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Updated: Jul 5, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
[Lower limb compartment syndrome subsequent to surgery in the lithotomy position]
Peter-Martin Krarup1, Yazan F Rawashdeh
1Sydvestjysk Sygehus, Kirurgisk Klinik, Esbjerg, DK-6700 Esbjerg. krarup@ki.au.dk
Abstract:
Lower limb compartment syndrome after prolonged surgery in the lithotomy position is a rare but devastating complication which is termed well leg compartment syndrome (WLCS). The pathogenesis comprises increase in intracompartmental pressure and hypoperfusion, resulting in ischemia and necrosis. By reviewing the PubMed database we found 38 case reports with a total of 58 patients who developed WLCS. Every surgeon should know WLCS as early diagnosis and treatment is essential to avoid severe permanent disability.
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