Peck D, Nicholls P J, Beard C, Allen J R
Spine (Phila Pa 1976). 1986 Jun;11(5):468-75. doi: 10.1097/00007632-198606000-00014.
Palpable rigidity of the epaxial (paraspinal) muscles, lordotic flattening, and spinal flexion accompanying back pain generally are ascribed to epaxial muscle spasm. However, palpable rigidity without muscle spasm occurs in compartment syndromes and epaxial muscle contractions extend the spine, increasing lordosis. Epaxial compartment syndromes are proposed as a possible cause of palpable rigidity, lordotic flattening, and spinal flexion accompanying idiopathic back pain. This article demonstrates the following: existence of an epaxial compartment by latex and dye injections; simulation of epaxial compartment syndromes in unembalmed cadavers by saline injections; and a "Bourdon tube effect" producing spinal flexion with lordotic flattening during epaxial compartment syndrome simulation in embalmed cadavers. In addition, resting and exercising epaxial compartment pressures were measured in 18 normal volunteers with a slit catheter.
轴后（椎旁）肌肉可触及的僵硬、脊柱前凸变平以及伴随背痛的脊柱前屈通常归因于轴后肌肉痉挛。然而，在骨筋膜室综合征中会出现无肌肉痉挛的可触及僵硬，并且轴后肌肉收缩会使脊柱伸展，增加脊柱前凸。轴后骨筋膜室综合征被认为是特发性背痛伴可触及僵硬、脊柱前凸变平和脊柱前屈的一个可能原因。本文证明了以下几点：通过乳胶和染料注射证实轴后骨筋膜室的存在；通过盐水注射在未防腐尸体上模拟轴后骨筋膜室综合征；以及在防腐尸体模拟轴后骨筋膜室综合征期间产生脊柱前屈伴脊柱前凸变平的“波登管效应”。此外，使用裂隙导管对18名正常志愿者测量了轴后骨筋膜室的静息压力和运动压力。
