Effect of Posterior Fossa Decompression for Chiari Malformation-I on Scoliosis.

Abstract:

BACKGROUND/AIMS:Scoliosis is common in patients with Chiari malformation-I (CM-I). This study examined the change in scoliosis severity after posterior fossa decompression (PFD) for CM-I. METHODS:We conducted a retrospective review at a single tertiary center for children undergoing PFD with untreated scoliosis, and identified 17 patients with complete follow-up data and imaging. RESULTS:Overall, scoliosis improved in 7 (41.2%) patients, worsened in 9 (52.9%), and remained unchanged in 1 (5.9%) after PFD (mean follow-up of 7.8 ± 4.1 months). We found that 3 of the 8 (38%) children with early-onset scoliosis eventually needed scoliosis corrective surgery, which was needed in 7 of the 9 (78%) patients with adolescent-onset scoliosis. In addition, only 1 patient (17%) with a preoperative scoliosis curve <35 degrees and 9 patients (82%) with a curve ≥35 degrees required surgery for scoliosis correction despite PFD (p = 0.018). CONCLUSION:In certain patients, PFD for CM-I may lead to improvement or stabilization of scoliosis.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Chotai S,Basem J,Gannon S,Dewan M,Shannon CN,Wellons JC,Bonfield CM

doi

10.1159/000485254

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

108-115

issue

2

eissn

1016-2291

issn

1423-0305

pii

000485254

journal_volume

53

pub_type

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