LUMBAR-DISK DISEASE IN PREGNANCY

Background: Lumbar disk herniation is rare in pregnancy. We report on three pregnant women with this disorder seen over 2 years. Cases: Thre e women were seen with progressive back pain, paresthesias, and urinar y retention. In all three cases, magnetic resonance imaging confirmed the diagnosis. All failed conservative treatment and required surgery. All did well postoperatively, with improvement of symptoms and delive ry at or near term. Conclusion: Lumbar disk herniation should be consi dered in pregnant women presenting with considerable back or leg pain. Magnetic resonance imaging is a useful diagnostic tool. Most patients can be treated conservatively, but those with incapacitating pain, pr ogressive neurologic deficits, or bowel or bladder dysfunction may req uire surgical treatment. (C) 1997 by The American College of Obstetric ians and Gynecologists.