Surgical management for lumbar disc herniation in pregnancy

被引:7
作者
Kapetanakis, S. [1 ]
Giovannopoulou, E. [2 ]
Blontzos, N. [2 ]
Kazakos, G. [3 ]
Givissis, P. [4 ]
机构
[1] Interbalkan European Med Ctr, Spine Dept & Deform, Thessaloniki 57001, Greece
[2] Metaxa Mem Canc Hosp, Dept Gynecol, Piraeus Attiki 18538, Greece
[3] Democritus Univ Thrace, Univ Hosp Alexandroupolis, Med Sch, Dept Orthopaed Surg, Alexandroupolis 68100, Greece
[4] Aristotle Univ Thessaloniki, G Papanikolaou Gen Hosp, Orthopaed Dept 1, Thessaloniki 57001, Greece
关键词
Lumbar disc hernia; Sciatica; Pregnancy; Microdiscectomy; Endoscopy; PERCUTANEOUS ENDOSCOPIC DISKECTOMY; CAUDA-EQUINA SYNDROME; LOW-BACK-PAIN; 3RD TRIMESTER; ANESTHETIC MANAGEMENT; INTERVERTEBRAL-DISK; CESAREAN DELIVERY; SURGERY; OPERATION; SCIATICA;
D O I
10.1016/j.jogoh.2017.09.009
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Lumbar disc herniation is a common surgical spine pathology that may be presented during pregnancy. The state of pregnancy complicates the diagnosis and therapeutical management of this entity. Specific considerations rule the decision for surgical intervention, the optimal timing of it and the type of selected procedure in a pregnant patient, due to the potential risks for the fetus. In the last 30 years, evolution in the field of spine surgery has provided options other than open standard discectomy. The well-established concept of "minimal intervention" has led to the development of microdiscectomy and other innovative, full-endoscopic techniques for lumbar discectomy. The aim of the present study is to review the surgical management of lumbar disc herniation in pregnancy and investigate the potential role of minimally invasive spine surgery in this specific population. (C) 2017 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:753 / 759
页数:7
相关论文
共 60 条
[1]   Lumbar discectomy in pregnancy [J].
Abou-Shameh, MA ;
Dosani, D ;
Gopal, S ;
McLaren, AG .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 92 (02) :167-169
[2]  
ACR Practice, 2008, GUID IM PREGN POT PR
[3]  
Al-Areibi A, 2007, CAN J ANAESTH, V54, P471, DOI 10.1007/BF03022034
[4]  
[Anonymous], 2014, INT J SPINE SURG, DOI DOI 10.14444/1028
[5]  
Ardaillon H, 2017, ACTA NEUROCHIR WIEN
[6]   Surgical discectomy for lumbar disc herniation: Surgical techniques [J].
Blamoutier, A. .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2013, 99 (01) :S187-S196
[7]  
Bnggs GG, DRUGS PREGNANCY LACT
[8]   Maternal treatment with opioid analgesics and risk for birth defects [J].
Broussard, Cheryl S. ;
Rasmussen, Sonja A. ;
Reefhuis, Jennita ;
Friedman, Jan M. ;
Jann, Michael W. ;
Riehle-Colarusso, Tiffany ;
Honein, Margaret A. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2011, 204 (04) :314.e1-314.e11
[9]   Surgery for lumbar disc herniation during pregnancy [J].
Brown, MD ;
Levi, ADO .
SPINE, 2001, 26 (04) :440-443
[10]  
Caspar W., 1977, Adv. Neurosurg, V4, P74