ReviewCureus2025
Posterior Fossa Decompression Versus Syringo-Subarachnoid Shunt for Chiari I-associated Syringomyelia: A Systematic Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chiari malformation type I (CM-I) is a downward herniation of the cerebellar tonsils through the foramen magnum, frequently resulting in syringomyelia, which affects up to 75% of patients and remains a major source of neurological morbidity. This systematic review evaluated surgical outcomes for patients with CM-I-associated syringomyelia. Fifteen studies met the inclusion criteria, and the majority demonstrated high methodological quality. Posterior fossa decompression with duraplasty achieved approximately 80% syrinx resolution and 60-100% clinical improvement. Arachnoid-preserving techniques reduced CSF-related complications. Syringo-subarachnoid shunting provided 70-85% syrinx reduction after failed decompression but showed variable long-term outcomes. Posterior fossa decompression with duraplasty remains the most effective and durable treatment, while shunting is reserved for persistent or recurrent cases following the decompression.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.