Acute exertional lumbar paraspinal compartment syndrome treated with fasciotomy and dermatotraction: Case report

摘要

Acute compartment syndrome of lumbar paraspinal muscles occurs after exertional activities such as, skiing, weight-lifting and surfing. It is a very rare condition that nine articles and ten patients have been reported worldwide until now. This can cause necrosis and irreversible injury of muscle and surrounding tissue because of increased pressure of closed fibro-osseous space. Therefore, immediate diagnosis and decompression with fasciotomy should be performed. We report two cases of acute exertional lumbar paraspinal compartment syndrome which were treated with fasciotomy. In addition, we achieved a successful secondary closure of wide fasciotomy site using dermatotraction with Kirschner and steel wires.