Multidisciplinary management of cervical disc herniation in pregnancy: illustrative case.

Abstract

Background: Cervical disc herniation during pregnancy is a rare but clinically significant condition. While conservative management is generally preferred, progressive neurological symptoms may necessitate surgical intervention. When conservative management fails, a multidisciplinary approach is needed when considering surgical intervention to minimize risk to the mother and fetus.

Observations: The authors present the case of a woman in her mid-30s at 24 weeks of gestation, conceived via in vitro fertilization, who developed progressively worsening left C7 radiculopathy refractory to conservative therapies. After comprehensive multidisciplinary evaluation, she underwent successful anterior cervical discectomy and fusion with placement of a stand-alone interbody cage. Perioperative planning incorporated anesthetic modifications, fetal monitoring strategies, and minimization of radiation exposure. The patient experienced immediate postoperative relief, rapid functional recovery, and an uncomplicated pregnancy course.

Lessons: This case illustrates that elective spine surgery during pregnancy can be performed safely when medically indicated, particularly during the 2nd trimester. Meticulous multidisciplinary planning, surgical adaptations to minimize fetal risk, and individualized patient counseling are critical for optimizing maternal and fetal outcomes. This case emphasizes the importance of patient-centered care in managing spinal pathology during pregnancy. https://thejns.org/doi/10.3171/CASE25458.