Medial XXXX of the foot: an unusual complication of spine surgery.

@entity1 @entity39 @entity1514 @entity6058 @entity2112 @entity2054 @entity158
STUDY DESIGN: Descriptive case report. OBJECTIVES: To report the case of a @entity1 with medial @entity2054 of the foot following posterior spinal instrumentation and fusion. SUMMARY OF BACKGROUND DATA: No previous study has reported medial @entity2054 of the foot following spinal surgery. METHODS: A 15-year-old female with progressive @entity2112 was taken for posterior instrumentation and fusion. The @entity1 had a history of severe postexertional cramping in the feet following athletics. Surgery progressed uneventfully and the @entity1 was continuously monitored with somatosensory-evoked potentials, which showed no changes. In the recovery room, the @entity1 complained of severe cramping in one foot that was similar to her postexertional cramping. This was lessened with massage and @entity6058 . Soreness continued in the foot into postoperative day one and then increased overnight. On the morning of postoperative day 2, pressure in the medial compartment was found to be 97 mm Hg and she was taken for fasciotomy, which found @entity39 of the abductor hallucis muscle, and all other compartments of the foot were normal. RESULTS: At the 6-month follow-up, the @entity1 is doing well with no known sequelae. CONCLUSION: This was a very rare case of medial @entity2054 of the foot following spine surgery. We believe that the @entity1 had a predisposition, whether neurologic or vascular, toward cramping in the foot and that this activity was stimulated by the nerve stimulation during the evoked potential monitoring. Although the @entity1 had @entity1514 epidural analgesia after surgery, it was not felt to have contributed to the development or result of the @entity2054 . We strongly advocate for checking @entity1 feet and legs during surgery for overactivity and stress the need for a high index of suspicion for @entity2054 for @entity158 after surgery.
