{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T03:18:45Z","timestamp":1776914325526,"version":"3.51.2"},"reference-count":20,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,14]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Lumbar paraspinal compartment syndrome (LPCS) is a rare diagnosis, seen in patients chronically after repeated lumbar trauma or acutely in a postoperative setting. Only a dozen cases are documented worldwide, and to date no clinical guidelines exist for the diagnosis nor the treatment.<\/jats:p>\n               <jats:p>We describe the case of a 44-year-old man with excruciating lower back pain following a radical cystectomy. The postoperative laboratory values were compatible with acute rhabdomyolysis. The lumbar spine MRI showed necrosis of lumbosacral paraspinal muscles, making the diagnosis of acute LPCS. After seeking advice from different specialists, the conservative approach was chosen with combined pain treatment and physiotherapy. The patient is currently still disabled for some tasks and needs chronic pain medication.<\/jats:p>","DOI":"10.1136\/bcr-2023-255983","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T01:55:21Z","timestamp":1712109321000},"page":"e255983","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute lumbar paraspinal compartment syndrome after radical cystectomy"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3813-3258","authenticated-orcid":false,"given":"Vilte","family":"Sauliunaite","sequence":"first","affiliation":[{"name":"Emergency Department, Riviera-Chablais Hospital, 1847 Rennaz, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6427-5420","authenticated-orcid":false,"given":"No\u00e9mie","family":"Vecserny\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Division of Intensive Care, Geneva University Hospitals, 1205 Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3115-7013","authenticated-orcid":false,"given":"Marcos","family":"Coronado","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Riviera-Chablais Hospital, 1847 Rennaz, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"2025082804450664000_17.4.e255983.1","unstructured":"Von Volkmann R . 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