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  • Title: Compartment syndrome with acute renal failure: a rare complication of spinal surgery in knee-chest position.
    Author: Gupta R, Batra S, Chandra R, Sharma VK.
    Journal: Spine (Phila Pa 1976); 2008 Apr 15; 33(8):E272-3. PubMed ID: 18404098.
    Abstract:
    STUDY DESIGN: Case report of a patient who presented with compartment syndrome with acute renal failure after surgery for lumbar disc prolapse in knee-chest position. OBJECTIVE: To describe an unusual complication of compartment syndrome in lower limb with acute renal failure following discectomy in knee-chest position. SUMMARY OF BACKGROUND DATA: Compartment syndrome and acute renal failure following lumbar discectomy in knee-chest position has been described in only 2 cases previously. METHODS: Case report and review of literature. RESULT: Subsequent to prolonged surgery in knee-chest position this patient developed compartment syndrome with acute renal failure. Immediate fasciotomy was done, resulting in good recovery. CONCLUSION: Spine surgeon performing discectomy in knee-chest position should be aware of such an unusual complication in the postoperative period, especially if the surgery gets prolonged. Time and position should be monitored carefully to avoid such a serious complication. Early diagnosis and urgent intervention in the form of fasciotomy is required for good results.
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