Scholarly Research Exchange

Scholarly Research Exchange / 2009 / Article

Case Report | Open Access

Volume 2009 |Article ID 535178 | 3 pages | https://doi.org/10.3814/2009/535178

Bilateral Leg Compartment Syndrome Complicating Prolonged Spine Surgery in the Kneeling Position

Received24 Jul 2008
Revised14 Jan 2009
Accepted20 Feb 2009
Published05 Apr 2009

Abstract

A case of bilateral compartment syndrome of the legs complicating prolonged spine surgery in the kneeling-90-90 position. Aggressive treatment of the reperfusion injury prevented severe rhabdomyolysis, acute renal failure, and sepsis, although it could not avoid the permanently disabling muscular necrosis. Close postoperative surveillance facilitate an early diagnosis and expedite appropriate treatment.

References

  1. J. C. Lyndon and F. J. Spielman, “Bilateral compartment syndrome following prolonged surgery in the lithotomy position,” Anesthesiology, vol. 60, no. 3, pp. 236–238, 1984. View at: Google Scholar
  2. B. S. Gordon and W. Newman, “Lower nephron syndrome following prolonged knee chest position,” The Journal of Bone and Joint Surgery, vol. 35, no. 3, pp. 764–768, 1953. View at: Google Scholar
  3. H. A. Keim and J. D. Weinstein, “Acute renal failure—a complication of spine fusion in the tuck position. A case report,” The Journal of Bone and Joint Surgery, vol. 52, no. 6, pp. 1248–1250, 1970. View at: Google Scholar
  4. A. Aschoff, H. Steiner-Milz, and H.-H. Steiner, “Lower limb compartment syndrome following lumbar disectomy in the knee-chest position,” Neurosurgical Review, vol. 13, no. 2, pp. 155–159, 1990. View at: Publisher Site | Google Scholar
  5. E. Cocusse and R. Azar, “Rhabdomyolysis associated with surgery for injury of the thoracolumbar spine. Role of prolonged knee-chest position,” Presse Medicale, vol. 20, no. 6, pp. 266–267, 1991. View at: Google Scholar
  6. C. Sancineto and D. G. Monzon, “Compartment syndrome of the thigh: an unusual complication after spinal surgery,” Journal of Spinal Disorders and Techniques, vol. 17, no. 4, pp. 336–338, 2004. View at: Publisher Site | Google Scholar
  7. B. Kuperwasser, B. T. Zaid, and R. Ortega, “Compartment syndrome after spinal surgery and use of the Codman frame,” Anesthesiology, vol. 82, no. 3, p. 793, 1995. View at: Publisher Site | Google Scholar
  8. A. K. Stotts, K. L. Carroll, P. G. Schafer, S. D. Santora, and T. D. Branigan, “Medial compartment syndrome of the foot: an unusual complication of spine surgery,” Spine, vol. 28, no. 6, pp. E118–E120, 2003. View at: Publisher Site | Google Scholar
  9. F. H. Geisler, D. T. Laich, M. Goldflies, and A. Shepard, “Anterior tibial compartment syndrome as a positioning complication of the prone-sitting position for lumbar surgery,” Neurosurgery, vol. 33, no. 6, pp. 1117–1118, 1993. View at: Publisher Site | Google Scholar
  10. B. T. Leek, R. S. Meyer, J. M. Wiemann, A. Cutuk, B. R. Macias, and A. R. Hargens, “The effect of kneeling during spine surgery on leg intramuscular pressure,” The Journal of Bone and Joint Surgery, vol. 89, no. 9, pp. 1941–1947, 2007. View at: Publisher Site | Google Scholar
  11. J. C. Veraart, G. Pronk, and H. A. Neumann, “Pressure differences of elastic compression stockings at the ankle region,” Dermatologic Surgery, vol. 23, no. 10, pp. 935–939, 1997. View at: Publisher Site | Google Scholar
  12. G. Murthy, R. E. Ballard, G. A. Breit, D. E. Watenpaugh, and A. R. Hargens, “Intramuscular pressures beneath elastic and inelastic leggings,” Annals of Vascular Surgery, vol. 8, no. 6, pp. 543–548, 1994. View at: Publisher Site | Google Scholar
  13. P. M. Gaylarde, I. Sarkany, and H. J. Dodd, “The effect of compression on venous stasis,” British Journal of Dermatology, vol. 128, no. 3, pp. 255–258, 1993. View at: Publisher Site | Google Scholar
  14. D. Turnbull and G. H. Mills, “Compartment syndrome associated with the Lloyd Davies position: three case reports and review of the literature,” Anaesthesia, vol. 56, no. 10, pp. 980–987, 2001. View at: Publisher Site | Google Scholar
  15. B. Leek, R. C. Meyer, J. Wiemann, A. Cutuk, B. Macias, and A. Hargens, “Spine surgery operative positioning affects risk factors for compartment syndrome: leg intramuscular pressure, blood pressure, and applied load,” The Spine Journal, vol. 5, no. 4, supplement 1, pp. S100–S101, 2005, Proceedings of the NASS 20th Annual Meeting. View at: Publisher Site | Google Scholar
  16. M. E. Warner, L. M. LaMaster, A. K. Thoeming, M. E. Shirk Marienau, and M. A. Warner, “Compartment syndrome in surgical patients,” Anesthesiology, vol. 94, no. 4, pp. 705–708, 2001. View at: Publisher Site | Google Scholar
  17. J. Tuckey, “Bilateral compartment syndrome complicating prolonged lithotomy position,” British Journal of Anaesthesia, vol. 77, no. 4, pp. 546–549, 1996. View at: Google Scholar
  18. R. S. Meyer, K. K. White, J. M. Smith, E. R. Groppo, S. J. Mubarak, and A. R. Hargens, “Intramuscular and blood pressures in legs positioned in the hemilithotomy position: clarification of risk factors for well-leg acute compartment syndrome,” The Journal of Bone and Joint Surgery, vol. 84, no. 10, pp. 1829–1835, 2002. View at: Google Scholar

Copyright © 2009 Rafael Ballesteros et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


More related articles

139 Views | 0 Downloads | 0 Citations
 PDF  Download Citation  Citation
 Download other formatsMore
 Order printed copiesOrder

Related articles

We are committed to sharing findings related to COVID-19 as quickly and safely as possible. Any author submitting a COVID-19 paper should notify us at help@hindawi.com to ensure their research is fast-tracked and made available on a preprint server as soon as possible. We will be providing unlimited waivers of publication charges for accepted articles related to COVID-19. Sign up here as a reviewer to help fast-track new submissions.