The Analysis of the Factor effect to the Outcome of Foramen Magnum Decompression Surgery for Syringomyelia associated with Chiari Type 1 Malformation

DOI 18 References
  • Fukuzumi Yoko
    Department of Neurosurgery, The Jikei University School of Medicine
  • Tani Satoshi
    Department of Neurosurgery, The Jikei University School of Medicine
  • Isoshima Akira
    Department of Neurosurgery, The Jikei University School of Medicine
  • Nagashima Hiroyasu
    Department of Neurosurgery, The Jikei University School of Medicine
  • Abe Toshiaki
    Department of Neurosurgery, The Jikei University School of Medicine
  • Matsushima Masato
    Division of Clinical research and development Department of Internal medicine, The Jikei University School of Medicine

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Other Title
  • キアリ１型奇形に伴う脊髄空洞症―治療効果に関与する因子の検討―
  • —治療効果に関与する因子の検討—

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Description

We have treated 205 Syringomyelia patients associated with Chiari Type 1 malformation. We then investigated the relationship between factors such as gender, age, preoperative complications, and the degree of postoperative improvement to ascertain the factors with a high probability of influencing improvement by univariate and multivariate analyses. The results of univariate analysis indicated that patients with scoliosis, difficult labor, and intraoperatively confirmed arachnoiditis potentially minimized their positive surgical outcome and required greater care in their management. The results of multivariate analysis showed that Abe’s grade 1a, 2, 3a, and 4 patients could expect their symptomatic improvement in the maximum value of their own grade.

Journal

  • Spinal Surgery

    Spinal Surgery 21 (2), 123-130, 2007

    The Japanese Society of Spinal Surgery

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