Skip to main content
SpringerLink
Log in

Spinal Cord Injury

  • Chapter
  • First Online:
Consults in Obstetric Anesthesiology

  • 117 Accesses

Abstract

Spinal cord injury (SCI) places risks to pregnancy and delivery depending on the level of lesion. Autonomic dysreflexia (ADR), a characterized syndrome of SCI, results in severe hypertension. A multidisciplinary team must be involved in the management of these patients. Vaginal delivery is frequently performed in parturients with SCI below T6, and cesarean delivery appears to be increased in this population. ADR is a major concern for anesthetic management, and both neuraxial analgesia/anesthesia and general anesthesia can be effective and safe for delivery with inhibiting ADR under closely monitoring.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Vercauteren M, Waets P, Pitkänen M, FÖRSTER J. Neuraxial techniques in patients with pre-existing back impairment or prior spine interventions: a topical review with special reference to obstetrics. Acta Anaesthesiol Scand.; Blackwell Publishing Ltd. 2011;55(8):910–7.

    CAS  PubMed  Google Scholar 

  2. Signore C, Spong CY, Krotoski D, Shinowara NL, Blackwell SC. Pregnancy in women with physical disabilities. Obstet Gynecol. 2011;117(4):935–47.

    Article  Google Scholar 

  3. Hopkins AN, Alshaeri T, Akst SA, Berger JS. Neurologic disease with pregnancy and considerations for the obstetric anesthesiologist. Semin Perinatol. 2014;38(6):359–69.

    Article  Google Scholar 

  4. Pearce CF, Hansen WF. Headache and neurological disease in pregnancy. Clin Obstet Gynecol. 2012;55(3):810–28.

    Article  Google Scholar 

  5. Pereira L. Obstetric management of the patient with spinal cord injury. Obstet Gynecol Surv. 2003;58(10):678.

    Article  Google Scholar 

  6. Kuczkowski KM. Labor analgesia for the parturient with neurological disease: what does an obstetrician need to know? Arch Gynecol Obstet.; Springer-Verlag. 2006;274(1):41–6.

    Article  Google Scholar 

  7. Le Liepvre H, Dinh A, Idiard-Chamois B, Chartier-Kastler E, Phé V, Even A, et al. Pregnancy in spinal cord-injured women, a cohort study of 37 pregnancies in 25 women. Spinal Cord. 2016;55(2):167–71. https://doi.org/10.1038/sc.2016.138. [Epub ahead of print]

    Article  PubMed  Google Scholar 

  8. Sharpe EE, Arendt KW, Jacob AK, Pasternak JJ. Anesthetic management of parturients with pre-existing paraplegia or tetraplegia: a case series. Int J Obstet Anesth. 2015;24(1):77–84.

    Article  CAS  Google Scholar 

  9. Euliano TY, Herman MA. Neurologic and neuromuscular disease. In: Baysinger C, Bucklin BA, Gambling DR, editors. A practical approach to obstetric anesthesia. 2nd ed. Philadelphia: Wolters Kluwer Health; 2016.

    Google Scholar 

  10. Baker ER, Cardenas DD. Pregnancy in spinal cord injured women. Arch Phys Med Rehabil. W.B. Saunders. 1996;77(5):501–7.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Jie Luo M.D. & Jie Zhou M.D., M.S., M.B.A.

Authors
  1. Jie Luo M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jie Zhou M.D., M.S., M.B.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jie Zhou M.D., M.S., M.B.A. .

Editor information

Editors and Affiliations

  1. Associate Professor, Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Suzanne K. W. Mankowitz

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Luo, J., Zhou, J. (2018). Spinal Cord Injury. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_145

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-59680-8_145

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59679-2

  • Online ISBN: 978-3-319-59680-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation