Craniovertebral Junction Instability in the Setting of Chiari I Malformation

Hannah E Goldstein; Richard C E Anderson

doi:10.1016/j.nec.2015.06.001

Craniovertebral Junction Instability in the Setting of Chiari I Malformation

Neurosurg Clin N Am. 2015 Oct;26(4):561-9. doi: 10.1016/j.nec.2015.06.001. Epub 2015 Aug 4.

Authors

Hannah E Goldstein¹, Richard C E Anderson²

Affiliations

¹ Department of Neurosurgery, Morgan Stanley Children's Hospital of New York, The Neurologic Institute, Columbia University, 710 W. 168th Street, New York, NY 10032, USA. Electronic address: [email protected].
² Department of Neurosurgery, Morgan Stanley Children's Hospital of New York, The Neurologic Institute, Columbia University, 710 W. 168th Street, New York, NY 10032, USA.

PMID: 26408066
DOI: 10.1016/j.nec.2015.06.001

Abstract

This article addresses the key features, clinical presentation, and radiographic findings associated with craniovertebral junction instability in the setting of Chiari I malformation. It further discusses surgical technique for treating patients with Chiari I malformation with concomitant craniovertebral junction instability, focusing on modern posterior rigid instrumentation and fusion techniques.

Keywords: Basilar invagination; Complex Chiari; Craniovertebral; Fusion; Instability.

Publication types

Case Reports
Review

MeSH terms

Adolescent
Arnold-Chiari Malformation / diagnosis*
Arnold-Chiari Malformation / surgery*
Brain / pathology*
Decompression, Surgical* / methods
Female
Humans
Magnetic Resonance Imaging / methods
Male
Spinal Cord / pathology*
Spinal Fusion / methods