Diario de columna vertebral

Recurrent Lumbar Disc Herniation in Pregnant Patient: A Case Report

Abstract

Mehmet Resid Onen, Evren Yuvruk, Mehmet Erdem Akcay and Sait Naderi

Introduction: Lower back and leg pain are frequently seen pathologies in pregnancy. However, a small proportion of these complaints develop in association with lumbar disc hernias. Due to maternal and fetal factors, diagnosis and treatment during pregnancy has to be different than for non-pregnant patients.

Methods: A 36 year old, 28-week pregnant patient presented with ever-increasing pain in the right leg, lower back, and reduced power in the extensor hallucis longus. The patient had undergone surgery at another clinic about 2.5 years ago because of right L4-5 disc herniation. Therefore the patient was evaluated by lumbar magnetic resonance images [MRI]. The MRI determined the right L4-5 recurrent disc herniation.

Results: The patient underwent successful surgery in the lateral decubitus position under general anesthesia. No complications developed in mother or fetus.

Conclusion: Recurrent lumbar disc herniation during pregnancy has not been reported. A lumbar micro-discectomy procedure for a pregnant patient resulted in a successful clinical outcome.