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68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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Neurosurgical interventions for spinal disorders during pregnancy

Meeting Abstract

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  • Majid Esmaeilzadeh - Hannover, Deutschland
  • Bujung Hong - Hannover, Deutschland
  • Elvis J. Hermann - Hannover, Deutschland
  • Constantin von Kaisenberg - Hannover, Deutschland
  • Peter Hillemanns - Hannover, Deutschland
  • Joachim K. Krauss - Hannover, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocP 115

doi: 10.3205/17dgnc678, urn:nbn:de:0183-17dgnc6784

Published: June 9, 2017

© 2017 Esmaeilzadeh et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: Low back pain is a common complaint during pregnancy. There are certain disorders, however, with including disc herniation, intraspinal tumors and spontaneous spinal epidural haematoma which require special attention. Here, we present our experience in the surgical management of spinal pathologies during pregnancy.

Methods: Data of pregnant women who underwent surgery for spinal pathologies within the period from 2005–2015 were collected and analysed.

Results: Ten pregnant women presented in the spinal emergencies and underwent spine surgery within the study period. Maternal mean age was 31.5 years. Six women presented with lumbar disc herniation, two patients suffered from thoracic or lumbar arachnoid cyst and two other patients suffered from thoracic spinal cord cavernoma and large thoracic neurinoma. Mean gestational age at the time of emergency presentation was 25.6 weeks. Cesarean section was the mode of delivery in all patients which resulted in nine live-born foetuses. Development of the infants was unremarkable.

Conclusion: Surgical procedure, either alone or in combination with complementary procedures, ensures good maternal neurological recovery and fetus survival. It is a challenge in team work and interdisciplinary management between all parties concerned in the patient's care.