Saratov JOURNAL of Medical and Scientific Research

Factors for surgery indications in children with Chiari malformation Type I combined with scoliosis without syringomyelia

Year: 2014, volume 10 Issue: №3 Pages: 419-421
Heading: neurosurgery Article type: Original article
Authors: Glagolev N.V., Kozlitina T.N.
Organization: Voronezh Regional Children Clinical Hospital № 2

Objective: Specification of indications for surgical treatment of Chiari malformations Type I (CMI) in combination with scoliosis without syringomyelia. Material et Methods: The article describes the results of treatment of children with Chiari malformations Type I (CMI) in combination with scoliosis without syringomyelia. The decompression surgery of the posterior fossa was made in 30 patients with CM I. All patients varied in the degrees of scoliosis. Results were evaluated including clinical and radiological survey, data of computer angiography and ultrasonic diagnostics of head and neck vessels in the preoperative and postoperative periods. The behavior of the angle of the spinal deformity in patients after decompression surgery of the posterior fossa was evaluated. Results: It has been found out that scoliosis convincingly regresses after this operation, if the angle of curvature of less than 30 degrees. Conclusion: The presence of vascular pathology at the level of the cranio-vertebral joints should be taken into account in the determination of indications for surgical treatment of patients with CMI in combination with scoliosis.

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