Complex Chiari Malformations: Diagnosis, Evaluation, and Treatment
Neurosurgery Clinics of North America(2023)
摘要
The term "complex Chiari malformation" (CCM) refers to a subset of clinical and radiographic findings that describe a subpopulation of Chiari patients with craniocervical kyphosis and secondary brainstem compression. These patients are at a greater risk for unsuccessful surgical treatment with standard Chiari surgical decompressive procedures and may require craniocervical fusion and/or odontoid resection. This article reviews concepts related to the diagnosis, management, and treatment of CCM and discusses possible directions for future research.
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关键词
Chiari malformations,Basilar invagination,Clivoaxial angle (CXA),Retroflexed odontoid,Condylar-C2 sagittal vertical alignment (C-C2SVA),Complex Chiari malformation (CCM)
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