Emergent spinal pathologies in late-term pregnancy
Souvik Roy1,2,3, Rida Mitha4, Raj Swaroop Lavadi4
1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Journal of Craniovertebral Junction & Spine
|March 10, 2025
Summary
Managing acute spinal pathology in late-term pregnancy requires careful consideration of anesthesia and positioning. This case series highlights successful emergent surgical interventions for conditions like epidural abscess and disc herniation, improving patient outcomes.
Area of Science:
- Neurosurgery
- Obstetrics
- Spinal Surgery
Background:
- Pregnancy alters spinal anatomy and physiology, complicating neurosurgical interventions.
- Intracranial pathology in pregnant patients is well-documented, but acute spinal pathology management is less understood.
Purpose of the Study:
- To discuss the management strategies for emergent spinal pathology in late-term pregnancy.
- To review case series of acute spinal pathologies during pregnancy.
Main Methods:
- Case series of four pregnant patients with acute spinal pathologies.
- Literature review to identify relevant themes and management strategies.
- Analysis of surgical interventions, anesthesia types, and patient positioning.
Main Results:
- Successful surgical management of epidural spinal needle fracture, epidural abscess, and acute disc herniation with symptom improvement.
- Nonoperative management for potential spine trauma.
- Identification of key factors: anesthesia, positioning, and operation sequencing.
Conclusions:
- Emergent surgical intervention for specific acute spinal pathologies in late-term pregnancy can be effective.
- Multidisciplinary input is crucial for optimizing management.
- Careful consideration of patient-specific factors ensures successful surgical outcomes.
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