ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019
Chiari malformation and atlantoaxial instability: problems of co-existence.
Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The management of Chiari malformation type 1 and syringomyelia in children: a review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Pooled it
- Article
- Surgical Management of Chiari 1.5 in Children: A Truly Different Disease?Journal of clinical medicine · 2024Article
- Clinical analysis of atlanto-occipital decompression in the management of chiari malformation with multi-segmental syringomyelia.Frontiers in pediatrics · 2024Article
- Surgical outcomes of calvaria reconstruction in cranial pansynostosis associated with Arnold-Chiari type 1.5 malformation, a case report.Clinical case reports · 2023Article
- Diagnosis and treatment of Chiari malformation type 1 in children: the International Consensus Document.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Article
- Precise Management of Chiari Malformation with Type I.Frontiers in surgery · 2022Review
- Chiari malformation type I and basilar invagination originating from atlantoaxial instability: a literature review and critical analysis.Acta neurochirurgica · 2020Review
- Predictors of reoperation for spinal disorders in Chiari malformation patients with prior surgical decompression.Journal of craniovertebral junction & spineArticle
- Posterior Arthrodesis of Atlantoaxial Joint in Congenital Atlantoaxial Instability Under 5 Years of Age: A Systematic Review.Journal of pediatric neurosciencesReview
- An examination of atlanto-occipital curvature in adult Chiari malformation type 1 and control groups.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAssociation of Chiari malformation and atlantoaxial subluxation varies. There is a complex relationship between the two, bony and soft tissue pathologies.
methodsThis is a review of various articles available from the literature on the management of Chiari and its association with atlantoaxial instability.
resultsWe have an experience of operating on 86 cases of paediatric atlantoaxial subluxation, of which 12 had Chiari malformation diagnosed preoperatively (13.95%). Of the 76 children with Chiari malformations operated on by us, 11 had associated atlantoaxial subluxation diagnosed on imaging (14.47%).
conclusionsRe-alignment and reduction with fixation may be effective in achieving decompression in cases where reduction is possible from posterior approach. In these cases, posterior fixation is all that is required. If reduction is not possible from posterior and there is "fixed" ventral compression, anterior decompression needs to be combined with posterior fixation. In most cases, direct posterior decompression is warranted.
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