{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:07:30Z","timestamp":1790356050144,"version":"4.1.0"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nLower back pain with radiculopathy due to a disc herniation occurs in about 0.01% of pregnant females. Surgical intervention is seldom required unless there is intractable pain, and for a significant neurological deficit. Further, the use of intraoperative ionizing radiation may adversely affect the developing fetus.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 25-year-old female, 17-weeks pregnant, presented with right lower extremity sciatica due to a L4-5 unilateral disc herniation. She underwent a microdiscectomy that required just one intraoperative C-arm fluoroscopic image. Postoperatively, her leg pain resolved, and she delivered a healthy baby at term.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nUsing single-image C-arm fluoroscopy in a pregnant female undergoing an emergent lumbar discectomy, employing as low as reasonably achievable\/shielding, did not adversely impact the developing fetus.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_907_2020","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T04:52:40Z","timestamp":1620622360000},"page":"215","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management of symptomatic disc herniation in pregnancy: A case report and literature review"],"prefix":"10.25259","volume":"12","author":[{"given":"Rida","family":"Mitha","sequence":"first","affiliation":[{"name":"Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Faisal","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Medical College, Aga Khan University, Karachi, Sindh, Pakistan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Sarmad","family":"Bukhari","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahzad M.","family":"Shamim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"10.25259\/SNI_907_2020\/ref-1","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1097\/AOG.0b013e31820eede9","article-title":"ACOG committee opinion No. 474: Nonobstetric surgery during pregnancy","volume":"117","year":"2011","journal-title":"Obstet Gynecol"},{"key":"10.25259\/SNI_907_2020\/ref-2","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1007\/s00701-017-3098-z","article-title":"Lumbar disk herniation during pregnancy: A review on general management and timing of surgery","volume":"160","author":"Ardaillon","year":"2018","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_907_2020\/ref-3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/0090-3019(94)90393-X","article-title":"Observations on spontaneous recovery from intervertebral disc herniation","volume":"42","author":"Fager","year":"1994","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_907_2020\/ref-4","first-page":"322","article-title":"Etiology of ill-health in children born after maternal pelvic irradiation. II. Defective children born after postconception pelvic irradiation","volume":"22","author":"Goldstein","year":"1929","journal-title":"AJR Am J Roentgenol"},{"key":"10.25259\/SNI_907_2020\/ref-5","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00586-015-4222-5","article-title":"Intraoperative spine ultrasound: Application and benefits","volume":"25","author":"Harel","year":"2016","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_907_2020\/ref-6","first-page":"319","article-title":"Pregnancy and the herniated lumbar disc","volume":"64","author":"LaBan","year":"1983","journal-title":"Arch Phys Med Rehabil"},{"key":"10.25259\/SNI_907_2020\/ref-7","first-page":"4","article-title":"Fetal risk in diagnostic radiology","volume-title":"Seminars in Ultrasound, CT and MRI","volume":"33","author":"Nguyen","year":"2012"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/management-of-symptomatic-disc-herniation-in-pregnancy-a-case-report-and-literature-review","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-of-symptomatic-disc-herniation-in-pregnancy-a-case-report-and-literature-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T07:49:39Z","timestamp":1643183379000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-of-symptomatic-disc-herniation-in-pregnancy-a-case-report-and-literature-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,10]]},"references-count":7,"alternative-id":["10.25259\/SNI_907_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_907_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,10]]},"article-number":"215"}}