Citation
CreveCoeur, Travis S., et al. "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." Neurosurgery, vol. 88, no. 2, 2021, pp. 332-341.
CreveCoeur TS, Yahanda AT, Maher CO, et al. 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. Neurosurgery. 2021;88(2):332-341.
CreveCoeur, T. S., Yahanda, A. T., Maher, C. O., Johnson, G. W., Ackerman, L. L., Adelson, P. D., Ahmed, R., Albert, G. W., Aldana, P. R., Alden, T. D., Anderson, R. C. E., Baird, L., Bauer, D. F., Bierbrauer, K. S., Brockmeyer, D. L., Chern, J. J., Couture, D. E., Daniels, D. J., Dauser, R. C., ... Limbrick, D. D. (2021). 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. Neurosurgery, 88(2), 332-341. https://doi.org/10.1093/neuros/nyaa460
CreveCoeur TS, et al. 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. Neurosurgery. 2021 01 13;88(2):332-341. PubMed PMID: 33313928.
TY - JOUR
T1 - 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.
AU - CreveCoeur,Travis S,
AU - Yahanda,Alexander T,
AU - Maher,Cormac O,
AU - Johnson,Gabrielle W,
AU - Ackerman,Laurie L,
AU - Adelson,P David,
AU - Ahmed,Raheel,
AU - Albert,Gregory W,
AU - Aldana,Phillipp R,
AU - Alden,Tord D,
AU - Anderson,Richard C E,
AU - Baird,Lissa,
AU - Bauer,David F,
AU - Bierbrauer,Karin S,
AU - Brockmeyer,Douglas L,
AU - Chern,Joshua J,
AU - Couture,Daniel E,
AU - Daniels,David J,
AU - Dauser,Robert C,
AU - Durham,Susan R,
AU - Ellenbogen,Richard G,
AU - Eskandari,Ramin,
AU - Fuchs,Herbert E,
AU - George,Timothy M,
AU - Grant,Gerald A,
AU - Graupman,Patrick C,
AU - Greene,Stephanie,
AU - Greenfield,Jeffrey P,
AU - Gross,Naina L,
AU - Guillaume,Daniel J,
AU - Haller,Gabe,
AU - Hankinson,Todd C,
AU - Heuer,Gregory G,
AU - Iantosca,Mark,
AU - Iskandar,Bermans J,
AU - Jackson,Eric M,
AU - Jea,Andrew H,
AU - Johnston,James M,
AU - Keating,Robert F,
AU - Kelly,Michael P,
AU - Khan,Nickalus,
AU - Krieger,Mark D,
AU - Leonard,Jeffrey R,
AU - Mangano,Francesco T,
AU - Mapstone,Timothy B,
AU - McComb,J Gordon,
AU - Menezes,Arnold H,
AU - Muhlbauer,Michael,
AU - Oakes,W Jerry,
AU - Olavarria,Greg,
AU - O'Neill,Brent R,
AU - Park,Tae Sung,
AU - Ragheb,John,
AU - Selden,Nathan R,
AU - Shah,Manish N,
AU - Shannon,Chevis,
AU - Shimony,Joshua S,
AU - Smith,Jodi,
AU - Smyth,Matthew D,
AU - Stone,Scellig S D,
AU - Strahle,Jennifer M,
AU - Tamber,Mandeep S,
AU - Torner,James C,
AU - Tuite,Gerald F,
AU - Wait,Scott D,
AU - Wellons,John C,
AU - Whitehead,William E,
AU - Limbrick,David D,
PY - 2020/01/31/received
PY - 2020/07/12/accepted
PY - 2020/12/15/pubmed
PY - 2021/4/14/medline
PY - 2020/12/14/entrez
KW - Chiari malformation
KW - Clivo-axial angle
KW - Craniovertebral junction
KW - Occipital-cervical fusion
KW - Syringomyelia
KW - Ventral brainstem compression
KW - pB-C2
SP - 332
EP - 341
JF - Neurosurgery
JO - Neurosurgery
VL - 88
IS - 2
N2 - 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 < .001) were increased within the OCF group, whereas only basilar invagination (1/4, P < .001) was increased in the OCF/VD group. Clivo-axial angle (CXA) was significantly lower for both OCF (128.8 ± 15.3°, P = .008) and OCF/VD (115.0 ± 11.6°, P = .025) groups when compared to PFD-only group (145.3 ± 12.7°). pB-C2 did not differ among groups. CONCLUSION: Although PFD alone is adequate for treating the vast majority of CM-1/SM patients, OCF or OCF/VD may be occasionally utilized. Cranial base and spine pathologies and CXA may provide insight into the need for OCF and/or OCF/VD.
SN - 1524-4040
UR - https://www.unboundmedicine.com/medline/citation/33313928/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_
DB - PRIME
DP - Unbound Medicine
ER -
