TRATAMENTO CIRúRGICO DA HéRNIA DE DISCO LOMBAR EM GESTANTES: RELATO DE DOIS CASOS E REVIS?O SISTEMáTICATRATAMIENTO QUIRúRGICO DE LA HERNIA DISCAL LUMBAR EN EMBARAZADAS: INFORME DE DOIS CASOS Y REVISIóN SISTEMáTICA

摘要

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 review b of Level III studies.