title: Exercise-induced Pediatric Lumbar Paravertebral Compartment Syndrome: A Case Report.
abstract: Acute compartment syndrome is described as an elevation of interstitial pressure in a closed fascial compartment that can lead to damage of the microvasculature with subsequent tissue necrosis. Although paravertebral compartment syndrome has been described there is no case of paravertebral compartment syndrome that has been described in the pediatric population. We report the case of a 17-year-old boy who presented at our institution with severe, acute-onset low back pain that started shortly after a rigorous 4-hour workout. He was diagnosed with acute lumbar paravertebral compartment syndrome and underwent emergent fasciotomy with 2 more debridements.
authors.affiliation: Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
authors.forename: Verena M
authors.initials: VM
authors.lastname: Schreiber
authors.forename: W Timothy
authors.initials: WT
authors.lastname: Ward
mesh_terms: D000293:Adolescent; D003161:Compartment Syndromes / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D003646:Debridement / Q000379:methods; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology; D008161:Lumbosacral Region / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D059408:Pain Management / Q000379:methods; D064170:Paraspinal Muscles / Q000473:pathology; D005082:Physical Exertion; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome