{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:01:07Z","timestamp":1790319667853,"version":"4.1.0"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Lumbar disc herniation requiring surgical intervention during pregnancy is rare, particularly during the first trimester. Here, we highlight the pros and cons of performing a microdiscectomy (MD) during the first trimester for a pregnant 27-year-old female.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 27-year-old pregnant female in her first trimester presented with a progressive right foot drop secondary to an L5\u2013S1 disc herniation. After failing 6 weeks of conservative management, she underwent right L5\u2013S1 MD under general anesthesia in the prone position. Maternal hemodynamic stability was maintained throughout the procedure, and fluoroscopy was limited to a single image. Postoperatively, motor strength improved with rehabilitation, and she subsequently delivered a healthy full-term infant without obstetric or neonatal complications.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Medically and neurosurgically indicated lumbar MD should be appropriately performed in patients in their first trimester of pregnancy.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_872_2026","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:50:30Z","timestamp":1790319030000},"page":"546","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lumbar microdiscectomy during first trimester of pregnancy: Surgical, anesthetic, and radiation considerations with review of reported cases"],"prefix":"10.25259","volume":"17","author":[{"given":"Zara","family":"Ismail","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehar","family":"Masroor","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Salar","sequence":"additional","affiliation":[{"name":"Medical College Student, Frontier Medical and Dental College, Abbottabad, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saqib Kamran","family":"Bakhshi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"10.25259\/SNI_872_2026\/ref-1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1097\/BSD.0000000000000886","article-title":"Management of herniated lumbar disk disease and cauda equina syndrome in pregnancy","volume":"32","author":"Ahern","year":"2019","journal-title":"Clin Spine Surg"},{"key":"10.25259\/SNI_872_2026\/ref-2","doi-asserted-by":"crossref","first-page":"e285","DOI":"10.1097\/AOG.0000000000003174","article-title":"ACOG Committee Opinion no. 775. Nonobstetric Surgery During Pregnancy","volume":"133","author":"American College of Obstetricians and Gynecologists","year":"2019","journal-title":"Obstet Gynecol"},{"key":"10.25259\/SNI_872_2026\/ref-3","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.wneu.2020.02.044","article-title":"Positioning issues of spinal surgery during pregnancy","volume":"138","author":"Bongetta","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_872_2026\/ref-4","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s00586-021-06726-2","article-title":"Spine surgery in pregnant women: A multicenter case series and proposition of treatment algorithm","volume":"30","author":"Butenschoen","year":"2021","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_872_2026\/ref-5","first-page":"e20241","article-title":"Microdiscectomy under local anesthesia and spinal block in a pregnant female","volume":"13","author":"Babici","year":"2021","journal-title":"Cureus"},{"key":"10.25259\/SNI_872_2026\/ref-6","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.bjae.2022.12.001","article-title":"Anaesthesia for non-obstetric surgery during pregnancy","volume":"23","author":"Brakke","year":"2023","journal-title":"BJA Educ"},{"key":"10.25259\/SNI_872_2026\/ref-7","first-page":"63","article-title":"The cauda equina syndrome in pregnant woman with a massive disc herniation","volume":"61","author":"Capitan","year":"2017","journal-title":"Rev Esp Cir Ortop Traumatol"},{"key":"10.25259\/SNI_872_2026\/ref-8","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/S0029-7844(97)81422-6","article-title":"Lumbar disk disease in pregnancy","volume":"89","author":"Garmel","year":"1997","journal-title":"Obstet Gynecol"},{"key":"10.25259\/SNI_872_2026\/ref-9","doi-asserted-by":"crossref","first-page":"E614","DOI":"10.1097\/BRS.0b013e31817c6c7d","article-title":"Clinical approach and surgical strategy for spinal diseases in pregnant women: A report of ten cases","volume":"33","author":"Han","year":"2008","journal-title":"Spine"},{"key":"10.25259\/SNI_872_2026\/ref-10","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.jogoh.2017.09.009","article-title":"Surgical management for lumbar disc herniation in pregnancy","volume":"46","author":"Kapetanakis","year":"2017","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"10.25259\/SNI_872_2026\/ref-11","doi-asserted-by":"crossref","first-page":"215","DOI":"10.25259\/SNI_907_2020","article-title":"Management of symptomatic disc herniation in pregnancy: A case report and literature review","volume":"12","author":"Mitha","year":"2021","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_872_2026\/ref-12","doi-asserted-by":"crossref","first-page":"e0287804","DOI":"10.1371\/journal.pone.0287804","article-title":"The effect of prone positioning on maternal haemodynamics and fetal wellbeing in the third trimester-a primary cohort study with a scoping review","volume":"18","author":"Ormesher","year":"2023","journal-title":"PLoS One"},{"key":"10.25259\/SNI_872_2026\/ref-13","doi-asserted-by":"crossref","first-page":"261","DOI":"10.2176\/jns-nmc.2025-0038","article-title":"Lumbar disc herniation during pregnancy: A case report and literature review","volume":"12","author":"Takaishi","year":"2025","journal-title":"NMC Case Rep J"},{"key":"10.25259\/SNI_872_2026\/ref-14","article-title":"Radiation exposure in pregnancy","volume-title":"StatPearls","author":"Yoon","year":"2023"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/lumbar-microdiscectomy-during-first-trimester-of-pregnancy-surgical-anesthetic-and-radiation-considerations-with-review-of-reported-cases\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/lumbar-microdiscectomy-during-first-trimester-of-pregnancy-surgical-anesthetic-and-radiation-considerations-with-review-of-reported-cases\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:50:33Z","timestamp":1790319033000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/lumbar-microdiscectomy-during-first-trimester-of-pregnancy-surgical-anesthetic-and-radiation-considerations-with-review-of-reported-cases\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":14,"alternative-id":["10.25259\/SNI_872_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_872_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"546"}}