Objective: Our aim is to emphasize the importance of surgery along with the route of anesthesia and positioning of the patient during surgery when treating pregnant patients who present with progressive neurologic deficit and pain due to lomber disc herniation.

Material and Method: Patients in this study were already followed up by our obstetric department. After a conservative medical approach with analgesics, symptoms did not resolve and contrarily worsened progressively so they were referred to neurosurgery department. Three pregnant patients with lomber disc herniation were operated during pregnancy. Two of the three patients presented in their second (n=2) or first trimester (n=1) of their pregnancies. Indications for surgery involved cauda equina syndrome, progressive loss of muscle strength and pain resistant to conservative medical treatment. Two of the three patients presented with primary herniation and the third patient had a recurrent herniation. All of the three patients were requested to sign an informed consent form.

Results: Three pregnant patients were operated due to lumbar disc herniation and all the signs and symptoms of herniation resolved soon after surgery.

Conclusion: Surgical repair of lumbar herniation under spinal anesthesia is safe surgical treatment of choice in pregnant patients which prevents development of permanent neurological deficit and preterm delivery triggered by pain.

Keywords: Pregnancy, lomber disc herniation, microdiscectomy