PMC4365637_01
(A, B) Midsagittal and axial magnetic resonance images of lumbar spine showing degeneration and reduction in disc height at L4-5.
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Progressive magnetic resonance imaging scans over a period of 4 years showed advancing degenerative disc disease at L4-5 with loss of disc height (Fig. 1).
(A, B) Clinical picture of patient at 4 weeks after surgery showing abdominal swelling along with right paramedian scar.
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There was no abdominal pain, headache, fever, constitutional symptoms, or aggravation of back or leg pain (Fig. 2).
(A-C) Axial, sagittal, and coronal CT images of abdomen at 4 weeks postoperatively showing significant collection of lymphatic fluid.
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Straw-colored fluid (1100 mL), aspirated by use of ultrasound guidance, showed multiple leukocytes but no organisms on Gram stain and culture (Fig. 3).
Clinical picture of patient at 6 months' follow-up (after aspiration of lymphocele) showing complete resolution of abdominal swelling.
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At 6 months' follow-up, the abdominal swelling had completely resolved and X-rays were satisfactory (Figs. 4 and 5).
Anteroposterior and lateral views of radiograph of lumbosacral spine with prosthesis (ProDisc-L) 6 months postoperatively with maintenance of disc height and lordosis.
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At 6 months' follow-up, the abdominal swelling had completely resolved and X-rays were satisfactory (Figs. 4 and 5).