Deliberato

2011

International Orthopaedics (SICOT)

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“…Of these, thirteen papers described a single case and two described two cases, for a total of seventeen cases. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] However, upon closer inspection, it was discovered that a single case had been presented twice. 3,4 We therefore have presented here what we believe is only the 17 th case of acute lumbar paraspinal compartment syndrome currently published in the scientific literature (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Since that publication, in four papers, an additional five cases of acute paraspinal compartment syndrome have been reported, in addition, our review identified an older (2008) case reported that was somehow neglected in the Nathan et al review. [3][4][5][6][7][8] In this paper, we first present our own case, and then re-analyze the essential characteristics of the now seventeen cases that have been reported in the scientific literature. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] …”

Section: Introductionmentioning

confidence: 99%

Acute lumbar paraspinal compartment syndrome: a case report and detailed literature review

Alfaraj

Alsahwan

2017

Int Surg J

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The 17th case of acute lumbar paraspinal compartment syndrome in the scientific/medical literature was presented in this study. We then review all 17 cases for demographic and clinical characteristics, in particular in terms of how they influence ultimate outcomes. All but one case occurred in a male, and most patients were less than age 40 (71%). Symptoms typically were precipitated by some athletic activity (59%), other causes were surgery (n = 4), drug abuse (n = 2), and direct trauma (n =1). Peak CPK values ranged from 5000 to 350,000 U/L. Ten patients ultimately achieved or were presumed to achieve full recovery, six had persistent low back pain several months later and one remained in renal failure. The only predictor of final outcome was the treatment given, with six of seven who underwent surgical fasciotomy and both patients administered hyperbaric oxygen experiencing full recovery, versus just two of seven treated conservatively (p = 0.03).

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Anatomical study and proposed EMG technique for the cervical paraspinal muscles

Haig,

McGuire

2023

PM&R

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Paraspinal electromyography has proven to be the most sensitive component of the electrodiagnostic examination for lumbar spinal disorders. However, no standardized, anatomically validated technique has been proposed for the cervical region. This study reviewed the published textbooks on cervical paraspinal anatomy to develop a standardized EMG technique and scoring system. A library search found 32 anatomy texts published between 2000 and 2021. Of these 11 were unique and appropriate.Most texts described the basic muscle anatomy similarly, but only one cited original research. When the spinous process is defined as the origin, the multifidus and deeper rotatores appear innervated by the posterior primary rami of single cervical roots, however texts differ in the number of pennae, between 2 and 5, traveling to transverse process regions below. These are crowded into a small area between the spinous processes and transverse processes. Based on this understanding, a proposed Cervical Paraspinal Mapping technique involves skin insertions from 1–2 cm lateral to the C5, C7 and T2 spinous processes. The needle samples transversely and deep towards midline, contacts bone, then is withdrawn and redirected to sample medial and caudally to midline to bone, creating 2 scores of 0–4 at 3 levels, theoretically resulting in scores of 0 to 24. This technique must be validated by clinical research to determine the range of normal, reproducibility, and the spectrum of findings in various disorders.This article is protected by copyright. All rights reserved.

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Low Back Pain After Nonspinal Surgery: The Characteristics of Presumed Lumbar Paraspinal Compartment Syndrome

Cited by 16 publications

References 19 publications

Lumbar paraspinal compartment syndrome

Lumbar paraspinal compartment syndrome

Acute lumbar paraspinal compartment syndrome: a case report and detailed literature review

Anatomical study and proposed EMG technique for the cervical paraspinal muscles

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