Tags

Type your tag names separated by a space and hit enter

Combined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformation.
J Spinal Disord Tech. 2002 Aug; 15(4):284-9.JS

Abstract

Ventral brainstem compression is common in patients with basilar invagination associated with type I Chiari malformation. The aim of this study was to investigate the reliability of a combined one-session anterior-posterior surgical approach for these patients. Nine patients underwent transoral odontoidectomy, posterior foramen magnum decompression, occipitocervical fixation, and bone grafting. All but two patients had ventral and dorsal operations in one surgical sitting. One of these two individuals had previously undergone posterior decompressive surgery at another hospital, but his condition had deteriorated rapidly afterward. The mean follow-up time was 19 months (range, 14-30 months). There was no mortality and no significant morbidity in this series. All but one of the patients showed significant improvement in their symptoms. Chiari malformations have a surprisingly high association with basilar invagination, and patients may have symptoms in both conditions. If there is a marked anterior compression, anterior transoral and posterior decompression, fusion, and instrumentation is an optimal strategy for treating patients with basilar invagination associated with type I Chiari malformation.

Authors+Show Affiliations

Ege University Faculty of Medicine, Department of Neurosurgery, Bornova, Izmir, Turkey.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12177543

Citation

Zileli, Mehmet, and Sedat Cagli. "Combined Anterior and Posterior Approach for Managing Basilar Invagination Associated With Type I Chiari Malformation." Journal of Spinal Disorders & Techniques, vol. 15, no. 4, 2002, pp. 284-9.
Zileli M, Cagli S. Combined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformation. J Spinal Disord Tech. 2002;15(4):284-9.
Zileli, M., & Cagli, S. (2002). Combined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformation. Journal of Spinal Disorders & Techniques, 15(4), 284-9.
Zileli M, Cagli S. Combined Anterior and Posterior Approach for Managing Basilar Invagination Associated With Type I Chiari Malformation. J Spinal Disord Tech. 2002;15(4):284-9. PubMed PMID: 12177543.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformation. AU - Zileli,Mehmet, AU - Cagli,Sedat, PY - 2002/8/15/pubmed PY - 2003/2/8/medline PY - 2002/8/15/entrez SP - 284 EP - 9 JF - Journal of spinal disorders & techniques JO - J Spinal Disord Tech VL - 15 IS - 4 N2 - Ventral brainstem compression is common in patients with basilar invagination associated with type I Chiari malformation. The aim of this study was to investigate the reliability of a combined one-session anterior-posterior surgical approach for these patients. Nine patients underwent transoral odontoidectomy, posterior foramen magnum decompression, occipitocervical fixation, and bone grafting. All but two patients had ventral and dorsal operations in one surgical sitting. One of these two individuals had previously undergone posterior decompressive surgery at another hospital, but his condition had deteriorated rapidly afterward. The mean follow-up time was 19 months (range, 14-30 months). There was no mortality and no significant morbidity in this series. All but one of the patients showed significant improvement in their symptoms. Chiari malformations have a surprisingly high association with basilar invagination, and patients may have symptoms in both conditions. If there is a marked anterior compression, anterior transoral and posterior decompression, fusion, and instrumentation is an optimal strategy for treating patients with basilar invagination associated with type I Chiari malformation. SN - 1536-0652 UR - https://www.unboundmedicine.com/medline/citation/12177543/Combined_anterior_and_posterior_approach_for_managing_basilar_invagination_associated_with_type_I_Chiari_malformation_ L2 - https://doi.org/10.1097/00024720-200208000-00004 DB - PRIME DP - Unbound Medicine ER -