Decompression for Chiari malformation type II in individuals with myelomeningocele in the National Spina Bifida Patient Registry

Journal of Neurosurgery. Pediatrics
Irene KimBrandon G Rocque

Abstract

OBJECTIVEThe purpose of this study was to determine the rate of decompression for Chiari malformation type II in individuals with myelomeningocele in the National Spina Bifida Patient Registry (NSBPR). In addition, the authors explored the variation in rates of Chiari II decompression across NSBPR institutions, examined the relationship between Chiari II decompression and functional lesion level of the myelomeningocele, age, and need for tracheostomy, and they evaluated for temporal trends in rates of Chiari II decompression.METHODSThe authors queried the NSBPR to identify all individuals with myelomeningocele between 2009 and 2015. Among these patients, they identified individuals who had undergone at least 1 Chiari II decompression as well as those who had undergone tracheostomy. For each participating NSBPR institution, the authors calculated the proportion of patients enrolled at that site who underwent Chiari II decompression. Logistic regression was performed to analyze the relationship between Chiari II decompression, functional lesion level, age at decompression, and history of tracheostomy.RESULTSOf 4448 individuals with myelomeningocele identified from 26 institutions, 407 (9.15%) had undergone at least 1 Chiari II de...Continue Reading

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Aug 25, 2018·Journal of Neurosurgery. Pediatrics·Irene KimBrandon G Rocque

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Citations

Jan 22, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F G SileoB Thilaganathan
Aug 25, 2018·Journal of Neurosurgery. Pediatrics·Irene KimBrandon G Rocque
Oct 2, 2019·Neurosurgical Focus·Jochem K H SpoorTjeerd H R de Jong
Sep 2, 2019·Journal of Neurosurgery. Pediatrics·Samuel G McClugage, W Jerry Oakes
Jun 1, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Giuseppe TalamontiGiuseppe D'Aliberti
Apr 10, 2019·BMJ : British Medical Journal·Rory J PiperShailendra A Magdum
Dec 29, 2020·Neurosurgery·Brandon G RocqueJeffrey P Blount

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