Van-Loo Jack, Adsul Nitin, Loughenbury Peter, Gummerson Nigel William
Department of Spinal Surgery, Leeds General Infirmary, Leeds, United Kingdom.
Surg Neurol Int. 2024 Nov 8;15:408. doi: 10.25259/SNI_823_2024. eCollection 2024.
Chylothorax is an extremely rare complication of spinal surgery. We were only able to identify 15 previous cases overall, with only 5 involving a posterior approach.
A 16-year-old female presented with a chylothorax following a T4-L4 posterior spinal fusion for scoliosis. Postoperatively, the patient developed respiratory distress due to a left-sided pleural effusion. Laboratory tests (i.e., both gross and laboratory analysis) documented the fluid to be chyle. The patient required the placement of a chest drain and a low triglyceride diet to manage and resolve the chylothorax successfully.
Chylothorax is a rare complication of spinal surgery and should be considered among the differential diagnoses involving postoperative respiratory compromise attributed to pleural effusions.
乳糜胸是脊柱手术极为罕见的并发症。我们总共仅能找到15例既往病例，其中仅5例采用后路手术。
一名16岁女性在接受T4 - L4后路脊柱融合术治疗脊柱侧弯后出现乳糜胸。术后，患者因左侧胸腔积液出现呼吸窘迫。实验室检查（包括肉眼观察和实验室分析）证实积液为乳糜。患者需要放置胸腔引流管并采用低甘油三酯饮食，以成功控制和消除乳糜胸。
乳糜胸是脊柱手术的罕见并发症，在鉴别诊断因胸腔积液导致的术后呼吸功能不全时应予以考虑。
