Evidence map›Paper›PMID 42688858›Full record

ArticleCureus2026

Surgical Management of Lumbar Disc Herniation in Late Pregnancy Under General Anesthesia in the Prone Position: A Case Report.

Kohei Okuyama, Masahiro Inoue, Mai Shimizu, Saki Taiji, Sumihisa Orita, Kazuhide Inage, Yasuhiro Shiga, Shoko Yamagishi, Kyongsuk Son, Natsuko Nozaki-Taguchi and 1 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kohei OkuyamaOrthopaedic Surgery, Chiba University, Chiba, JPN.
Masahiro InoueOrthopaedic Surgery, Chiba University, Chiba, JPN.
Mai ShimizuAnaesthesiology, Chiba University, Chiba, JPN.
Saki TaijiAnaesthesiology, Chiba University, Chiba, JPN.
Sumihisa OritaOrthopaedic Surgery, Chiba University, Chiba, JPN.
Kazuhide InageOrthopaedic Surgery, Chiba University, Chiba, JPN.
Yasuhiro ShigaOrthopaedic Surgery, Chiba University, Chiba, JPN.
Shoko YamagishiAnaesthesiology, Funabashi Central Hospital, Funabashi, JPN.
Kyongsuk SonAnaesthesiology, Chiba University, Chiba, JPN.
Natsuko Nozaki-TaguchiAnaesthesiology, Chiba University, Chiba, JPN.
Seiji OhtoriOrthopaedic Surgery, Chiba University, Chiba, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Symptomatic lumbar disc herniation during pregnancy is rare, and surgery in the prone position during late pregnancy is challenging because of the risk of abdominal and aortocaval compression. A 42-year-old woman at 32 weeks of gestation presented with severe bilateral buttock pain, left radiculopathy, perineal sensory disturbance, and later bladder and bowel dysfunction due to L4-5 lumbar disc herniation. Emergency posterior lumbar discectomy was performed under general anesthesia in the prone position. A four-point support table combined with hammock-style abdominal suspension using elastic bandages and stockinettes allowed abdominal decompression and continuous cardiotocography monitoring. Her leg pain improved after emergence from anesthesia, and fetal status remained stable. She later delivered a healthy boy. Prone-position lumbar surgery may be considered in selected patients during late pregnancy when abdominal compression is avoided, fetal monitoring is maintained, and emergency obstetric intervention is available.

Indexed as

general anesthesialumbar discectomylumbar disc herniationpregnant patientprone position

Identifiers

PMID42688858
PMCPMC13537222

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.