[Rhabdomyolysis after prolonged knee-chest position].
Two cases are described of surgery for spondylolisthesis requiring prolonged knee-chest position (5 h 20 min and 4 h 30 min); acute renal failure with anuria occurred early in one case (within the first 24 h postoperatively), and later in the other case (on the 8th day). The diagnosis of rhabdomyolysis was made on the increase of CPK and myoglobin blood levels. Post-haemodialysis evolution was satisfactory. The possible mechanism was muscle compression against the rests. Diagnosis must be made quickly; the only treatment is early fasciotomy, with the supplying of alkali to prevent acute renal failure. It would appear that the knee-chest position can be kept a maximum of 3 h without any problem.
Cruette
D
D
Navarre
M C
MC
Pinaquy
C
C
Siméon
F
F
D058186:Acute Kidney Injury / Q000209:etiology; D003402:Creatine Kinase / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D009211:Myoglobin / Q000097:blood; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology*; D013123:Spinal Fusion; D013997:Time Factors
D009211:Myoglobin; D003402:Creatine Kinase
Rhabdomyolyse après position génu-pectorale prolongée.