1. Occipital-Cervical Fusion and Ventral Decompression in the Surgical Management of Chiari-1 Malformation and Syringomyelia: Analysis of Data From the Park-Reeves Syringomyelia Research Consortium
- Author
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Richard C E Anderson, Gabrielle W. Johnson, Gabe Haller, Joshua S. Shimony, Michael P. Kelly, W. Jerry Oakes, Nickalus Khan, Scott D. Wait, Joshua J. Chern, James M. Johnston, Gregory W. Albert, Laurie L. Ackerman, Michael S. Muhlbauer, Douglas L. Brockmeyer, Jennifer M. Strahle, Francesco T. Mangano, Gregory G. Heuer, John C. Wellons, J. Gordon McComb, Jeffrey P. Greenfield, Timothy M. George, Daniel E. Couture, Jodi L. Smith, David J. Daniels, Mark D. Krieger, Herbert E. Fuchs, Brent R. O'Neill, James C. Torner, Bermans J. Iskandar, Jeffrey R. Leonard, John Ragheb, Eric M. Jackson, David F. Bauer, Ramin Eskandari, Andrew Jea, Mandeep S. Tamber, Phillipp R. Aldana, Robert F. Keating, Lissa C. Baird, Matthew D. Smyth, Mark Iantosca, Stephanie Greene, Greg Olavarria, Todd C. Hankinson, Cormac O. Maher, Raheel Ahmed, Karin S. Bierbrauer, Tord D. Alden, P. David Adelson, Chevis N. Shannon, Nathan R. Selden, Tae Sung Park, Richard G. Ellenbogen, Susan R Durham, Naina L. Gross, Travis S. CreveCoeur, Arnold H. Menezes, Scellig S D Stone, Timothy B. Mapstone, David D. Limbrick, Robert C. Dauser, Daniel J. Guillaume, Alexander T. Yahanda, Manish N. Shah, William E. Whitehead, Gerald A. Grant, Gerald F. Tuite, and Patrick Graupman
- Subjects
Male ,Peanut butter ,Decompression ,Basilar invagination ,030218 nuclear medicine & medical imaging ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Syrinx (medicine) ,Cervical fusion ,Child ,Chiari malformation ,Platybasia ,business.industry ,Decompression, Surgical ,medicine.disease ,Syringomyelia ,Arnold-Chiari Malformation ,Spinal Fusion ,Treatment Outcome ,Research—Human—Clinical Studies ,Female ,Surgery ,Neurology (clinical) ,Nuclear medicine ,business ,030217 neurology & neurosurgery - Abstract
BACKGROUND: Occipital-cervical fusion (OCF) and ventral decompression (VD) may be used in the treatment of pediatric Chiari-1 malformation (CM-1) with syringomyelia (SM) as adjuncts to posterior fossa decompression (PFD) for complex craniovertebral junction pathology. OBJECTIVE: To examine factors influencing the use of OCF and OCF/VD in a multicenter cohort of pediatric CM-1 and SM subjects treated with PFD. METHODS: The Park-Reeves Syringomyelia Research Consortium registry was used to examine 637 subjects with cerebellar tonsillar ectopia ≥ 5 mm, syrinx diameter ≥ 3 mm, and at least 1 yr of follow-up after their index PFD. Comparisons were made between subjects who received PFD alone and those with PFD + OCF or PFD + OCF/VD. RESULTS: All 637 patients underwent PFD, 505 (79.2%) with and 132 (20.8%) without duraplasty. A total of 12 subjects went on to have OCF at some point in their management (PFD + OCF), whereas 4 had OCF and VD (PFD + OCF/VD). Of those with complete data, a history of platybasia (3/10, P = .011), Klippel-Feil (2/10, P = .015), and basilar invagination (3/12, P
- Published
- 2020