Article
Neurosurgical interventions for spinal disorders during pregnancy
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Published: | June 9, 2017 |
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Outline
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Objective: Low back pain is a common complaint during pregnancy. There are certain disorders, however, with including disc herniation, intraspinal tumors and spontaneous spinal epidural haematoma which require special attention. Here, we present our experience in the surgical management of spinal pathologies during pregnancy.
Methods: Data of pregnant women who underwent surgery for spinal pathologies within the period from 2005–2015 were collected and analysed.
Results: Ten pregnant women presented in the spinal emergencies and underwent spine surgery within the study period. Maternal mean age was 31.5 years. Six women presented with lumbar disc herniation, two patients suffered from thoracic or lumbar arachnoid cyst and two other patients suffered from thoracic spinal cord cavernoma and large thoracic neurinoma. Mean gestational age at the time of emergency presentation was 25.6 weeks. Cesarean section was the mode of delivery in all patients which resulted in nine live-born foetuses. Development of the infants was unremarkable.
Conclusion: Surgical procedure, either alone or in combination with complementary procedures, ensures good maternal neurological recovery and fetus survival. It is a challenge in team work and interdisciplinary management between all parties concerned in the patient's care.