Acute traumatic cervical spinal cord injury in a third-trimester pregnant female with good maternal and fetal outcome: a case report and literature review

Spinal Cord Series and Cases, 2018 · DOI: 10.1038/s41394-018-0127-y · Published: October 7, 2018

Spinal Cord Injury Women's Health Research Methodology & Design

Simple Explanation

This case report discusses the successful management of a pregnant woman in her third trimester who suffered a traumatic cervical spinal cord injury. The patient underwent surgery to stabilize her spine, and her pregnancy was carefully managed to ensure the health of both mother and baby. The report highlights the importance of a multidisciplinary team approach and timely surgical intervention followed by rehabilitation for positive outcomes.

Study Duration

12 Months

Participants

One pregnant female

Evidence Level

Level 4, Case Report and Literature Review

Key Findings

1
Early surgical stabilization of the spine, followed by comprehensive rehabilitation, can lead to good maternal and fetal outcomes in third-trimester pregnancy with traumatic cervical SCI.
2
A multidisciplinary team, including anesthetist, obstetrician, neonatologist, spine surgeon, and physiatrist, is crucial for successful management.
3
Modifications to standard SCI and obstetric protocols are necessary to address the unique challenges of this situation.

Research Summary

This case report presents the successful management of a 30-year-old pregnant woman who sustained a traumatic cervical spinal cord injury in her third trimester. The patient underwent anterior cervical discectomy and fusion (ACDF) and delivered a healthy baby via cesarean section at 36 weeks. The report emphasizes the importance of a multidisciplinary approach, timely surgical stabilization, and early rehabilitation for optimal outcomes.

Practical Implications

Multidisciplinary Care

Highlights the necessity of a collaborative team including spine surgeons, obstetricians, neonatologists, anesthesiologists and rehabilitation specialists for managing SCI in pregnant women.

Surgical Intervention

Supports early surgical stabilization in pregnant women with SCI to improve maternal neurological outcomes without necessarily compromising fetal health.

Individualized Treatment

Emphasizes the need to tailor treatment plans considering gestational age, neurological status, and maternal-fetal risks, involving the patient in informed decision-making.

Study Limitations

1
Single case report limits generalizability.
2
Paucity of existing literature on this specific condition.
3
Outcomes may vary based on the severity of the injury and individual patient factors.

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