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Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report.

Publication ,  Journal Article
Hart, AK; Greinwald, JH; Shaffrey, CI; Postma, GN
Published in: J Neurosurg
January 1998

Chylous fistula resulting from intraoperative injury to the cervical thoracic duct is well described as a complication of neck dissection. However, injury to the thoracic duct during spinal surgery is rarely reported. The authors present the first case of thoracic duct injury occurring during cervical discectomy and fusion via an anterior approach. The anomalous location of the terminal arch of the thoracic duct in this patient contributed to the complication. The morbidity of chyle leakage is minimized by its early recognition, a thorough understanding of lymphatic system anatomy, and aggressive management of the thoracic duct injury.

Duke Scholars

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

January 1998

Volume

88

Issue

1

Start / End Page

151 / 154

Location

United States

Related Subject Headings

  • Thoracic Duct
  • Postoperative Complications
  • Neurology & Neurosurgery
  • Male
  • Intervertebral Disc Displacement
  • Humans
  • Diskectomy
  • Cervical Vertebrae
  • Adult
  • 3209 Neurosciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hart, A. K., Greinwald, J. H., Shaffrey, C. I., & Postma, G. N. (1998). Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report. J Neurosurg, 88(1), 151–154. https://doi.org/10.3171/jns.1998.88.1.0151
Hart, A. K., J. H. Greinwald, C. I. Shaffrey, and G. N. Postma. “Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report.J Neurosurg 88, no. 1 (January 1998): 151–54. https://doi.org/10.3171/jns.1998.88.1.0151.
Hart AK, Greinwald JH, Shaffrey CI, Postma GN. Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report. J Neurosurg. 1998 Jan;88(1):151–4.
Hart, A. K., et al. “Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report.J Neurosurg, vol. 88, no. 1, Jan. 1998, pp. 151–54. Pubmed, doi:10.3171/jns.1998.88.1.0151.
Hart AK, Greinwald JH, Shaffrey CI, Postma GN. Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report. J Neurosurg. 1998 Jan;88(1):151–154.

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

January 1998

Volume

88

Issue

1

Start / End Page

151 / 154

Location

United States

Related Subject Headings

  • Thoracic Duct
  • Postoperative Complications
  • Neurology & Neurosurgery
  • Male
  • Intervertebral Disc Displacement
  • Humans
  • Diskectomy
  • Cervical Vertebrae
  • Adult
  • 3209 Neurosciences