TY - JOUR
T1 - Management of symptomatic disc herniation in pregnancy
T2 - A case report and literature review
AU - Mitha, Rida
AU - Nadeem, Syed Faisal
AU - Bukhari, Syed Sarmad
AU - Shamim, Shahzad M.
N1 - Publisher Copyright:
© 2021 Scientific Scholar. All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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: 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: 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.
AB - 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: 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: 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.
KW - Ionizing radiation
KW - Microdiscectomy
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85105671661&partnerID=8YFLogxK
U2 - 10.25259/SNI_907_2020
DO - 10.25259/SNI_907_2020
M3 - Article
AN - SCOPUS:85105671661
SN - 2152-7806
VL - 12
JO - Surgical Neurology International
JF - Surgical Neurology International
M1 - 215
ER -