title: Thoracic duct injury during anterior cervical discectomy: a rare complication. Case report.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center, Portsmouth, Virginia 23708-2197, USA.
authors.forename: A K
authors.initials: AK
authors.lastname: Hart
authors.forename: J H
authors.initials: JH
authors.lastname: Greinwald
authors.forename: C I
authors.initials: CI
authors.lastname: Shaffrey
authors.forename: G N
authors.initials: GN
authors.lastname: Postma
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000601:surgery*; D017586:Diskectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D013897:Thoracic Duct / Q000293:injuries*