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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Hart, AK; Greinwald, JH; Shaffrey, CI; Postma, GN

Published Date

  • January 1998

Published In

Volume / Issue

  • 88 / 1

Start / End Page

  • 151 - 154

PubMed ID

  • 9420091

International Standard Serial Number (ISSN)

  • 0022-3085

Digital Object Identifier (DOI)

  • 10.3171/jns.1998.88.1.0151


  • eng

Conference Location

  • United States