医学
丁香(药)
减压
后颅窝
外科
脊髓空洞症
外科减压
Chiari畸形
放射科
磁共振成像
作者
Alexander T. Yahanda,David D. Limbrick
标识
DOI:10.1016/j.nec.2022.08.008
摘要
Posterior fossa decompression (PFD) with/without duraplasty is the standard surgical treatment for symptomatic CM-1. Posterior fossa decompression without duraplasty (PFD) may be associated with shorter operative times and hospital stays, fewer complications, and may yield improvements in symptoms and syrinx sizes. Posterior fossa decompression with duraplasty (PFDD) may be associated with superior long-term symptomatic improvements, larger syrinx reductions, and a lower need for revision decompression. Various dural graft materials may be used for PFDD, though the ideal type of graft has not been definitively established. Other adjunct surgical procedures may be added to PFD/PFDD given certain symptomatic or anatomical considerations.
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