Comparison of clinical and radiologic outcomes between dural splitting and duraplasty for adult patients with chiari type I malformation

Basit Öğe Kaydı
dc.authorid0000-0002-1847-2562
dc.contributor.authorÖzbek, Muhammet Arif
dc.contributor.authorBaşak, Ahmet Tulgar
dc.contributor.authorÇakıcı, Nazlı
dc.contributor.authorEvran, Şevket
dc.contributor.authorKayhan, Ahmet
dc.contributor.authorSaygı, Tahsin
dc.contributor.authorBaran, Oğuz
dc.date.accessioned2023-09-21T06:40:19Z
dc.date.available2023-09-21T06:40:19Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground The most used surgical procedure in the treatment of patients with Chiari type I malformation (CIM) is posterior fossa decompression. However, no consensus has been reached regarding the superiority of either dural splitting or duraplasty. Thus, the aim of this study was to compare clinical and radiologic outcomes between the two techniques used in consecutive patients. Methods We retrospectively reviewed 74 adult patients with CIM who were diagnosed and treated surgically between 2015 and 2020 at our neurosurgery department. The patients were divided into two groups: dural splitting in group 1 and duraplasty in group 2. Clinical outcomes based on Chicago Chiari Outcome Scale (CCOS) scores at the last control visits were compared between the groups. Radiologic outcomes were compared in terms of tonsillar regression rate based on 12-postoperative-month magnetic resonance images. Results Overall improved, unchanged, and worsened neurologic statuses were observed in 75.6% ( n = 56), 17.5% ( n = 13), and 6.7% ( n = 5) of our patients, respectively. The mean last visit CCOS scores in groups 1 and 2 were 12.3 +/- 2.1 and 13.5 +/- 1.7, respectively. The difference between the groups was statistically significant ( p < 0.01). The mean tonsillar regression rates were 34.7 +/- 17.0% and 52.1 +/- 15.3% in groups 1 and 2, respectively, with a statistically significant difference ( p < 0.001). Conclusion Adult patients undergoing duraplasty had better clinical and radiologic outcomes than those treated with dural splitting. Therefore, we recommend decompression with duraplasty for adult CIM patients.
dc.identifier.citationÖzbek, M. A., Başak, A. T., Çakıcı, N., Evran, Ş., Kayhan, A., Saygı, T. ... Baran, O. (2023). Comparison of clinical and radiologic outcomes between dural splitting and duraplasty for adult patients with chiari type I malformation. Journal of Neurological Surgery, Part A: Central European Neurosurgery, 84(4), 370-376. https://doi.org/10.1055/a-1877-0074
dc.identifier.doi10.1055/a-1877-0074
dc.identifier.endpage376
dc.identifier.issn2193-6315
dc.identifier.issn2193-6323
dc.identifier.issue4
dc.identifier.pmid35705181
dc.identifier.scopus2-s2.0-85138649538
dc.identifier.scopusqualityQ3
dc.identifier.startpage370
dc.identifier.urihttps://doi.org/10.1055/a-1877-0074
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11473
dc.identifier.volume84
dc.identifier.wos000855517000001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzbek, Muhammet Arif
dc.language.isoen
dc.publisherGeorg Thieme Verlag
dc.relation.ispartofJournal of Neurological Surgery, Part A: Central European Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectChiari Type I Malformation
dc.subjectDuraplasty
dc.subjectDural Splitting
dc.subjectClinical Improvement
dc.subjectRadiologic Regression
dc.titleComparison of clinical and radiologic outcomes between dural splitting and duraplasty for adult patients with chiari type I malformation
dc.typeArticle

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu