Lumbar paraspinal compartment syndrome with concomitant rhabdomyolysis and multifidus necrosis

The authors investigate the challenges in diagnosing acute lumbar paraspinal compartment syndrome, particularly in cases that may initially appear as benign muscle strain. They present a case of a 29-year-old male who developed severe pain and rhabdomyolysis after a football game, ultimately requiring surgical intervention that revealed multifidus necrosis. This case underscores the importance of recognizing critical symptoms such as disproportionate pain and unexplained rhabdomyolysis to prevent serious complications.