{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:08:24Z","timestamp":1781762904908,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T00:00:00Z","timestamp":1515369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>While still a rare entity, acute lumbar paraspinal compartment syndrome has an increasing incidence. Similar to other compartment syndromes, acute lumbar paraspinal compartment syndrome is defined by raised pressure within a closed fibro\u2010osseous space, limiting tissue perfusion within that space. The resultant tissue ischaemia presents as acute pain, and if left untreated, it may result in permanent tissue damage. A literature search of \u2018paraspinal compartment syndrome\u2019 revealed 21 articles. The details from a case encountered by the authors are also included. A common data set was extracted, focusing on demographics, aetiology, clinical features, management and outcomes. There are 23 reported cases of acute compartment syndrome. These are typically caused by weight\u2010lifting exercises, but may also result from other exercises, direct trauma or non\u2010spinal surgery. Pain, tenderness and paraspinal paraesthesia are key clinical findings. Serum creatine kinase, magnetic resonance imaging and intracompartment pressure measurement confirm the diagnosis. Half of the reported cases have been managed with surgical fasciotomy, and these patients have all had good outcomes relative to those managed with conservative measures with or without hyperbaric oxygen therapy. These good outcomes were despite significant delays to operative intervention. The diagnostic uncertainty and subsequent delay to fasciotomy result from the rarity of this disease entity, and a high level of suspicion is recommended in the appropriate setting. This is particularly true in light of the current popularity of extreme weight lifting in non\u2010professional athletes. Operative intervention is strongly recommended in all cases based on the available evidence.<\/jats:p>","DOI":"10.1111\/ans.14342","type":"journal-article","created":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T09:24:56Z","timestamp":1515576296000},"page":"854-859","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Acute lumbar paraspinal compartment syndrome: a systematic review"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5304-6844","authenticated-orcid":false,"given":"William","family":"Alexander","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Pratt","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e318032561f"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198511000-00007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2012.01584.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06117.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.07.476"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00024"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2003.108"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2008.12.011"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588414X14055925059471"},{"key":"e_1_2_7_11_1","first-page":"188","article-title":"Case report: successful treatment of acute exertional paraspinal compartment syndrome with hyperbaric oxygen therapy","volume":"30","author":"Karam MD","year":"2010","journal-title":"Iowa Orthop. J."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02133"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300022301"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-259"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0569-1"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200007150-00019"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ec4023"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.10.026"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.11.012"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199901000-00035"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000478"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2015.06.056"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1391-9"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199407010-00007"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198606000-00014"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1386-4"},{"key":"e_1_2_7_27_1","unstructured":"Herz JC.The 3 Reasons People Are Obsessed With Crossfit. 2014. [Cited 30 Apr 2017.] Available from URL:http:\/\/time.com\/2890075\/crossfits-primal-appeal\/"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196850050-00004"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T16:44:34Z","timestamp":1694969074000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,8]]},"references-count":27,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/ans.14342"],"URL":"https:\/\/doi.org\/10.1111\/ans.14342","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,8]]},"assertion":[{"value":"2017-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}