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Posterior Fossa Decompression with or Without Duraplasty for Chiari I Malformation.
Neurosurg Clin N Am. 2023 Jan; 34(1):105-111.NC

Abstract

Posterior fossa decompression (PFD) with/without duraplasty is the standard surgical treatment for symptomatic CM-1. Posterior fossa decompression without duraplasty (PFD) may be associated with shorter operative times and hospital stays, fewer complications, and may yield improvements in symptoms and syrinx sizes. Posterior fossa decompression with duraplasty (PFDD) may be associated with superior long-term symptomatic improvements, larger syrinx reductions, and a lower need for revision decompression. Various dural graft materials may be used for PFDD, though the ideal type of graft has not been definitively established. Other adjunct surgical procedures may be added to PFD/PFDD given certain symptomatic or anatomical considerations.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Yahanda AT
Department of Neurological Surgery, Washington University School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA. Electronic address: ayahanda@wustl.edu.
Limbrick DD
Department of Neurological Surgery, Washington University School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA; Department of Pediatrics, Washington University School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA.

MeSH

HumansDura MaterDecompression, SurgicalArnold-Chiari MalformationSyringomyelia

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

36424050

Citation

Yahanda, Alexander T., and David D. Limbrick. "Posterior Fossa Decompression With or Without Duraplasty for Chiari I Malformation." Neurosurgery Clinics of North America, vol. 34, no. 1, 2023, pp. 105-111.
Yahanda AT, Limbrick DD. Posterior Fossa Decompression with or Without Duraplasty for Chiari I Malformation. Neurosurg Clin N Am. 2023;34(1):105-111.
Yahanda, A. T., & Limbrick, D. D. (2023). Posterior Fossa Decompression with or Without Duraplasty for Chiari I Malformation. Neurosurgery Clinics of North America, 34(1), 105-111. https://doi.org/10.1016/j.nec.2022.08.008
Yahanda AT, Limbrick DD. Posterior Fossa Decompression With or Without Duraplasty for Chiari I Malformation. Neurosurg Clin N Am. 2023;34(1):105-111. PubMed PMID: 36424050.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior Fossa Decompression with or Without Duraplasty for Chiari I Malformation. AU - Yahanda,Alexander T, AU - Limbrick,David D,Jr Y1 - 2022/11/03/ PY - 2022/11/24/entrez PY - 2022/11/25/pubmed PY - 2022/11/29/medline KW - Chiari I malformation KW - Dural augmentation KW - Dural graft KW - Duraplasty KW - Posterior fossa decompression KW - Syringomyelia SP - 105 EP - 111 JF - Neurosurgery clinics of North America JO - Neurosurg Clin N Am VL - 34 IS - 1 N2 - Posterior fossa decompression (PFD) with/without duraplasty is the standard surgical treatment for symptomatic CM-1. Posterior fossa decompression without duraplasty (PFD) may be associated with shorter operative times and hospital stays, fewer complications, and may yield improvements in symptoms and syrinx sizes. Posterior fossa decompression with duraplasty (PFDD) may be associated with superior long-term symptomatic improvements, larger syrinx reductions, and a lower need for revision decompression. Various dural graft materials may be used for PFDD, though the ideal type of graft has not been definitively established. Other adjunct surgical procedures may be added to PFD/PFDD given certain symptomatic or anatomical considerations. SN - 1558-1349 UR - https://www.unboundmedicine.com/medline/citation/36424050/Posterior_Fossa_Decompression_with_or_Without_Duraplasty_for_Chiari_I_Malformation_ DB - PRIME DP - Unbound Medicine ER -

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