caa a22 4500 44583370X CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1499-2 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1499-2 Bilateral gluteal compartment syndrome and severe rhabdomyolysis after lumbar spine surgery [Elektronische Daten] [Thomas Rudolph, Jan Løkebø, Lasse Andreassen] Gluteal compartment syndrome (GCS) is an extremely rare and potentially devasting disorder, most commonly caused by gluteal muscle compression in extend periods of immobilization. We report a 65-year-old obese man with hypertension, diabetes mellitus type 2 and hypercholesterolemia underwent lumbar spine surgery in knee-chest position because of degenerative lumbar stenosis. Perioperative hypotension occurred. After surgery, the patient developed increasing pain in the buttocks of both sides and oliguria with darkened urine. Stiffness, tenderness and painful swelling of patients gluteal muscles of both sides, high creatine phosphokinase level, myoglobulinuria and oliguria led to diagnosis of bilateral GCS, complicated by severe rhabdomyolysis (RM) and acute renal failure. In conclusion, obese patients with vascular risk factors and perioperative hypotension may be at risk for developing bilateral GCS and RM when performing prolonged lumbar spine surgery. Early diagnosis and treatment is important, as otherwise, the further course may be fatal. Springer-Verlag, 2010 G luteal compartment syndrome nationallicence Kidney failure nationallicence Lumbar spine nationallicence Neurosurgery nationallicence Rhabdomyolysis nationallicence Rudolph Thomas Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut Løkebø Jan Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut Andreassen Lasse Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut European Spine Journal Springer-Verlag 20(2011-07-01), 180-182 0940-6719 20<180 2011 20 586 https://doi.org/10.1007/s00586-010-1499-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1499-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rudolph Thomas Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut NATIONALLICENCE 700 1- Løkebø Jan Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut NATIONALLICENCE 700 1- Andreassen Lasse Department of Neurosurgery, University Hospital North Norway, 9038, Tromsö, Norway aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 180-182 0940-6719 20<180 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer