Comparación del tratamiento de la malformación de Chiari tipo I mediante craniectomía suboccipital y resección del arco posterior de C1 con o sin duroplastia

Alamar, M.; Teixidor, Pilar; Colet, S.; Muñoz, José; Cladellas, J.M.; Hostalot, Cristina; García-Armengol, Roser; Bescós, A; Cardiel, I.; Fiallos, M.; Florensa, R.

doi:10.1016/s1130-1473(08)70226-4

Cited by 4 publications

(1 citation statement)

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“…[21] After initially successful Chiari I surgery, many recurrences may be due to a foreign body reaction, scarring, intradural adhesions, and meningitis-induced hydrocephalus. [42324] The thickness and assimilation of the graft can also affect its ease of manipulation, workability, and role as a watertight sealant to prevent extradural egress of CSF and ingress of blood and contaminants. [14] We performed a critical review of the literature to elucidate the risks and benefits of different graft types and to clarify optimal treatment options.…”

Section: Introductionmentioning

confidence: 99%

Comparison of dural grafts in Chiari decompression surgery: Review of the literature

Abla

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Fusco

et al. 2010

J Craniovert Jun Spine

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Background:Decompression of Chiari malformation is a common procedure in both pediatric and adult neurosurgery. Although the necessity for some bony removal is universally accepted, other aspects of Chiari surgery are the subject of debate. The most controversial points include the optimal amount of bony removal, the use of duraplasty (and the type of material), the need for subarachnoid dissection, and the need for tonsillar shrinkage.Material and Methods:We critically reviewed the literature to elucidate the risks and benefits of different graft types and to clarify optimal treatment options therein. Based on our search results, 108 relevant articles were identified. With specific inclusion and exclusion criteria, we noted three studies that directly compared two tlpes of dural substitutes in Chiari malformation surgery.Results:Our review did not support the superiority of either autologous or nonautologous grafts when duraplasty is employed. Our institutional experience, however, dictates that when the pericranium is available and of good quality, it should be utilized for duraplasty. It is non-immunogenic, inexpensive, and capable of creating a watertight closure with the dura.Conclusions:Discrepancies between the three comparative studies analyzed are likely attributable to increases in pericranial quality and thickness with maturity. Future randomized studies with large numbers and the power to resolve differences in the relatively low rates of complications in Chiari surgery are warranted.

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Section: Introductionmentioning

confidence: 99%

Comparison of dural grafts in Chiari decompression surgery: Review of the literature

Abla

Link

Fusco

et al. 2010

J Craniovert Jun Spine

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Complicaciones postquirúrgicas de la malformación de Chiari tipo I: duroplastia y fístula de líquido cefalorraquídeo

et al. 2011

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Posterior fossa volume increase after surgery for Chiari malformation Type I: a quantitative assessment using magnetic resonance imaging and correlations with the treatment response

Noudel¹,

Gomis²,

Soto-Ares

et al. 2011

JNS

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Comparación del tratamiento de la malformación de Chiari tipo I mediante craniectomía suboccipital y resección del arco posterior de C1 con o sin duroplastia

Abstract: According to our study, suboccipital craniectomy with resection of the posterior arch of C1 and dural graft shows better clinical and radiological results than without dural graft. Nevertheless this technique can increase the incidence of surgical complications.

Cited by 4 publications

References 25 publications

Comparison of dural grafts in Chiari decompression surgery: Review of the literature

Comparison of dural grafts in Chiari decompression surgery: Review of the literature

Complicaciones postquirúrgicas de la malformación de Chiari tipo I: duroplastia y fístula de líquido cefalorraquídeo

Posterior fossa volume increase after surgery for Chiari malformation Type I: a quantitative assessment using magnetic resonance imaging and correlations with the treatment response

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