STUDY DESIGN: The case of a complication sustained by an @entity28 @entity1 undergoing a lumbar spine fusion is reported. OBJECTIVES: To minimize further complications by reporting on this case complicated by @entity5925 in a lumbar fusion, and to include a review of the literature. SUMMARY OF BACKGROUND DATA: @entity5925 has been described as a clinical syndrome initially characterized by darker urine, @entity925 , and weakness from @entity1162 , as in intoxicated @entity1 or after a @entity410 . @entity5925 and @entity9958 have also been reported in the prolonged positions of some surgical procedures. METHODS: A 40-year-old @entity1 developed progressively incapacitating @entity158 above a previous fusion from L4 to S1, with a severe decline in his functional capacities and a large @entity1017 . Revision surgery removing the previous instrumentation and performing an instrumented fusion from L2 to L4 was complicated by @entity5925 . RESULTS: After an unremarkable surgery, this @entity1 was hemodynamically unstable when transferred from the operating table to the supine position and required aggressive treatment of severe @entity5925 , which has not previously been reported in this setting. CONCLUSION: @entity1 undergoing lumbar spine surgery require decompression of the abdomen, and in this case, a Jackson table was used. Unfortunately, his abdominal girth, even on a Jackson table, was not fully decompressed and resulted in this complication. Further consideration should be given to modifications of positioning for morbidly @entity28 @entity1 .

XXXX in lumbar spine surgery: a case report.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'man'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese'] @entity9958 :: ('MESH:D009212', 'Disease') :: ['myoglobinuria'] @entity5925 :: ('MESH:D012206', 'Disease') :: ['rhabdomyolysis', 'Rhabdomyolysis'] @entity1017 :: ('MESH:D015430', 'Disease') :: ['weight gain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['lumbar pain'] @entity1162 :: ('MESH:D008133', 'Disease') :: ['prolonged muscle compression'] @entity925 :: ('MESH:D063806', 'Disease') :: ['muscle pain']
@entity5925 :: (MESH:D012206,Disease) :: ['Rhabdomyolysis']
