Alexander J T, McCormick P C
Department of Neurological Surgery, Neurological Institute of New York, Columbia University, New York.
Neurosurg Clin N Am. 1993 Jan;4(1):153-9.
Low back pain is common during pregnancy and is of moderate or severe intensity in about one fourth of all pregnancies. The etiology is multifactorial but in most cases is related to the physical and physiologic changes brought about by pregnancy. For most women, the pain resolves spontaneously, although they remain at higher risk for increased LBP in future pregnancies and for the development of symptomatic disc disease in later life. Many of the common treatments for LBP are contraindicated or must be modified in this setting. Neurologically symptomatic herniated discs are rare during pregnancy, yet, when indicated, pregnant women can safely undergo surgery.
下背痛在孕期很常见,约四分之一的妊娠会出现中度或重度下背痛。其病因是多因素的,但在大多数情况下与妊娠带来的身体和生理变化有关。对大多数女性来说,疼痛会自行缓解,尽管她们在未来妊娠中发生下背痛加重以及在以后生活中出现症状性椎间盘疾病的风险仍然较高。在这种情况下,许多常见的下背痛治疗方法是禁忌的或必须加以调整。孕期出现神经症状的椎间盘突出很少见,然而,在有指征时,孕妇可安全接受手术。