Spinal Deformity Associated with Chiari Malformation.
| Autor: | Kelly MP; Department of Orthopedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8233, Saint Louis, MO 63110, USA. Electronic address: kellymi@wudosis.wustl.edu., Guillaume TJ; Department of Orthopedic Surgery, Gillette Children's Hospital, 200 University Ave E, St Paul, MN 55101, USA., Lenke LG; Department of Orthopedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8233, Saint Louis, MO 63110, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgery clinics of North America [Neurosurg Clin N Am] 2015 Oct; Vol. 26 (4), pp. 579-85. Date of Electronic Publication: 2015 Aug 04. |
| DOI: | 10.1016/j.nec.2015.06.005 |
| Abstrakt: | Despite the frequency of Chiari-associated spinal deformities, this disease process remains poorly understood. Syringomyelia is often present; however, this is not necessary and scoliosis has been described in the absence of a syrinx. Decompression of the hindbrain is often recommended. In young patients (<10 years old) and/or those with small coronal Cobb measurements (<40°), decompression of the hindbrain may lead to resolution of the spinal deformity. Spinal fusion is reserved for those curves that progress to deformities greater than 50°. Further research is needed to understand the underlying pathophysiology to improve prognostication and treatment of this patient population. (Copyright © 2015 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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