DOI QR코드

DOI QR Code

Prone Position-Related Meralgia Paresthetica after Lumbar Spinal Surgery : A Case Report and Review of the Literature

  • Cho, Keun-Tae (Department of Neurosurgery, Dongguk University College of Medicine, Dongguk University International Hospital) ;
  • Lee, Ho-Joon (Department of Rehabilitation, Dongguk University College of Medicine, Dongguk University International Hospital)
  • 발행 : 2008.12.31

초록

Lateral femoral cutaneous neuropathy occurring during spinal surgery is frequently related to iliac bone graft harvesting, but meralgia paresthetica (MP) can result from the patient being in the prone position. Prone position-related MP is not an uncommon complication after posterior spine surgery but there are only few reports in the literature on this subject. It is usually overlooked because of its mild symptoms and self-limiting course, or patients and physicians may misunderstand the persistence of lower extremity symptoms in the early postoperative period to be a reflection of poor surgical outcome. The authors report a case of prone position-related MP after posterior lumbar interbody fusion at the L3-4 and reviewed the literature with discussion on the incidence, pathogenesis, and possible risk factors related to this entity.

키워드

참고문헌

  1. Amoiridis G, Wöhrle J, Grunwald I, Przuntek H : Malignant tumour of the psoas : another cause of meralgia paraesthetica. Electromyogr Clin Neurophysiol 33 : 109-112, 1993
  2. Aszmann OC, Ebmer JM, Dellon AL : The anatomic basis for the innervated mylohyoid/digastric flap in facial reanimation. Plast Reconstr Surg 102 : 369-372, 1998 https://doi.org/10.1097/00006534-199808000-00010
  3. de Ridder VA, de Lange S, Popta JV : Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma 13 : 207-211, 1999 https://doi.org/10.1097/00005131-199903000-00009
  4. Dias Filho LC, Valença MM, Guimaräes Filho FA, Medeiros RC, Silva RA, Morais MG, et al : Lateral femoral cutaneous neuralgia : an anatomical insight. Clin Anat 16 : 309-316, 2003 https://doi.org/10.1002/ca.10106
  5. Gupta A, Muzumdar D, Ramani PS : Meralgia paraesthetica following lumbar spine surgery : a study in 110 consecutive surgically treated cases. Neurol India 52 : 64-66, 2004
  6. Lorei MP, Hershman EB : Peripheral nerve injuries in athletes. Treatment and prevention. Sports Med 16 : 130-147, 1993 https://doi.org/10.2165/00007256-199316020-00005
  7. Mirovsky Y, Neuwirth M : Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine 25 : 1266-1269, 2000 https://doi.org/10.1097/00007632-200005150-00011
  8. Murata Y, Takahashi K, Yamagata M, Shimada Y, Moriya H : The anatomy of the lateral femoral cutaneous nerve, with special reference to the harvesting of iliac bone graft. J Bone Joint Surg Am 82 : 746-747, 2000 https://doi.org/10.2106/00004623-200005000-00016
  9. Nouraei SA, Anand B, Spink G, O'Neill KS : A novel approach to the diagnosis and management of meralgia paresthetica. Neurosurgery 60 : 696-700; discussion 700, 2007 https://doi.org/10.1227/01.NEU.0000255392.69914.F7
  10. Rinkel GJ, Wokke JH : Meralgia paraesthetica as the first symptom of a metastatic tumor in the lumbar spine. Clin Neurol Neurosurg 92 : 365-367, 1990 https://doi.org/10.1016/0303-8467(90)90067-F
  11. Trummer M, Flaschka G, Unger F, Eustacchio S : Lumbar disc herniation mimicking meralgia paresthetica : case report. Surg Neurol 54 : 80-81, 2000 https://doi.org/10.1016/S0090-3019(00)00264-0
  12. WHO Expert Consultation : Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363 : 157-163, 2004 https://doi.org/10.1016/S0140-6736(03)15268-3
  13. Yang SH, Wu CC, Chen PQ : Postoperative meralgia paresthetica after posterior spine surgery : incidence, risk factors, and clinical outcomes. Spine 30 : E547-E550, 2005 https://doi.org/10.1097/01.brs.0000154648.53535.52

피인용 문헌

  1. Revisiting the Prone Position in Video-Assisted Thoracoscopic Surgery vol.18, pp.4, 2008, https://doi.org/10.1177/0218492310375857
  2. Meralgia paresthetica affecting parturient women who underwent cesarean section -A case report- vol.59, pp.suppl, 2008, https://doi.org/10.4097/kjae.2010.59.s.s86
  3. Complications in Spinal Deformity Surgery: Issues Unrelated Directly to Intraoperative Technical Skills vol.35, pp.25, 2010, https://doi.org/10.1097/brs.0b013e3181fd591f
  4. Lumbar spine surgery positioning complications: a systematic review vol.39, pp.4, 2008, https://doi.org/10.3171/2015.7.focus15268
  5. Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit vol.2016, pp.None, 2008, https://doi.org/10.1155/2016/7263201
  6. Prevalence and Predictors of Pressure Injuries From Spine Surgery in the Prone Position: Do Body Morphological Changes During Deformity Correction Increase the Risks? vol.42, pp.22, 2008, https://doi.org/10.1097/brs.0000000000002177
  7. Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report- vol.12, pp.1, 2017, https://doi.org/10.17085/apm.2017.12.1.81
  8. Surgical options for meralgia paresthetica: long-term outcomes in 13 cases vol.33, pp.2, 2019, https://doi.org/10.1080/02688697.2018.1538480
  9. Reducing Lateral Femoral Cutaneous Nerve Palsy in Obese Patients in the Beach Chair Position : Effect of a Standardized Positioning and Padding Protocol vol.27, pp.12, 2008, https://doi.org/10.5435/jaaos-d-17-00624
  10. Meralgia paresthetica: finding an effective cure vol.132, pp.1, 2008, https://doi.org/10.1080/00325481.2019.1673582
  11. Congenital Spinal Lipomatous Malformations. Part 1. Spinal Lipomas, Lipomyeloceles, and Lipomyelomeningoceles vol.39, pp.3, 2008, https://doi.org/10.1080/15513815.2019.1641859
  12. Critical biomechanical and clinical insights concerning tissue protection when positioning patients in the operating room: A scoping review vol.17, pp.5, 2008, https://doi.org/10.1111/iwj.13408
  13. Meralgia Paraesthetica after Prone Position Ventilation in a Patient with COVID-19 vol.7, pp.12, 2008, https://doi.org/10.12890/2020_002039
  14. Lessons from an ICU recovery clinic: two cases of meralgia paresthetica after prone positioning to treat COVID-19-associated ARDS and modification of unit practices vol.24, pp.None, 2008, https://doi.org/10.1186/s13054-020-03289-4
  15. Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery vol.11, pp.3, 2008, https://doi.org/10.3390/brainsci11030357
  16. Lateral femoral cutaneous neuropathy caused by prone positioning to treat COVID‐19‐associated acute respiratory distress syndrome vol.63, pp.6, 2008, https://doi.org/10.1002/mus.27202