Management of symptomatic disc herniation in pregnancy: A case report and literature review.
Ionizing radiation
Microdiscectomy
Pregnancy
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2021
2021
Historique:
received:
14
12
2020
accepted:
22
02
2021
entrez:
4
6
2021
pubmed:
5
6
2021
medline:
5
6
2021
Statut:
epublish
Résumé
Lower back pain with radiculopathy due to a disc herniation occurs in about 0.01% of pregnant females. Surgical intervention is seldom required unless there is intractable pain, and for a significant neurological deficit. Further, the use of intraoperative ionizing radiation may adversely affect the developing fetus. A 25-year-old female, 17-weeks pregnant, presented with right lower extremity sciatica due to a L4-5 unilateral disc herniation. She underwent a microdiscectomy that required just one intraoperative C-arm fluoroscopic image. Postoperatively, her leg pain resolved, and she delivered a healthy baby at term. Using single-image C-arm fluoroscopy in a pregnant female undergoing an emergent lumbar discectomy, employing as low as reasonably achievable/shielding, did not adversely impact the developing fetus.
Sections du résumé
BACKGROUND
BACKGROUND
Lower back pain with radiculopathy due to a disc herniation occurs in about 0.01% of pregnant females. Surgical intervention is seldom required unless there is intractable pain, and for a significant neurological deficit. Further, the use of intraoperative ionizing radiation may adversely affect the developing fetus.
CASE DESCRIPTION
METHODS
A 25-year-old female, 17-weeks pregnant, presented with right lower extremity sciatica due to a L4-5 unilateral disc herniation. She underwent a microdiscectomy that required just one intraoperative C-arm fluoroscopic image. Postoperatively, her leg pain resolved, and she delivered a healthy baby at term.
CONCLUSION
CONCLUSIONS
Using single-image C-arm fluoroscopy in a pregnant female undergoing an emergent lumbar discectomy, employing as low as reasonably achievable/shielding, did not adversely impact the developing fetus.
Identifiants
pubmed: 34084642
doi: 10.25259/SNI_907_2020
pii: 10.25259/SNI_907_2020
pmc: PMC8168682
doi:
Types de publication
Case Reports
Langues
eng
Pagination
215Informations de copyright
Copyright: © 2021 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Acta Neurochir (Wien). 2018 Jul;160(7):1361-1370
pubmed: 28144773
Semin Ultrasound CT MR. 2012 Feb;33(1):4-10
pubmed: 22264898
Arch Phys Med Rehabil. 1983 Jul;64(7):319-21
pubmed: 6222717
Eur Spine J. 2016 Mar;25(3):865-9
pubmed: 26342702
Obstet Gynecol. 2011 Feb;117(2 Pt 1):420-421
pubmed: 21252774
Surg Neurol. 1994 Oct;42(4):282-6
pubmed: 7974120