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[Craniovertebral decompression and posterior fossa reconstruction treatment of Chiari syringomyelia complex].
Zhonghua Wai Ke Za Zhi. 2000 May; 38(5):363-5.ZW

Abstract

OBJECTIVE

To study the results of Chiari malformation/syringomyelia (CM-SM) complex treated by craniovertebral decompression and posterior fossa reconstruction (PFR).

METHODS

37 patients of CM-SM complex were treated surgically from 1994 to 1999. All patients underwent craniovertebral decompression and posterior fossa reconstruction. The procedure consisted of suboccipital craniectomy and laminectomy of C1 (when necessary C2), exploration and plugging of the obex, and resection of arachnoid adherence. A wide dural graft was used to reconstruct the cisterna magna artificially. Syrinx shunt was not performed.

RESULTS

Follow-up for 0.5 to 4.5 years showed that 31 patients (83.8%) had their symptoms improved, 5 (13.5%) stabilized, but 1 (2.7%) deteriorated. Magnetic resonance was used to evaluate the morphological results. The shrinkage of the syrinx, upward migration of the hindbrain, the formation of an artificial cisterna magna were observed.

CONCLUSIONS

Craniovertebral decompression and posterior fossa reconstruction in restoring the craniovertebral junction are recommended in the treatment of CM-SM complex.

Authors+Show Affiliations

Department of Neurosurgery, Third Clinical School, Bejing Medical University, Beijing 100083, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

11832059

Citation

Xie, J, et al. "[Craniovertebral Decompression and Posterior Fossa Reconstruction Treatment of Chiari Syringomyelia Complex]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 38, no. 5, 2000, pp. 363-5.
Xie J, Ma C, Shan H, et al. [Craniovertebral decompression and posterior fossa reconstruction treatment of Chiari syringomyelia complex]. Zhonghua Wai Ke Za Zhi. 2000;38(5):363-5.
Xie, J., Ma, C., Shan, H., Song, M., Liu, B., & Chen, X. (2000). [Craniovertebral decompression and posterior fossa reconstruction treatment of Chiari syringomyelia complex]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 38(5), 363-5.
Xie J, et al. [Craniovertebral Decompression and Posterior Fossa Reconstruction Treatment of Chiari Syringomyelia Complex]. Zhonghua Wai Ke Za Zhi. 2000;38(5):363-5. PubMed PMID: 11832059.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Craniovertebral decompression and posterior fossa reconstruction treatment of Chiari syringomyelia complex]. AU - Xie,J, AU - Ma,C, AU - Shan,H, AU - Song,M, AU - Liu,B, AU - Chen,X, PY - 2002/2/8/pubmed PY - 2004/12/16/medline PY - 2002/2/8/entrez SP - 363 EP - 5 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 38 IS - 5 N2 - OBJECTIVE: To study the results of Chiari malformation/syringomyelia (CM-SM) complex treated by craniovertebral decompression and posterior fossa reconstruction (PFR). METHODS: 37 patients of CM-SM complex were treated surgically from 1994 to 1999. All patients underwent craniovertebral decompression and posterior fossa reconstruction. The procedure consisted of suboccipital craniectomy and laminectomy of C1 (when necessary C2), exploration and plugging of the obex, and resection of arachnoid adherence. A wide dural graft was used to reconstruct the cisterna magna artificially. Syrinx shunt was not performed. RESULTS: Follow-up for 0.5 to 4.5 years showed that 31 patients (83.8%) had their symptoms improved, 5 (13.5%) stabilized, but 1 (2.7%) deteriorated. Magnetic resonance was used to evaluate the morphological results. The shrinkage of the syrinx, upward migration of the hindbrain, the formation of an artificial cisterna magna were observed. CONCLUSIONS: Craniovertebral decompression and posterior fossa reconstruction in restoring the craniovertebral junction are recommended in the treatment of CM-SM complex. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/11832059/[Craniovertebral_decompression_and_posterior_fossa_reconstruction_treatment_of_Chiari_syringomyelia_complex]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0529-5815&year=2000&vol=38&issue=5&fpage=363 DB - PRIME DP - Unbound Medicine ER -