Korean J Spine.  2014 Dec;11(4):238-240. 10.14245/kjs.2014.11.4.238.

Fatal Rhabdomyolysis following Spine Surgery in a Morbidly Obese Patient: A Case Report

• Jung SH
• Kim SW
• Kim DM
• Ju CI

• KMID: 1738750
• DOI: http://doi.org/10.14245/kjs.2014.11.4.238

Abstract

We generally believe that obese patients are faced on higher risk of developing perioperative complications. Rhabdomyolysis is a rare but potentially life-threatening condition caused by the release of injured skeletal muscle components into the circulation. It usually results from mechanical damage to the muscle, intoxication, or a postictal state after a seizure. In the present study, we have reported a rare case of rhabdomyolysis developing in a morbidly obese patient after upper thoracic spinal fusion surgery. We have found acute renal failure that evolved during the course of treatment resulted in a fatal outcome even though the patient received intensive supportive care. Our experience suggests that this rare complication should be considered in morbidly obese patients and those efforts should be made to avoid rhabdomyolysis.

Keyword

Spine; Rhabdomyolysis; Obesity

MeSH Terms

Acute Kidney Injury
Fatal Outcome
Humans
Muscle, Skeletal
Obesity
Rhabdomyolysis*
Seizures
Spinal Fusion
Spine*