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Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report
BACKGROUND: Rhabdomyolysis results from the release of large quantities of muscle cell contents into plasma resulting in a classic triad of symptoms – muscle pain, weakness, and brown urine. Only a handful of rhabdomyolysis cases occurring after spinal surgery have been reported. CASE DESCRIPTION: A...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858045/ https://www.ncbi.nlm.nih.gov/pubmed/29576901 http://dx.doi.org/10.4103/sni.sni_481_17 |
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author | Makler, Vyacheslav Norregaard, Thorkild Vad |
author_facet | Makler, Vyacheslav Norregaard, Thorkild Vad |
author_sort | Makler, Vyacheslav |
collection | PubMed |
description | BACKGROUND: Rhabdomyolysis results from the release of large quantities of muscle cell contents into plasma resulting in a classic triad of symptoms – muscle pain, weakness, and brown urine. Only a handful of rhabdomyolysis cases occurring after spinal surgery have been reported. CASE DESCRIPTION: A 36-year-old male underwent an uneventful right-sided, minimally invasive transforaminal lumbar interbody fusion (miTLIF) for intractable lower back pain and right lower extremity radiculopathy attributed to L4-S1 degenerative spondylosis (DS). Postoperatively, the patient complained of intractable lower extremity pain resistant to medical management. He was subsequently diagnosed with rhabdomyolysis, and aggressive intravenous fluid resuscitation resulted in complete recovery. CONCLUSIONS: Rhabdomyolysis should be diagnosed and treated promptly with aggressive intravenous fluid resuscitation to avoid acute kidney injury following miTLIF surgery. |
format | Online Article Text |
id | pubmed-5858045 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-58580452018-03-23 Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report Makler, Vyacheslav Norregaard, Thorkild Vad Surg Neurol Int Spine: Case Report BACKGROUND: Rhabdomyolysis results from the release of large quantities of muscle cell contents into plasma resulting in a classic triad of symptoms – muscle pain, weakness, and brown urine. Only a handful of rhabdomyolysis cases occurring after spinal surgery have been reported. CASE DESCRIPTION: A 36-year-old male underwent an uneventful right-sided, minimally invasive transforaminal lumbar interbody fusion (miTLIF) for intractable lower back pain and right lower extremity radiculopathy attributed to L4-S1 degenerative spondylosis (DS). Postoperatively, the patient complained of intractable lower extremity pain resistant to medical management. He was subsequently diagnosed with rhabdomyolysis, and aggressive intravenous fluid resuscitation resulted in complete recovery. CONCLUSIONS: Rhabdomyolysis should be diagnosed and treated promptly with aggressive intravenous fluid resuscitation to avoid acute kidney injury following miTLIF surgery. Medknow Publications & Media Pvt Ltd 2018-03-01 /pmc/articles/PMC5858045/ /pubmed/29576901 http://dx.doi.org/10.4103/sni.sni_481_17 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Spine: Case Report Makler, Vyacheslav Norregaard, Thorkild Vad Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title | Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title_full | Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title_fullStr | Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title_full_unstemmed | Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title_short | Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report |
title_sort | rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: case report |
topic | Spine: Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858045/ https://www.ncbi.nlm.nih.gov/pubmed/29576901 http://dx.doi.org/10.4103/sni.sni_481_17 |
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