ArticleJournal of spine surgery (Hong Kong)2018
Developments in the treatment of Chiari type 1 malformations over the past decade.
Article in Journal of spine surgery (Hong Kong), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Identifying Paediatric Populations with Increased Risk for Oropharyngeal Dysphagia in Acute and Critical Care Settings: A Scoping Review.Dysphagia · 2025Article
- Pregnancy in spina bifida patients: a comparative analysis of peripartum procedures and complications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- The role of ONSD in the assessment of headache associated with Chiari malformation type 1.Frontiers in neurology · 2023Article
- A Clinical Study on the Treatment of Recurrent Chiari (Type I) Malformation with Syringomyelia Based on the Dynamics of Cerebrospinal Fluid.BioMed research international · 2022Article
- Comparison of posterior cranial fossa morphometric measurements in Chiari type I patients with and without syrinx cavity on magnetic resonance imaging.Polish journal of radiology · 2022Article
- Posterior fossa decompression for children with Chiari I malformation and hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Expansile duraplasty and obex exploration compared with bone-only decompression for Chiari malformation type I in children: retrospective review of outcomes and complications.Journal of neurosurgery. Pediatrics · 2021Article
- Association between craniovertebral junction abnormalities and syringomyelia in patients with chiari malformation type-1.Neurosciences (Riyadh, Saudi Arabia) · 2020Article
- Chiari type I and hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Review
- Management of Chiari I malformations: a paradigm in evolution.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Review
- Outcomes and resource utilization in surgery for Chiari I malformation in a national network of children's hospitals.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- A review of the disagreements in the prevalence and treatment of the tethered cord syndromes with chiari-1 malformations.Surgical neurology international · 2018Review
- Definitions and treatments for chiari-1 malformations and its variants: Focused review.Surgical neurology international · 2018Article
- Predictors of reoperation for spinal disorders in Chiari malformation patients with prior surgical decompression.Journal of craniovertebral junction & spineArticle
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15 authors.
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Abstract
backgroundChiari malformations type 1 (CM-1), a developmental anomaly of the posterior fossa, usually presents in adolescence or early adulthood. There are few studies on the national incidence of CM-1, taking into account outcomes based on concurrent diagnoses. To quantify trends in treatment and associated diagnoses, as retrospective review of the Kid's Inpatient Database (KID) from 2003-2012 was conducted.
methodsPatients aged 0-20 with primary diagnosis of CM-1 in the KID database were identified. Demographics and concurrent diagnoses were analyzed using chi-squared and
resultsFive thousand four hundred and thirty-eight patients were identified in the KID database with a primary diagnosis of CM-1 (10.5 years, 55% female). CM-1 primary diagnoses have increased over time (45 to 96 per 100,000). CM-1 patients had the following concurrent diagnoses: 23.8% syringomyelia/syringobulbia, 11.5% scoliosis, 5.9% hydrocephalus, 2.2% tethered cord syndrome. Eighty-three point four percent of CM-1 patients underwent surgical treatment, and rate of surgical treatment for CM-1 increased from 2003-2012 (66% to 72%, P<0.001) though complication rate decreased (7% to 3%, P<0.001) and mortality rates remained constant. Seventy percent of surgeries involved decompression-only, which increased neurologic complications compared to fusions (P=0.039). Cranial decompressions decreased from 2003-2012 (42.2-30.5%) while spinal decompressions increased (73.1-77.4%). Fusion rates have increased over time (0.45% to 1.8%) and are associated with higher complications than decompression-only (11.9%
conclusionsCM-1 diagnoses have increased in the last decade. Despite the decrease in overall complication rates, fusions are becoming more common and are associated with higher peri-operative complication rates. Commonly associated diagnoses including syringomyelia and hydrocephalus, can dramatically increase complication rates.
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