{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:27:11Z","timestamp":1782862031036,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T00:00:00Z","timestamp":1407283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case report.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this report is to discuss the management of a disk herniation during pregnancy and the indication and particularities of surgery in this situation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe a case of diskectomy performed in a 35-year-old woman at 18 weeks of gestation. After 4 weeks of trying to manage the disk herniation with rest and medications without success, the muscle strength of the L5 right root decreased to grade 4, and the patient was not responding to intravenous analgesia. After discussion with the patient and family, a decision was made to perform the diskectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After surgery, the patient's pain lessened, and the Lasegue test became negative. Two weeks after the procedure, the patient's muscle strength was normal. In the 40th week of pregnancy, the patient gave birth without any complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When necessary, diskectomy can be indicated and performed during pregnancy. However, appropriate precautions must be taken. Awareness of these precautions is important for the success of the procedure and for the well-being of the mother and the newborn.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1055\/s-0034-1387178","type":"journal-article","created":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T18:43:46Z","timestamp":1407350626000},"page":"130-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Diskectomy during Pregnancy: Case Report and Review of the Literature"],"prefix":"10.1177","volume":"5","author":[{"given":"Michel","family":"Kanas","sequence":"first","affiliation":[{"name":"Spine Group from Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Kunzle","sequence":"additional","affiliation":[{"name":"Spine Group from Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delio E.","family":"Martins","sequence":"additional","affiliation":[{"name":"Spine Group from Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz A.","family":"Kirsch","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Hospital Israelita Albert Einstein, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo B.","family":"Puertas","sequence":"additional","affiliation":[{"name":"Spine Group from Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Wajchenberg","sequence":"additional","affiliation":[{"name":"Spine Group from Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,8,6]]},"reference":[{"key":"bibr1-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200102150-00022"},{"key":"bibr2-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198705000-00011"},{"key":"bibr3-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70052-2"},{"issue":"7","key":"bibr4-s-0034-1387178","first-page":"319","volume":"64","author":"LaBan M M","year":"1983","journal-title":"Arch Phys Med Rehabil"},{"key":"bibr5-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31817c6c7d"},{"key":"bibr6-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80582-6"},{"key":"bibr7-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.7405"},{"key":"bibr8-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2323030830"},{"issue":"3","key":"bibr9-s-0034-1387178","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1097\/00006250-200409000-00053","volume":"104","author":"ACOG Committee on Obstetric Practice","year":"2004","journal-title":"Obstet Gynecol"},{"key":"bibr10-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.62.5"},{"key":"bibr11-s-0034-1387178","unstructured":"Miller R D Miller's Anesthesia. 7th ed Philadelphia, PA Churchill Livingstone Elsevier 2010"},{"key":"bibr12-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-05541-3.00017-X"},{"key":"bibr13-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-003-0199-z"},{"issue":"4","key":"bibr14-s-0034-1387178","first-page":"371","volume":"177","author":"Kort B","year":"1993","journal-title":"Surg Gynecol Obstet"},{"key":"bibr15-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(89)90659-5"},{"key":"bibr16-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2007.42.5.419"},{"key":"bibr17-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200409000-00023"},{"key":"bibr18-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3181ce0e07"},{"key":"bibr19-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90608-6"},{"key":"bibr20-s-0034-1387178","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420480103"},{"key":"bibr21-s-0034-1387178","unstructured":"Kulay LJr Medicamentos na gravidez e lacta\u00e7\u00e3o. 3rd ed S\u00e3o Paulo, Brazil Editora Manole 2012"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0034-1387178","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1055\/s-0034-1387178","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0034-1387178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:18:05Z","timestamp":1777447085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1055\/s-0034-1387178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,6]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1055\/s-0034-1387178"],"URL":"https:\/\/doi.org\/10.1055\/s-0034-1387178","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,6]]}}}