Management of Herniated Lumbar Disk Disease and Cauda Equina Syndrome in Pregnancy.
Publication/Presentation Date
12-1-2019
Abstract
Lower back pain is a commonly reported symptom during pregnancy. However, herniated lumbar disk disease is an uncommon cause for such pain. Cauda equina syndrome (CES) during pregnancy is a rare clinical scenario. This review highlights the epidemiology, diagnostic and treatment strategies, and challenges encountered when managing herniated lumbar disk disease and CES in pregnancy. Magnetic resonance imaging is the diagnostic modality of choice. Nonoperative treatment strategies are successful in the vast majority of cases in patients with a herniated disk in the absence of CES. CES and progressive neurological deficits remain absolute indications for surgical intervention regardless of gestational age. For such patients or those with debilitating symptoms refractory to nonoperative treatment strategies, surgery has been demonstrated to be safe in the pregnant patient population. However, surgery should be performed with obstetric and midwifery support should complications occur to the fetus.
Volume
32
Issue
10
First Page
412
Last Page
416
ISSN
2380-0194
Published In/Presented At
Ahern, D. P., Gibbons, D., Johnson, G. P., Murphy, T. M., Schroeder, G. D., Vaccaro, A. R., & Butler, J. S. (2019). Management of Herniated Lumbar Disk Disease and Cauda Equina Syndrome in Pregnancy. Clinical spine surgery, 32(10), 412–416. https://doi.org/10.1097/BSD.0000000000000886
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31498273
Department(s)
Administration and Leadership
Document Type
Article