Review
doi: 10.1007/s00381-019-04214-z.
Epub 2019 May 28.
Complex Chiari malformation: using craniovertebral junction metrics to guide treatment
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- PMID: 31139903
- DOI: 10.1007/s00381-019-04214-z
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Review
Complex Chiari malformation: using craniovertebral junction metrics to guide treatment
Childs Nerv Syst.
2019 Oct.
Abstract
The complex Chiari, characterized by abnormal craniocervical bony anatomy in addition to Chiari tonsillar herniation, is a relatively recent addition to the concepts surrounding the Chiari literature. The primary findings of complex Chiari include craniocervical kyphosis and retroflexed odontoid, both of which can be described with radiographic measurements. This manuscript will outline the background literature regarding Chiari craniocervical morphometrics and supply an algorithm for the general management of complex Chiari patients.
Keywords: Chiari; Occipital-cervical fusion; Posterior fossa decompression.
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