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Related Experiment Video

Updated: Aug 23, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

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Open Sciatic Nerve Decompression for Compartment Syndrome after Prolonged Lithotomy Position: A Case Report.

Se-Hwan Lee1,2, Hong-Pil Hwang3, Sun-Jung Yoon1,2

  • 1Department of Orthopedic Surgery, Jeonbuk National University Medical School, Jeonju 54907, Korea.

Medicina (Kaunas, Lithuania)
|October 27, 2022
PubMed
Summary

Compartment syndrome causing sciatic neuropathy after prolonged lithotomy surgery is rare. Early surgical decompression effectively treated this condition, improving motor function and reducing pain.

Keywords:
case reportcompartment syndromecompressive neuropathylithotomy positionsciatic nerve

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Area of Science:

  • Neurology
  • Surgical Innovation
  • Medical Case Study

Background:

  • Compressive nerve injuries are common complications of the lithotomy position during surgery.
  • Sciatic neuropathy resulting from compartment syndrome after prolonged lithotomy is a rare occurrence, often leading to misdiagnosis.

Observation:

  • A 56-year-old male developed left leg paresthesia and motor deficits after a 16-hour surgery in the lithotomy position.
  • Physical examination revealed severe pain and weakness in ankle and toe movement (grade 1).
  • Imaging confirmed ischemic changes and sciatic nerve compression by a well-leg holder in the distal thigh.

Findings:

  • Open decompression of the sciatic nerve and debridement of necrotic tissue were performed.
  • Immediate pain relief was observed post-surgery.
  • Significant improvement in motor function for ankle and toe dorsiflexion (grade 4) was noted.

Implications:

  • Early surgical intervention for confirmed sciatic nerve compression in lithotomy-induced compartment syndrome can minimize neurological deficits.
  • This case highlights the importance of considering surgical decompression when conservative treatments fail.
  • Prompt diagnosis and treatment are crucial for favorable outcomes in rare surgical complications.