Abstract
Introduction: Spondylodiscitis in pregnancy is an uncommon entity that can inadvertently hamper the pregnancy. Case presentation: A 25-year-old primigravida in the middle of her third trimester presented with new-onset ascending paralysis due to infective spondylodiscitis. The compression of the spinal cord by virtue of spondylodiscitis demanded immediate surgical decompression. The indirect decompression of the spinal cord was successfully accomplished by performing laminectomy with posterior instrumentation while the anesthesiologists provided general anaesthesia, monitored, and maintained maternal and foetal safety. Anaesthetic methods employed include perioperative tocolytic cover, an induction of rapid sequence, aspiration prophylaxis, balanced analgesia, and appropriate maintenance of Mean Arterial Pressure, thereby ensuring maternal and foetal well-being. Conclusion: A prompt surgical intervention and appropriate anaesthesia management resulted in successful decompression of the spinal cord with excellent recovery of paraplegia while avoiding maternal and foetal morbidity and mortality. Keywords: Pregnancy, Laminectomy, Foetal monitoring, Patient positioning, Uteroplacental blood flow.
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