Compartment syndrome with acute renal failure: a rare complication of spinal surgery in knee-chest position.
METHODS
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.


BACKGROUND
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.


RESULTS
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.


CONCLUSIONS
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.
Gupta
Rajiv
R
Department of Orthopaedics, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi.
Batra
Sumit
S
Chandra
Rajesh
R
Sharma
V K
VK
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism; D019299:Decompression, Surgical / Q000009:adverse effects*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008297:Male; D009211:Myoglobin / Q000378:metabolism; D011183:Postoperative Complications; D011187:Posture; D013131:Spine / Q000601:surgery*; D016896:Treatment Outcome
D009211:Myoglobin