Mater Dei Hospital, Msida, Malta.
JBJS Case Connect. 2020 Jul-Sep;10(3):e20.00023. doi: 10.2106/JBJS.CC.20.00023.
Acute lumbar paraspinal compartment syndrome (APCS) is rare. This case report describes the clinical presentation and magnetic resonance imaging (MRI) findings of APCS in a young man after strenuous weight training. The patient underwent surgical decompression of the paraspinal muscles with fasciotomy 4 days after presentation and made a complete functional recovery at the 3-month follow-up postsurgery.
This case report highlights the importance of MRI in facilitating the diagnosis of APCS and demonstrates that fasciotomy, even if delayed, can result in complete functional recovery. This supports current understanding that surgical fascial decompression is the preferred treatment over conservative measures for this condition.
急性腰部脊柱旁间隔综合征（APCS）较为罕见。本病例报告描述了一位年轻男性在剧烈举重训练后出现的 APCS 的临床表现和磁共振成像（MRI）结果。该患者在出现症状后 4 天接受了脊柱旁肌肉的减压手术和筋膜切开术，术后 3 个月随访时完全恢复了功能。
本病例报告强调了 MRI 在促进 APCS 诊断中的重要性，并表明筋膜切开术即使延迟也能导致完全的功能恢复。这支持了目前的理解，即对于这种情况，手术筋膜减压是首选治疗方法，优于保守治疗。
