Abstract：
Lumbar paraspinal muscle compartment syndrome is an uncommon, rapidly progressive, and potentially devastating injury with fewer than 40 cases reported in the literature. It initially mimics nonemergent causes of low back pain, disproportionately affects young men, and is most often secondary to acute physical exertion. The disease process is commonly associated with rhabdomyolysis. Diagnostic tools include physical examination, measurement of lactate and creatine kinase levels, MRI, and direct compartment pressure measurement. While medical and nonoperative management strategies have been explored, the gold standard for treatment is emergent lumbar fasciotomy. Opioid and non-steroidal pain management, as well as physical therapy, are the mainstays of post-treatment recovery, with many surgical patients reporting complete symptom resolution at long-term follow-up. This article discusses the case of a 27-year-old, male, active-duty, Special Operations Aviation Soldier who presented to the emergency department and was found to have lumbar paraspinal muscle compartment syndrome.
摘要：
腰椎旁肌肉室综合征是一种罕见的，迅速进步，和潜在的破坏性损伤，文献中报道的病例少于40例。它最初模仿下腰痛的非紧急原因，不成比例地影响年轻人，最常继发于急性体力消耗。该疾病过程通常与横纹肌溶解有关。诊断工具包括体检，测量乳酸和肌酸激酶水平，MRI,和直接隔间压力测量。虽然已经探索了医疗和非手术管理策略，紧急腰椎筋膜切开术是治疗的金标准。阿片类和非甾体疼痛管理，以及物理治疗，是治疗后恢复的支柱，许多手术患者在长期随访中报告症状完全缓解。这篇文章讨论了一个27岁的案例，男性,现役,特种作战航空士兵前往急诊科，被发现患有腰椎椎旁肌室综合征。
