Combined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformation

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dc.contributor.authorZileli, M
dc.contributor.authorCagli, S
dc.date.accessioned2019-10-27T18:44:13Z
dc.date.available2019-10-27T18:44:13Z
dc.date.issued2002
dc.departmentEge Üniversitesien_US
dc.description.abstractVentral 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.en_US
dc.identifier.doi10.1097/01.BSD.0000021037.30203.6Aen_US
dc.identifier.endpage289en_US
dc.identifier.issn1536-0652
dc.identifier.issue4en_US
dc.identifier.pmid12177543en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage284en_US
dc.identifier.urihttps://doi.org/10.1097/01.BSD.0000021037.30203.6A
dc.identifier.urihttps://hdl.handle.net/11454/37284
dc.identifier.volume15en_US
dc.identifier.wosWOS:000177634700004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Spinal Disorders & Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbasilar invaginationen_US
dc.subjectChiari type I malformationen_US
dc.subjectcraniovertebral anomalyen_US
dc.subjectodontoid resectionen_US
dc.subjectoccipitocervical fixationen_US
dc.titleCombined anterior and posterior approach for managing basilar invagination associated with type I Chiari malformationen_US
dc.typeArticleen_US

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