{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:36:57Z","timestamp":1740166617663,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The 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.<\/jats:p><jats:p>\n          Methods\u2003We 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.<\/jats:p><jats:p>\n          Results\u2003Overall improved, unchanged, and worsened neurologic statuses were observed in 75.6% (n\u2009=\u200956), 17.5% (n\u2009=\u200913), and 6.7% (n\u2009=\u20095) of our patients, respectively. The mean last visit CCOS scores in groups 1 and 2 were 12.3\u2009\u00b1\u20092.1 and 13.5\u2009\u00b1\u20091.7, respectively. The difference between the groups was statistically significant (p\u2009&lt;\u20090.01). The mean tonsillar regression rates were 34.7\u2009\u00b1\u200917.0% and 52.1\u2009\u00b1\u200915.3% in groups 1 and 2, respectively, with a statistically significant difference (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003Adult 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.<\/jats:p>","DOI":"10.1055\/a-1877-0074","type":"journal-article","created":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T23:23:48Z","timestamp":1655335428000},"page":"370-376","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Clinical and Radiologic Outcomes between Dural Splitting and Duraplasty for Adult Patients with Chiari Type I Malformation"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1847-2562","authenticated-orcid":false,"given":"Muhammet Arif","family":"\u00d6zbek","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Istanbul Medipol University, Istanbul, \u0130stanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Tulgar","family":"Ba\u015fak","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, American Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazl\u0131","family":"\u00c7ak\u0131c\u0131","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medicana Health Group, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sevket","family":"Evran","sequence":"additional","affiliation":[{"name":"Neurosurgery Clinic, Haseki Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Kayhan","sequence":"additional","affiliation":[{"name":"Neurosurgery Clinic, Haseki Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahsin","family":"Sayg\u0131","sequence":"additional","affiliation":[{"name":"Neurosurgery Clinic, Haseki Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oguz","family":"Baran","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Koc University Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1007\/s10143-020-01414-z","article-title":"Clinical and radiological evaluation of treated Chiari I adult patients: retrospective study from two neurosurgical centers","volume":"44","author":"M G Papaker","year":"2021","journal-title":"Neurosurg Rev"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1227\/NEU.0b013e31823200a6","article-title":"A novel scoring system for assessing Chiari malformation type I treatment outcomes","volume":"70","author":"L 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