{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T12:29:43Z","timestamp":1772108983676,"version":"3.50.1"},"reference-count":0,"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":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chiari malformation type 1 (CM-1) is an ectopia of the cerebellar tonsils below the foramen magnum that causes severe disability due to its neurologic symptoms. The treatment of choice for CM-1 is decompression of the craniovertebral junction (CVJ). In some patients only an extradural decompression by removing the atlanto-occipital ligament may be sufficient. In other patients, duraplasty is necessary. In this case, we report the operative technique used to treat a CM-1 in a 16-year-old male patient who presented with severe headache and gait instability. A micro-decompression of the suboccipital bone and posterior arch osteotomy of C1 through a 2-cm midline incision was performed under surgical microscope magnification. A duraplasty was performed through the same approach. The patient was discharged home after 2 days in the hospital and returned to regular activities at school 3 weeks after surgery. The minimally invasive technique presented here is a viable option for the posterior decompression of the CVJ in patients with CM-1 using a low-cost self-retaining retractor.<\/jats:p>","DOI":"10.1055\/s-0039-1685","type":"journal-article","created":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T18:44:30Z","timestamp":1556131470000},"page":"312-317","source":"Crossref","is-referenced-by-count":6,"title":["Minimally Invasive Craniocervical Decompression for Chiari 1 Malformation: An Operative Technique"],"prefix":"10.1055","volume":"80","author":[{"given":"Javier","family":"Quillo-Olvera","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery, The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Queretaro City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Navarro-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Department of Spine and Scoliosis Surgery, McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Quillo-Olvera","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Regional Hospital \u201cDr. Valent\u00edn G\u00f3mez Far\u00edas\u201d ISSSTE, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Quillo-Res\u00e9ndiz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Spine Surgery, The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Queretaro City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin-Sung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul St. Mary's Hospital, Seocho Gu, Seoul, Korea, Republic of"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,24]]},"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1685.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T18:43:07Z","timestamp":1560796987000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1685"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,24]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1685","relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,24]]}}}