Smith was hit hard by Columbus forward Derek MacKenzie and left the ice about halfway through the opening period. He did not return.
Detroit is without goaltender Jonas Gustavsson (groin), defensemen Ian White (leg laceration) and Carlo Colaiacovo (shoulder), center Darren Helm (back), right wing Mikael Samuelsson (groin) and left wing Jan Mursak (collarbone).
"We're already on fumes, and then we lose [Brendan]," coach Mike Babcock said. "We don't know how long he’ll be out."
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