SURGICAL TREATMENT OF LUMBAR DISC HERNIATION IN PREGNANT WOMEN: REPORT OF TWO CASES AND A SYSTEMATIC REVIEW

ABSTRACT Objective: To review the surgical treatment of lumbar disc herniation in pregnancy. Methods: We systematically reviewed cases of surgical treatment of pregnant patients with lumbar IVD herniations in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. We searched on electronic databases, including PubMed, Scopus, and Google Scholar, to find relevant articles by keywords. Results: A literature review of 42 cases is presented. Conclusions: The authors’ own data and the literature data demonstrate that decompression surgery in pregnancy is effective and safe for both mother and fetus; however, radical surgery (fusion) can lead to very adverse sequelae for the fetus. Level of Evidence III; Systematic reviewb of Level III studies.

摘要 研究目的：系统回顾妊娠期腰椎间盘突出症的外科治疗方案。研究方法：本研究严格遵循《Cochrane干预系统评价手册》（Cochrane Handbook for Systematic Reviews of Interventions）的规范，对妊娠期腰椎间盘突出症患者的外科治疗病例开展系统评价。通过关键词检索PubMed、Scopus、Google Scholar等电子数据库，以获取相关研究文献。研究结果：本研究共纳入42例病例进行文献综述分析。研究结论：结合本研究自有数据与既往文献资料，妊娠期行减压手术对母体与胎儿均安全有效；但根治性融合手术可能会对胎儿造成严重不良后遗症。本研究证据等级为III级，属于针对III级证据的系统评价。