Evidence map›Paper›PMID 30820672›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019

Chylous fistula: management of a rare complication following right anterior cervical spine approach.

Federica Novegno, Pierluigi Granaroli, Luigi Ciccoritti, Pierpaolo Lunardi, Mario Francesco Fraioli

Abstract readReview
PubMed Publisher
In one paragraph

Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Federica NovegnoDepartment of Neurosurgery, Tor Vergata University Medical School, University of Rome "Tor Vergata", V.le Oxford 81, 00133, Rome, Italy. federicanovegno@hotmail.it.ORCID 0000-0001-7635-9907
Pierluigi GranaroliDepartment of Neurosurgery, Tor Vergata University Medical School, University of Rome "Tor Vergata", V.le Oxford 81, 00133, Rome, Italy.
Luigi CiccorittiDepartment of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Pierpaolo LunardiDepartment of Neurosurgery, Tor Vergata University Medical School, University of Rome "Tor Vergata", V.le Oxford 81, 00133, Rome, Italy.
Mario Francesco FraioliDepartment of Neurosurgery, Tor Vergata University Medical School, University of Rome "Tor Vergata", V.le Oxford 81, 00133, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChylorrhea resulting from injury of the lymphatic system during neck dissection is a well-known complication. It is an uncommon occurrence in spinal surgery, and only one case after right anterior cervical spine surgery has been described so far. Despite its rarity, chylous leakage deserves a particular attention since it may become a serious and occasionally fatal complication if not detected early and managed appropriately.

methodsWe report the case of a 42-year-old man who underwent a standard anterior cervical discectomy and fusion according to Cloward approach for a C6-C7 disk herniation. The patient developed a delayed prevertebral chyle collection on postoperative day 5, presenting with mild breathing and swallowing difficulties.

resultsHe was managed with conservative care, including bed rest, low-fat diet and drainage pouch positioning, which led to the complete resolution of the fluid collection.

conclusionsKnowledge of the normal anatomy of the lymphatic system and of its variations is essential when planning an anterior spinal procedure, and represents the first measure to be adopted in order to avoid such complication. The prompt identification of a postoperative chylous fistula and the applicability of an individually based management's protocol may help in the majority of the cases to reduce the potential morbidity, without significant long-term effects.

Indexed as

FistulaPostoperative ComplicationsAdultCervical VertebraeConservative TreatmentDiskectomyDrainageHumansIntervertebral Disc DisplacementLymphatic SystemMaleSpinal FusionCervical spineChyle leakDiscectomyLymphatic ductsSurgical complication

Identifiers

PMID30820672

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.