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Related Experiment Video

Updated: May 24, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Lumbar plexopathy after radical nephrectomy -A case report-.

Young-Bok Lee1, Eui-Kyun Jeong, Jong Taek Park

  • 1Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

Korean Journal of Anesthesiology
|March 2, 2012
PubMed
Summary

This case report details lumbar plexopathy, a condition causing lower extremity weakness and sensory loss. It complicated surgery due to prolonged muscle compression in a specific position.

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Area of Science:

  • Neurosurgery
  • Orthopedics
  • Musculoskeletal Medicine

Background:

  • Lumbar plexopathy presents with sudden sensory loss, weakness, and reflex changes in the lower limbs.
  • Causes include trauma, infection, tumors, vascular, metabolic, and drug-related factors.
  • Postoperative rhabdomyolysis can arise from prolonged muscle compression during surgery.

Purpose of the Study:

  • To report a rare case of lumbar plexopathy.
  • To highlight injury to paraspinal and iliopsoas muscles.
  • To associate this with the flexed lateral decubitus position after radical nephrectomy.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and surgical positioning.
  • Analysis of potential muscle injury mechanisms.
Keywords:
Lateral decubitus positionLumbar plexopathyNephrectomyRhabdomyolysis

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Main Results:

  • A patient developed lumbar plexopathy following radical nephrectomy.
  • The condition was linked to injury of the paraspinal and iliopsoas muscles.
  • Prolonged muscle compression in the flexed lateral decubitus position was implicated.

Conclusions:

  • Surgical positioning can lead to lumbar plexopathy and muscle injury.
  • Awareness of this complication is crucial for surgeons.
  • Further investigation into positional risks in surgery is warranted.