Study conducted at the Twin Cities Spine Center, Minneapolis, Minnesota.
JBJS Case Connect. 2021 Nov 4;11(4):01709767-202112000-00036. doi: e21.00376.
Lumbar paraspinal compartment syndrome (LPCS) is a rare but potentially catastrophic pathology caused by increased intracompartmental pressures leading to potential ischemic necrosis of muscle, local denervation, and complications of rhabdomyolysis. A combination of unique clinical history and examination findings, laboratory findings, and radiologic imaging help in diagnosis.
Early detection and intervention with minimally invasive percutaneous fasciotomy can minimize local soft tissue trauma while providing extensive fascial release with good clinical outcomes. Radiographic follow-up in this case suggests that the muscle at risk in LPCS can be spared with early surgical intervention.
腰椎旁间隔综合征（LPCS）是一种罕见但潜在灾难性的疾病，由增加的间隔内压力引起，导致潜在的肌肉缺血性坏死、局部去神经支配和横纹肌溶解症的并发症。独特的临床病史和检查结果、实验室结果和影像学检查有助于诊断。
早期微创经皮筋膜切开术可以减少局部软组织损伤，同时提供广泛的筋膜松解，获得良好的临床效果。在这种情况下的影像学随访表明，早期手术干预可以避免 LPCS 中风险肌肉受到影响。
