{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T06:10:21Z","timestamp":1731046221269,"version":"3.28.0"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 16-year-old female presented with a chylothorax following a T4\u2013L4 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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Chylothorax is a rare complication of spinal surgery and should be considered among the differential diagnoses involving postoperative respiratory compromise attributed to pleural effusions.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_823_2024","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:30:24Z","timestamp":1731043824000},"page":"408","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative left-sided chylothorax following posterior approach in late-onset idiopathic scoliosis surgery"],"prefix":"10.25259","volume":"15","author":[{"given":"Jack","family":"Van-Loo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Loughenbury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel William","family":"Gummerson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,11,8]]},"reference":[{"key":"10.25259\/SNI_823_2024\/ref-1","first-page":"1711","article-title":"Management of chylothorax","volume":"84","author":"Browse","year":"1997","journal-title":"Br J Surg"},{"key":"10.25259\/SNI_823_2024\/ref-2","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1016\/j.athoracsur.2011.02.070","article-title":"Prevention of chylothorax complicating extensive esophageal resection by mass ligation of thoracic duct: A random control study","volume":"91","author":"Lai","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.25259\/SNI_823_2024\/ref-3","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1097\/MAJ.0b013e3181cdcd6c","article-title":"Medical and surgical management of chylothorax and associated outcomes","volume":"339","author":"Maldonado","year":"2010","journal-title":"Am J Med Sci"},{"key":"10.25259\/SNI_823_2024\/ref-4","first-page":"830","article-title":"Chylothorax\u2013a rare complication after anterior and posterior spinal correction","volume":"11","author":"Nakai","year":"1986","journal-title":"Report on six cases. 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