{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T09:54:18Z","timestamp":1784973258138,"version":"3.55.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"DOI":"10.1007\/s00381-026-07217-9","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:21:45Z","timestamp":1773757305000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Extradural foramen magnum decompression with multiple superficial dural incisions for Chiari I malformation: a multicenter series of 91 pediatric patients"],"prefix":"10.1007","volume":"42","author":[{"given":"Olga","family":"Sergeenko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jehuda","family":"Soleman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manina Maja","family":"Etter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Guzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiva","family":"Korn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulia","family":"Arestova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry","family":"Savin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya Zusman","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Richetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomi","family":"Constantini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"issue":"2","key":"7217_CR1","doi-asserted-by":"publisher","first-page":"174","DOI":"10.3171\/2015.6.PEDS14471","volume":"17","author":"KM Stanko","year":"2016","unstructured":"Stanko KM, Lee YM, Rios J, Wu A, Sobrinho GW, Weingart JD, Jackson EM, Ahn ES, Chaichana KL, Jallo GI (2016) Improvement of syrinx resolution after tonsillar cautery in pediatric patients with Chiari type I malformation. J Neurosurg Pediatr 17(2):174\u2013181","journal-title":"J Neurosurg Pediatr"},{"issue":"4","key":"7217_CR2","doi-asserted-by":"publisher","first-page":"426","DOI":"10.3171\/2018.4.PEDS17622","volume":"22","author":"AC Vivas","year":"2018","unstructured":"Vivas AC, Shimony N, Jackson EM, Xu R, Jallo GI, Rodriguez L, Tuite GF, Carey CM (2018) Management of hydrocephalus and subdural hygromas in pediatric patients after decompression of Chiari malformation type I: case series and review of the literature. J Neurosurg Pediatr 22(4):426\u2013438","journal-title":"J Neurosurg Pediatr"},{"key":"7217_CR3","doi-asserted-by":"publisher","first-page":"e579","DOI":"10.1016\/j.wneu.2021.04.082","volume":"151","author":"M Osborne-Grinter","year":"2021","unstructured":"Osborne-Grinter M, Arora M, Kaliaperumal C, Gallo P (2021) Posterior fossa decompression and duraplasty with and without arachnoid preservation for the treatment of adult Chiari malformation type 1: a systematic review and meta-analysis. World Neurosurg 151:e579\u2013e598","journal-title":"World Neurosurg"},{"issue":"1","key":"7217_CR4","doi-asserted-by":"publisher","first-page":"39","DOI":"10.3171\/2022.2.PEDS21446","volume":"30","author":"SHA Akbari","year":"2022","unstructured":"Akbari SHA, Yahanda AT, Ackerman LL, Adelson PD, Ahmed R, Albert GW, Aldana PR, Alden TD, Anderson RCE, Bauer DF et al (2022) Complications and outcomes of posterior fossa decompression with duraplasty versus without duraplasty for pediatric patients with Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr 30(1):39\u201351","journal-title":"J Neurosurg Pediatr"},{"issue":"1","key":"7217_CR5","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1159\/000371659","volume":"50","author":"F Shweikeh","year":"2015","unstructured":"Shweikeh F, Sunjaya D, Nuno M, Drazin D, Adamo MA (2015) National trends, complications, and hospital charges in pediatric patients with Chiari malformation type I treated with posterior fossa decompression with and without duraplasty. Pediatr Neurosurg 50(1):31\u201337","journal-title":"Pediatr Neurosurg"},{"issue":"2","key":"7217_CR6","doi-asserted-by":"publisher","first-page":"150","DOI":"10.3171\/2014.12.PEDS14487","volume":"16","author":"BC Kennedy","year":"2015","unstructured":"Kennedy BC, Kelly KM, Phan MQ, Bruce SS, McDowell MM, Anderson RC, Feldstein NA (2015) Outcomes after suboccipital decompression without dural opening in children with Chiari malformation type I. J Neurosurg Pediatr 16(2):150\u2013158","journal-title":"J Neurosurg Pediatr"},{"key":"7217_CR7","doi-asserted-by":"crossref","unstructured":"Litvack ZN, Lindsay RA, Selden NR: Dura splitting decompression for Chiari I malformation in pediatric patients: clinical outcomes, healthcare costs, and resource utilization. Neurosurgery 2013, 72(6):922\u2013928; discussion 928\u2013929.","DOI":"10.1227\/NEU.0b013e31828ca1ed"},{"issue":"3","key":"7217_CR8","doi-asserted-by":"publisher","first-page":"343","DOI":"10.3171\/2015.7.PEDS1594","volume":"17","author":"IJ Pomeraniec","year":"2016","unstructured":"Pomeraniec IJ, Ksendzovsky A, Awad AJ, Fezeu F, Jane JA, Jr. : (2016) Natural and surgical history of Chiari malformation Type I in the pediatric population. J Neurosurg Pediatr 17(3):343\u2013352","journal-title":"J Neurosurg Pediatr"},{"issue":"1","key":"7217_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/2020.6.PEDS20376","volume":"27","author":"CI Ene","year":"2021","unstructured":"Ene CI, Wang AC, Collins KL, Bonow RH, McGrath LB, Durfy SJ, Barber JK, Ellenbogen RG (2021) Expansile duraplasty and obex exploration compared with bone-only decompression for Chiari malformation type I in children: retrospective review of outcomes and complications. J Neurosurg Pediatr 27(1):1\u20138","journal-title":"J Neurosurg Pediatr"},{"issue":"2 Suppl","key":"7217_CR10","first-page":"184","volume":"101","author":"FM Limonadi","year":"2004","unstructured":"Limonadi FM, Selden NR (2004) Dura-splitting decompression of the craniocervical junction: reduced operative time, hospital stay, and cost with equivalent early outcome. J Neurosurg 101(2 Suppl):184\u2013188","journal-title":"J Neurosurg"},{"issue":"8","key":"7217_CR11","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1007\/s00381-015-2699-1","volume":"31","author":"G Narenthiran","year":"2015","unstructured":"Narenthiran G, Parks C, Pettorini B (2015) Management of Chiari I malformation in children: effectiveness of intra-operative ultrasound for tailoring foramen magnum decompression. Childs Nerv Syst 31(8):1371\u20131376","journal-title":"Childs Nerv Syst"},{"issue":"6","key":"7217_CR12","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1007\/s00381-017-3712-7","volume":"34","author":"G Grahovac","year":"2018","unstructured":"Grahovac G, Pundy T, Tomita T (2018) Chiari type I malformation of infants and toddlers. Childs Nerv Syst 34(6):1169\u20131176","journal-title":"Childs Nerv Syst"},{"issue":"2","key":"7217_CR13","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00701-015-2664-5","volume":"158","author":"O Barzilai","year":"2016","unstructured":"Barzilai O, Roth J, Korn A, Constantini S (2016) The value of multimodality intraoperative neurophysiological monitoring in treating pediatric Chiari malformation type I. Acta Neurochir (Wien) 158(2):335\u2013340","journal-title":"Acta Neurochir (Wien)"},{"key":"7217_CR14","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1007\/978-3-319-62515-7_17","volume":"125","author":"L Massimi","year":"2019","unstructured":"Massimi L, Frassanito P, Chieffo D, Tamburrini G, Caldarelli M (2019) Bony decompression for Chiari malformation type I: long-term follow-up. Acta Neurochir Suppl 125:119\u2013124","journal-title":"Acta Neurochir Suppl"},{"issue":"10","key":"7217_CR15","doi-asserted-by":"publisher","first-page":"1827","DOI":"10.1007\/s00381-019-04218-9","volume":"35","author":"L Massimi","year":"2019","unstructured":"Massimi L, Frassanito P, Bianchi F, Tamburrini G, Caldarelli M (2019) Bony decompression vs duraplasty for Chiari I malformation: does the eternal dilemma matter? Childs Nerv Syst 35(10):1827\u20131838","journal-title":"Childs Nerv Syst"},{"issue":"5","key":"7217_CR16","doi-asserted-by":"publisher","first-page":"599","DOI":"10.3171\/2015.4.PEDS1572","volume":"16","author":"BC Kennedy","year":"2015","unstructured":"Kennedy BC, Nelp TB, Kelly KM, Phan MQ, Bruce SS, McDowell MM, Feldstein NA, Anderson RCE (2015) Delayed resolution of syrinx after posterior fossa decompression without dural opening in children with Chiari malformation type I. J Neurosurg Pediatr 16(5):599\u2013606","journal-title":"J Neurosurg Pediatr"},{"key":"7217_CR17","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11185343","author":"C Capel","year":"2022","unstructured":"Capel C, Padovani P, Launois PH, Metanbou S, Bal\u00e9dent O, Peltier J (2022) Insights on the hydrodynamics of Chiari malformation. J Clin Med. https:\/\/doi.org\/10.3390\/jcm11185343","journal-title":"J Clin Med"},{"key":"7217_CR18","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12185954","author":"C Capel","year":"2023","unstructured":"Capel C, Lantonkpode R, Metanbou S, Peltier J, Bal\u00e9dent O (2023) Hemodynamic and hydrodynamic pathophysiology in Chiari type 1 malformations: towards understanding the genesis of syrinx. J Clin Med. https:\/\/doi.org\/10.3390\/jcm12185954","journal-title":"J Clin Med"},{"issue":"6","key":"7217_CR19","first-page":"893","volume":"32","author":"C Yuan","year":"2022","unstructured":"Yuan C, Wei M, Li W, Wang X, Jian F (2022) Comparison of foramen magnum decompression with and without duraplasty in the treatment of adult Chiari malformation type I: a meta-analysis and systematic review. Turk Neurosurg 32(6):893\u2013902","journal-title":"Turk Neurosurg"},{"issue":"1","key":"7217_CR20","doi-asserted-by":"publisher","first-page":"42","DOI":"10.3171\/PED\/2008\/2\/7\/042","volume":"2","author":"SR Durham","year":"2008","unstructured":"Durham SR, Fjeld-Olenec K (2008) Comparison of posterior fossa decompression with and without duraplasty for the surgical treatment of Chiari malformation type I in pediatric patients: a meta-analysis. J Neurosurg Pediatr 2(1):42\u201349","journal-title":"J Neurosurg Pediatr"},{"issue":"5","key":"7217_CR21","doi-asserted-by":"publisher","first-page":"439","DOI":"10.3171\/2017.6.PEDS16367","volume":"20","author":"VM Lu","year":"2017","unstructured":"Lu VM, Phan K, Crowley SP, Daniels DJ (2017) The addition of duraplasty to posterior fossa decompression in the surgical treatment of pediatric Chiari malformation type I: a systematic review and meta-analysis of surgical and performance outcomes. J Neurosurg Pediatr 20(5):439\u2013449","journal-title":"J Neurosurg Pediatr"},{"issue":"2","key":"7217_CR22","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1007\/s10143-016-0731-x","volume":"40","author":"H Xu","year":"2017","unstructured":"Xu H, Chu L, He R, Ge C, Lei T (2017) Posterior fossa decompression with and without duraplasty for the treatment of Chiari malformation type I-a systematic review and meta-analysis. Neurosurg Rev 40(2):213\u2013221","journal-title":"Neurosurg Rev"},{"key":"7217_CR23","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1016\/j.wneu.2017.10.161","volume":"110","author":"W Lin","year":"2018","unstructured":"Lin W, Duan G, Xie J, Shao J, Wang Z, Jiao B (2018) Comparison of results between posterior fossa decompression with and without duraplasty for the surgical treatment of Chiari malformation type I: a systematic review and meta-analysis. World Neurosurg 110:460-474.e465","journal-title":"World Neurosurg"},{"issue":"1","key":"7217_CR24","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/s00701-020-04403-9","volume":"163","author":"SKP Tam","year":"2021","unstructured":"Tam SKP, Brodbelt A, Bolognese PA, Foroughi M (2021) Posterior fossa decompression with duraplasty in Chiari malformation type 1: a systematic review and meta-analysis. Acta Neurochir (Wien) 163(1):229\u2013238","journal-title":"Acta Neurochir (Wien)"},{"key":"7217_CR25","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.wneu.2018.02.092","volume":"113","author":"Z Chai","year":"2018","unstructured":"Chai Z, Xue X, Fan H, Sun L, Cai H, Ma Y, Ma C, Zhou R (2018) Efficacy of posterior fossa decompression with duraplasty for patients with Chiari malformation type I: a systematic review and meta-analysis. World Neurosurg 113:357-365.e351","journal-title":"World Neurosurg"},{"key":"7217_CR26","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13123430","author":"MS Venanzi","year":"2024","unstructured":"Venanzi MS, Pavanello M, Pacetti M, Secci F, Rossi A, Consales A, Piatelli G (2024) Surgical management of Chiari malformation type I in the pediatric population: a single-center experience. J Clin Med. https:\/\/doi.org\/10.3390\/jcm13123430","journal-title":"J Clin Med"},{"issue":"3","key":"7217_CR27","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1007\/s10143-020-01334-y","volume":"44","author":"A Tavallaii","year":"2021","unstructured":"Tavallaii A, Keykhosravi E, Rezaee H, Abouei Mehrizi MA, Ghorbanpour A, Shahriari A (2021) Outcomes of dura-splitting technique compared to conventional duraplasty technique in the treatment of adult Chiari I malformation: a systematic review and meta-analysis. Neurosurg Rev 44(3):1313\u20131329","journal-title":"Neurosurg Rev"},{"issue":"3","key":"7217_CR28","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1055\/s-0043-1764324","volume":"18","author":"A Tavallaii","year":"2023","unstructured":"Tavallaii A, Keykhosravi E, Ghorbanpour A, Shahriari A, Rezaee H (2023) Clinical and radiological outcomes of dura-splitting versus duraplasty techniques in pediatric Chiari I malformation: a systematic review and meta-analysis. Asian J Neurosurg 18(3):423\u2013436","journal-title":"Asian J Neurosurg"},{"key":"7217_CR29","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.wneu.2020.11.163","volume":"147","author":"TW Chang","year":"2021","unstructured":"Chang TW, Zhang X, Maoliti W, Yuan Q, Yang XP, Wang JC (2021) Outcomes of dura splitting decompression versus posterior fossa decompression with duraplasty in the treatment of Chiari I malformation: a systematic review and meta-analysis. World Neurosurg 147:105\u2013114","journal-title":"World Neurosurg"},{"key":"7217_CR30","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1274971","volume":"14","author":"Y Hu","year":"2023","unstructured":"Hu Y, Zhang M, Duan C, Song D, Wei M, Guo F (2023) A long-term follow-up study of adults with Chiari malformation type I combined with syringomyelia. Front Neurol 14:1274971","journal-title":"Front Neurol"},{"issue":"4","key":"7217_CR31","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1007\/s00381-008-0763-9","volume":"25","author":"YS Park","year":"2009","unstructured":"Park YS, Kim DS, Shim KW, Kim JH, Choi JU (2009) Factors contributing improvement of syringomyelia and surgical outcome in type I Chiari malformation. Childs Nerv Syst 25(4):453\u2013459","journal-title":"Childs Nerv Syst"},{"issue":"2","key":"7217_CR32","doi-asserted-by":"publisher","first-page":"178","DOI":"10.3171\/2014.9.PEDS14176","volume":"15","author":"TR Ladner","year":"2015","unstructured":"Ladner TR, Dewan MC, Day MA, Shannon CN, Tomycz L, Tulipan N, Wellons JC 3rd (2015) Evaluating the relationship of the pB-C2 line to clinical outcomes in a 15-year single-center cohort of pediatric Chiari I malformation. J Neurosurg Pediatr 15(2):178\u2013188","journal-title":"J Neurosurg Pediatr"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-026-07217-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-026-07217-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-026-07217-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:21:47Z","timestamp":1773757307000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-026-07217-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["7217"],"URL":"https:\/\/doi.org\/10.1007\/s00381-026-07217-9","relation":{},"ISSN":["1433-0350"],"issn-type":[{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"25 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors. The study protocol was approved by the local ethic committees (IRB Committee Tel-Aviv Medical Center, EKNZ, Basel, Switzerland, ICEC, Kurgan, Russia).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Due to the retrospective nature of the study the review board waived the need for informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"122"}}