Evidence map›Paper›PMID 42829689›Full record

ArticleSurgical neurology international2026

Lumbar microdiscectomy during first trimester of pregnancy: Surgical, anesthetic, and radiation considerations with review of reported cases.

Zara Ismail, Mehar Masroor, Osama Salar, Saqib Kamran Bakhshi

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 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

4 authors.

Zara IsmailDepartment of Surgery, Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Mehar MasroorDepartment of Surgery, Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Osama SalarMedical College Student, Frontier Medical and Dental College, Abbottabad, Pakistan.
Saqib Kamran BakhshiDepartment of Neurosurgery, Aga Khan University, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lumbar disc herniation requiring surgical intervention during pregnancy is rare, particularly during the first trimester. Here, we highlight the pros and cons of performing a microdiscectomy (MD) during the first trimester for a pregnant 27-year-old female. Case Description: A 27-year-old pregnant female in her first trimester presented with a progressive right foot drop secondary to an L5-S1 disc herniation. After failing 6 weeks of conservative management, she underwent right L5-S1 MD under general anesthesia in the prone position. Maternal hemodynamic stability was maintained throughout the procedure, and fluoroscopy was limited to a single image. Postoperatively, motor strength improved with rehabilitation, and she subsequently delivered a healthy full-term infant without obstetric or neonatal complications. Conclusion: Medically and neurosurgically indicated lumbar MD should be appropriately performed in patients in their first trimester of pregnancy.

Indexed as

First trimesterFluoroscopyGeneral anesthesiaLumbar disc herniationLumbar microdiscectomy

Identifiers

PMID42829689
PMCPMC13633588

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.