Spinal Cord Injury and Pregnancy

Fracture-Dislocation of the Thoracic Spine During Second Trimester of Pregnancy: Case Report and Literature Review

“…Only two case reports on spinal fractures with spinal cord injuries that were treated surgically during pregnancy are available in the literature. In both of those cases, the fracture occurred in the thoracic segment and the pregnancies were concluded with the birth of healthy children 1 , 3 . In the case described by Paonessa and Fernand (3) , a patient in her 22 nd week of pregnancy underwent reduction of fracturing and dislocation at T7-T8 and arthrodesis, by means of a posterior route, using Harri-Luque instruments.…”

“…In both of those cases, the fracture occurred in the thoracic segment and the pregnancies were concluded with the birth of healthy children 1 , 3 . In the case described by Paonessa and Fernand (3) , a patient in her 22 nd week of pregnancy underwent reduction of fracturing and dislocation at T7-T8 and arthrodesis, by means of a posterior route, using Harri-Luque instruments. The patient evolved with spontaneous premature breakage of the membranes (in the 34 th week), and a cesarean delivery was then performed.…”

“…Spinal fractures associated with spinal cord injuries rarely affect pregnant patients 1 , 2 , 3 , 4 , 5 , 6 . When such events occur in this population, this generally leads to early termination of the pregnancy, with an unviable fetus.…”

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

“…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) .…”

Thoracolumbar distraction fractures in advanced pregnancy: a contribution of two case reports

“…The main issues tackled are maternal and fetal mortality and morbidity [1, 5, 11-13, 15, 20, 21]. The pertinent orthopedic literature contains only a number of articles on spinal fractures and spinal cord injuries during pregnancy [16,17], with none on the specific topic of flexion-distraction injuries of the thoracolumbar spine in pregnant women.…”