INTRODUCTION: The existing literature is limited and inconclusive regarding management of @entity3083 with @entity51 during advanced pregnancy. None of the previously published case series concerning this problem during the second trimester of pregnancy have explored the option of simultaneous surgical intervention for it along with maintenance of pregnancy. CASE REPORT: A 22-year-old @entity1 with 26  weeks of pregnancy (2nd trimester) presented with @entity615 for the past 2  months, inability to move both lower limbs for the last 1  week, @entity1494 for the past 5  days (Frankel Grade B). @entity1 subsequently underwent MRI scan dorsal spine and the image findings were suggestive of @entity3083 T2 level. After obstetric evaluation and opinion of the expectant mother, in view of extensive @entity51 which progressed rapidly, decision was taken for surgical intervention along with maintenance of pregnancy. @entity1 was positioned in right lateral position after giving general anesthesia using double lumen endotracheal tube with lung isolation technique. Exposure was done using transthoracic third rib excision approach. Decompression was achieved by radical debridement at T2 vertebrae level followed by multiple rib strut grafts and stabilization with screw and rod construct between T1 and T3 vertebrae. Intra-operative measures including type of anesthesia, prevention of @entity551 , @entity519 and @entity2332 , and fetal monitoring by attending obstetrician were undertaken to maintain feto-maternal safety. Postoperative ultrasonography evaluation of the fetus revealed a normal study. Post-surgery histopathological evaluation of the surgical specimen confirmed @entity378 and the patient continued anti-tubercular drug therapy for 9  months. She delivered a healthy @entity1 @entity1 at 36  weeks of gestation by cesarean section. After about 14  months of postoperative follow-up, @entity1 has completely recovered motor power with mild persistent sensory symptoms. She is self-voiding with mild constipation requiring occasional intermittent laxative use. Radiological improvements in comparison to the previous reports were also seen at the last follow-up. CONCLUSION: Although this is only a single case but being the first to our knowledge, the good results highlight the point that both surgical management and maintenance of pregnancy during second trimester complicated by Pott's @entity451 are possible, involving a multi-disciplinary team approach for optimal maternal and fetal outcome.

Antepartum surgical management of Pott's XXXX along with maintenance of pregnancy during second trimester.

@entity1 :: ('9606', 'Species') :: ['girl', 'woman', 'patient', 'Patient', 'child'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder and bowel dysfunction'] @entity3083 :: ('MESH:D014399', 'Disease') :: ['spinal tuberculosis'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficit'] @entity615 :: ('MESH:D001416', 'Disease') :: ['upper back pain'] @entity519 :: ('MESH:D000860', 'Disease') :: ['hypoxemia'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity378 :: ('MESH:D014376', 'Disease') :: ['tuberculosis infection'] @entity551 :: ('MESH:D007022', 'Disease') :: ['maternal hypotension'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['hypothermia']
@entity451 :: (MESH:C536857,Disease) :: ['paraplegia']
