التفاصيل البيبلوغرافية
| العنوان: |
Foramen Magnum Decompression and Duraplasty is Superior to Only Foramen Magnum Decompression in Chiari Malformation Type 1 Associated with Syringomyelia in Adults. |
| المؤلفون: |
Gürbüz, Mehmet Sabri, Berkman, Mehmet Zafer, Ünal, Emre, Akpınar, Elif, Gök, Şevki, Orakdöğen, Metin, Aydın, Salih |
| المصدر: |
Asian Spine Journal; 2015, Vol. 9 Issue 5, p721-727, 7p |
| مصطلحات موضوعية: |
SURGICAL decompression, ARNOLD-Chiari deformity, SYRINGOMYELIA, HERNIA, CEREBROSPINAL fluid, FORAMEN magnum |
| مستخلص: |
Study Design: Retrospective cohort study. Purpose: To compare surgical results of foramen magnum decompression with and without duraplasty in Chiari malformation type 1 (CM-1) associated syringomyelia (SM). Overview of Literature: The optimal surgical treatment of CM-1 associated with SM is unclear. Methods: Twenty-five cases of CM-1 with SM were included. There were 12 patients (48%) in the non-duraplasty group and 13 patients (52%) in the duraplasty group. The rate of improvement, state of postoperative SM size, amount of tonsillar herniation, preoperative symptom duration, complications and reoperation rates were analysed. Results: The rate of clinical improvement was significantly higher with duraplasty (84.6%) than without (33.3%, p <0.05). The rate of postoperative syrinx regression was significantly higher in the duraplasty group (84.6%) than in the non-duraplasty group (33.3%, p <0.05). One case in the duraplasty group needed a reoperation compared with five cases in the non-duraplasty group (p =0.059). Conclusions: Duraplasty is superior to non-duraplasty in CM-1 associated with SM despite a slightly higher complication rate. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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