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  4. Medical and surgical management of acute spinal injury during pregnancy: A case series in a third‑world country

Medical and surgical management of acute spinal injury during pregnancy: A case series in a third‑world country

Surgical Neurology International, 2018 · DOI: 10.4103/sni.sni_380_18 · Published: December 24, 2018

Spinal Cord InjurySurgeryWomen's Health

Simple Explanation

This study examines the treatment of spinal injuries in pregnant women, a rare and challenging situation. The authors reviewed five cases of pregnant women who experienced spinal trauma. Three of the women had spinal cord injuries requiring surgery, while the other two were treated without surgery. The study looks at the outcomes for both the mothers and their babies. The findings suggest that pregnant women with spinal injuries can be treated with similar surgical methods as non-pregnant patients. The study emphasizes the importance of careful monitoring and multifaceted treatment approaches.

Study Duration
16 months
Participants
Five pregnant women with traumatic spinal injuries
Evidence Level
Level 4: Case Series

Key Findings

  • 1
    Three patients with SCIs underwent surgical stabilization and had good obstetrical outcomes.
  • 2
    Two patients without neurological deficits were managed conservatively; one had a healthy child, but the other had an abortion due to the initial trauma.
  • 3
    The study demonstrates that similar surgical principles can be applied to pregnant women and routine SCI patients.

Research Summary

This study presents a case series of five pregnant women with traumatic spinal injuries, including three with spinal cord injuries (SCIs) who underwent surgical intervention. The results suggest that surgical stabilization can be safely performed in pregnant women with SCIs, leading to good obstetrical outcomes. The authors emphasize the need for multifaceted treatment options and close monitoring throughout the hospital stay of these patients.

Practical Implications

Surgical Management

Surgical stabilization can be considered a viable option for pregnant women with SCIs.

Multidisciplinary Approach

A multidisciplinary team is crucial for managing these complex cases.

Further Research

Further studies are needed to determine the optimal timing of surgical intervention.

Study Limitations

  • 1
    Small sample size of five patients
  • 2
    Retrospective study design
  • 3
    Limited generalizability due to the study's setting in a third-world country

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