{"id":"16f6091d-ace8-496b-aa2e-03e438cf9c51","slug":"management-of-symptomatic-disc-herniation-in-pregnancy-a-case-report-and-literature-review","title":"Management of symptomatic disc herniation in pregnancy: A case report and literature review","authors":["Rida Mitha","Syed Faisal Nadeem","Syed Sarmad Bukhari","Shahzad M. Shamim"],"abstract":"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.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/16f6091d-ace8-496b-aa2e-03e438cf9c51/featured/hero-1781562451571.png","publishDate":"2021-05-10T00:00:00.000Z","doi":"10.25259/SNI_907_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/05/10798/SNI-12-215.pdf"}