Pregnancy and spinal problems

Han, Inho

doi:10.1097/gco.0b013e3283404ea1

Cited by 59 publications

(50 citation statements)

References 36 publications

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“…Most authors have advocated that the surgery should be performed as early as possible, provided that the patient's clinical state allows this approach, since this increases the chances of neurological recovery (20,21) . The presence of ongoing pregnancy is not a contraindication for surgical treatment of injuries of this type in the spine (1,3,(22)(23)(24) . Our patient Based on data from the Health Physics Society (27) .…”

Section: Discussionmentioning

confidence: 99%

“…Only two case reports on spinal fractures with spinal cord injuries that were treated surgically during pregnancy suffered fracturing and dislocation at T4-T5, which was classified as type C3 in accordance with Magerl et al (25) , and underwent surgical treatment 11 hours after the trauma. We chose to use a posterior route for reduction, decompression and fixation with pedicle screws, which provided adequate stability for treating these injuries (24,26) , with low morbidity. Exposure of pregnant women to ionizing radiation may cause a variety of problems in the fetus.…”

Section: Discussionmentioning

confidence: 99%

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Fratura-luxação da coluna torácica durante segundo trimestre da gestação: relato de caso e revisão da literatura

Gotfryd¹,

Franzin²,

Poletto³

et al. 2012

Rev. bras. ortop.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fratura-luxação da coluna torácica durante segundo trimestre da gestação: relato de caso e revisão da literatura

Gotfryd¹,

Franzin²,

Poletto³

et al. 2012

Rev. bras. ortop.

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“…Absolute indications for surgery are cauda equina syndrome, and progressive loss of strength. In case of persistence of pain despite conservative medications, surgery is still an option (11,12,27) . Resistant back pain might trigger preterm delivery due to overstress (13,26) .…”

Section: Dıscussıonmentioning

confidence: 99%

“…F ifty percent of the pregnant women experience back pain (12,21) during pregnancy. Nevertheless the incidence of lumbar disc herniation is very rare (1/10000) during pregnancy excepting preexisting hernias.…”

mentioning

confidence: 99%

Surgical approach to lumbar disc herniation in pregnant women

Kıbıcı¹,

Kaya²,

Cücü

et al. 2015

sscd

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Objective: Our aim is to emphasize the importance of surgery along with the route of anesthesia and positioning of the patient during surgery when treating pregnant patients who present with progressive neurologic deficit and pain due to lomber disc herniation. Material and Method: Patients in this study were already followed up by our obstetric department. After a conservative medical approach with analgesics, symptoms did not resolve and contrarily worsened progressively so they were referred to neurosurgery department. Three pregnant patients with lomber disc herniation were operated during pregnancy. Two of the three patients presented in their second (n=2) or first trimester (n=1) of their pregnancies. Indications for surgery involved cauda equina syndrome, progressive loss of muscle strength and pain resistant to conservative medical treatment. Two of the three patients presented with primary herniation and the third patient had a recurrent herniation. All of the three patients were requested to sign an informed consent form. Results: Three pregnant patients were operated due to lumbar disc herniation and all the signs and symptoms of herniation resolved soon after surgery. conclusion: Surgical repair of lumbar herniation under spinal anesthesia is safe surgical treatment of choice in pregnant patients which prevents development of permanent neurological deficit and preterm delivery triggered by pain. Key words: Pregnancy, lomber disc herniation, microdiscectomy J Nervous Sys Surgery 2014; 4(3):127-133 Gebelerde Lomber Disk Hernisine Cerrahi YaklaşımAmaç: Gebelerde şiddetli ağrı ve nörolojik defisit nedeniyle cerrahi endikasyonu olan lomber disk hernisi olgularında uygulanacak anesteziyi, hasta pozisyonunu ve cerrahi yöntemin önemini vurgulamak istedik. Gereç ve yöntem: Çalışmadaki olgular kadın-doğum kliniğince takip edilmekteydi. Analjeziklerle ve konservatif tedaviye rağmen, semptomları düzelmeyen veya ilerleyen olgular nöroşirürji kliniğine sevk edildi. Lomber disk hernisi saptanan 3 olgu opere edildi. İki olgumuz, 3. trimesterde, 1 olgumuz ise 1. trimesterdeydi. Ameliyat için kesin endikasyonlarımız, kauda equina sendromu, ilerleyici motor güç kaybı ve konservatif tedaviye yanıt vermeyen ağrıydı. Opere edilen 3 olgumuzdan 2'si primer, 1'i ise nüks olguydu. Tüm olgularımıza spinal anestezi uygulandı. bulgular: Lomber disk hernisi nedeniyle opere edilen 3 olguda da semptom ve bulguların tamamı ameliyat sonrası düzeldi. Sonuç: Gebelerde lomber disk hernisinin spinal anestezi ile ameliyatı güvenli bir yöntemdir. Cerrahi, ağrı nedeniyle erken doğum riskini ortadan kaldırmak ve kalıcı nörolojik defisitleri önlemek için tercih edilecek tedavidir.

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“…Pregnancy in some way predisposes to the development of a lumbar disc protrusion. 1 Most commonly occur in the lumbar spine and cervical spine, less commonly, they occur in thoracic spine.…”

Section: Introductionmentioning

confidence: 99%