What is it about?
Chiari malformation type I is typically treated by foramen magnum decompression. But C1-C2 distraction or endoscope can be options for treatment.
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Why is it important?
Occiput-cervical fixation is often applied for complex CVJ pathology, including CM1 w/ basilar invagination. But we can avoid occiput involvement for fixation through elegant endoscopic anterior decompression.
Perspectives
CM1 w/ basilar invagination is sometimes treated insufficiently by simple O-C fixation. We had pursued the greatest decompression with the maximum motor unit preservation by endoscope usage.
Tatsushi Inoue
Gakko Hojin Fujita Gakuen
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This page is a summary of: Delayed neurological deterioration following atlantoaxial facet joint distraction and fixation in a patient with Chiari malformation type I, Journal of Neurosurgery Spine, March 2018, Journal of Neurosurgery Publishing Group (JNSPG),
DOI: 10.3171/2017.7.spine161383.
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