Styf J, Lysell E
Department of Orthopaedics, East Hospital, Göteborg, Sweden.
Spine (Phila Pa 1976). 1987 Sep;12(7):680-2. doi: 10.1097/00007632-198709000-00007.
Intramuscular pressure in the erector spinae muscle was measured during exercise with the microcapillary infusion method in 12 highly selected patients with recurrent low-back pain. The criteria for selection were low-back pain induced only by exercise, relief of symptoms at rest, and no neurologic deficits in the lower extremities. During a 4-year period, 12 patients fulfilled these criteria. One patient had a unilateral chronic compartment syndrome. Fasciotomy of the erector spinae muscle normalized the intramuscular pressure during exercise and at rest after exercise, and relieved the pain. All the other patients with chronic low-back pain had normal intramuscular pressure findings. Chronic compartment syndrome in the erector spinae muscle seems to be an extremely uncommon cause of exercise-induced low-back pain.
采用微量毛细血管输注法，对12例经严格挑选的复发性下腰痛患者在运动过程中的竖脊肌内压进行了测量。入选标准为仅运动时诱发下腰痛、休息时症状缓解且下肢无神经功能缺损。在4年期间，有12例患者符合这些标准。其中1例患者患有单侧慢性骨筋膜室综合征。竖脊肌筋膜切开术使运动期间及运动后休息时的肌内压恢复正常，并缓解了疼痛。所有其他慢性下腰痛患者的肌内压检查结果均正常。竖脊肌慢性骨筋膜室综合征似乎是运动诱发下腰痛极为罕见的原因。
