{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:32:26Z","timestamp":1790962346790,"version":"4.1.0"},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTuberculosis (TB)\/tuberculous spondylodiscitis of the spine causing paraplegia in the 2nd<\/jats:sup> trimester of pregnancy is rare and poses significant management dilemmas. Pregnancy, a relatively immunocompromised state with high hormonal levels, may prompt rapid TB destruction of a vertebral body resulting in an acute\/ profound neurological deficit. Here, a pregnant paraplegic mother was diagnosed with spondylodiscitis that warranted immediate decompression\/fusion to achieve neurological recovery.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 26-year-old female was 23 weeks pregnant when she presented with an acute spastic paraplegia (complete motor, sensory deficit, and sphincter loss). Operative decompression utilized a Versatile Approach along with a \u201cHartshill rectangle\u201d for fusion and sublaminar wiring. This procedure accomplished simultaneous anterior and posterior fixation with a single approach without the need for intraoperative radiologic imaging. Although the pregnancy was continued with an uneventful perioperative period, intra-uterine fetal demise was documented 1 month postoperatively. Within 18 postoperative months the patient was neurologically intact, and fusion was confirmed on a computed tomography scan.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nA 23-week pregnant female acutely became paraplegic due to T5 tuberculous spondylitis confirmed on an X-ray (only source of radiation), and magnetic resonance imaging. Following a decompression\/ instrumented fusion performed without fluoroscopic guidance, the patient regained full neurological function. However, 1 month postoperatively, the fetus spontaneously aborted.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_772_2020","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:41Z","timestamp":1609230281000},"page":"470","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Management dilemma of tuberculous paraplegia in pregnancy \u2013 A case report and review of literature"],"prefix":"10.25259","volume":"11","author":[{"given":"Sudhir","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Bhosale","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Seth G.S. Medical College and K.E.M Hospital, Mumbai, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandan","family":"Marathe","sequence":"additional","affiliation":[{"name":"Department of Spine Services, B. Toronto Western Hospital and Krembil Neuroscience Centre, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"10.25259\/SNI_772_2020\/ref-1","first-page":"146","article-title":"Infections","volume-title":"Williams Obstetrics","author":"Cunningham","year":"2001","edition":"21st ed"},{"key":"10.25259\/SNI_772_2020\/ref-2","first-page":"1039","article-title":"Pregnancy and lactation","volume-title":"Textbook of Medical Physiology","author":"Guyton","year":"1996","edition":"9th ed"},{"key":"10.25259\/SNI_772_2020\/ref-3","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1093\/cid\/cis732","article-title":"Tuberculosis in pregnant and postpartum women: Epidemiology, management, and research gaps","volume":"55","author":"Mathad","year":"2012","journal-title":"Clin Infect Dis"},{"key":"10.25259\/SNI_772_2020\/ref-4","doi-asserted-by":"crossref","first-page":"294","DOI":"10.4184\/asj.2017.11.2.294","article-title":"The versatile approach: A novel single incision combined with anterior and posterior approaches for decompression and instrumented fusion to treat tuberculosis of the thoracic spine","volume":"11","author":"Srivastava","year":"2017","journal-title":"Asian Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/management-dilemma-of-tuberculous-paraplegia-in-pregnancy-a-case-report-and-review-of-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-dilemma-of-tuberculous-paraplegia-in-pregnancy-a-case-report-and-review-of-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:43Z","timestamp":1609230283000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-dilemma-of-tuberculous-paraplegia-in-pregnancy-a-case-report-and-review-of-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,29]]},"references-count":4,"alternative-id":["10.25259\/SNI_772_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_772_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,29]]},"article-number":"470"}}