{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T13:40:24Z","timestamp":1773063624737,"version":"3.50.1"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,20]]},"DOI":"10.7759\/cureus.60694","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T18:12:11Z","timestamp":1716228731000},"source":"Crossref","is-referenced-by-count":2,"title":["Evaluating the Need for Durotomy and Duraplasty in Adults Undergoing Suboccipital Craniectomy for Chiari Decompression: A Case Series Analysis of Radiographic and Clinical Outcomes"],"prefix":"10.7759","author":[{"given":"Rohan","family":"Jha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua I","family":"Chalif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2022.09.004","article-title":"Adult chiari malformation type I: surgical anatomy, microsurgical technique, and patient outcomes","volume":"34","author":"Arnautovic A","year":"2023","unstructured":"Arnautovic A, Pojski\u0107 M, Arnautovi\u0107 KI. Adult chiari malformation type I: surgical anatomy, microsurgical technique, and patient outcomes. Neurosurg Clin N Am. 2023, 34:91-104. 10.1016\/j.nec.2022.09.004","journal-title":"Neurosurg Clin N Am"},{"key":"ref2","article-title":"Significance of cerebellar tonsillar position on MR","volume":"7","author":"Barkovich AJ","year":"1986","unstructured":"Barkovich AJ, Wippold FJ, Sherman JL, Citrin CM. Significance of cerebellar tonsillar position on MR. AJNR Am J Neuroradiol. 1986, 7:795-9.","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.PEDS14295","article-title":"Pediatric and adult Chiari malformation Type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes","volume":"15","author":"Arnautovic A","year":"2015","unstructured":"Arnautovic A, Splavski B, Boop FA, Arnautovic KI. Pediatric and adult Chiari malformation Type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes. J Neurosurg Pediatr. 2015, 15:161-77. 10.3171\/2014.10.PEDS14295","journal-title":"J Neurosurg Pediatr"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2014.07.019","article-title":"The case for duraplasty in adults undergoing posterior fossa decompression for Chiari I malformation: a systematic review and meta-analysis of observational studies","volume":"125","author":"F\u00f6rander P","year":"2014","unstructured":"F\u00f6rander P, Sj\u00e5vik K, Solheim O, Riphagen I, Gulati S, Salvesen \u00d8, Jakola AS. The case for duraplasty in adults undergoing posterior fossa decompression for Chiari I malformation: a systematic review and meta-analysis of observational studies. Clin Neurol Neurosurg. 2014, 125:58-64. 10.1016\/j.clineuro.2014.07.019","journal-title":"Clin Neurol Neurosurg"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.04.082","article-title":"Chiari malformation type 1: a systematic review of natural history and conservative management","volume":"104","author":"Langridge B","year":"2017","unstructured":"Langridge B, Phillips E, Choi D. Chiari malformation type 1: a systematic review of natural history and conservative management. World Neurosurg. 2017, 104:213-9. 10.1016\/j.wneu.2017.04.082","journal-title":"World Neurosurg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b3016","article-title":"Incidental findings on brain magnetic resonance imaging: systematic review and meta-analysis","volume":"339","author":"Morris Z","year":"2009","unstructured":"Morris Z, Whiteley WN, Longstreth WT Jr, et al.. Incidental findings on brain magnetic resonance imaging: systematic review and meta-analysis. BMJ. 2009, 339:b3016. 10.1136\/bmj.b3016","journal-title":"BMJ"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-011-0182-6","article-title":"What differences exist in the appropriate treatment of congenital versus acquired adult Chiari type I malformation?","volume":"15","author":"Ram\u00f3n C","year":"2011","unstructured":"Ram\u00f3n C, Gonz\u00e1les-Mandly A, Pascual J. What differences exist in the appropriate treatment of congenital versus acquired adult Chiari type I malformation?. Curr Pain Headache Rep. 2011, 15:157-63. 10.1007\/s11916-011-0182-6","journal-title":"Curr Pain Headache Rep"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2014.06.009","article-title":"Comparison of operative and non-operative outcomes based on surgical selection criteria for patients with Chiari I malformations","volume":"21","author":"Chavez A","year":"2014","unstructured":"Chavez A, Roguski M, Killeen A, Heilman C, Hwang S. Comparison of operative and non-operative outcomes based on surgical selection criteria for patients with Chiari I malformations. J Clin Neurosci. 2014, 21:2201-6. 10.1016\/j.jocn.2014.06.009","journal-title":"J Clin Neurosci"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-007-0297-6","article-title":"Relevance of surgical strategies for the management of pediatric Chiari type I malformation","volume":"23","author":"Galarza M","year":"2007","unstructured":"Galarza M, Sood S, Ham S. Relevance of surgical strategies for the management of pediatric Chiari type I malformation. Childs Nerv Syst. 2007, 23:691-6. 10.1007\/s00381-007-0297-6","journal-title":"Childs Nerv Syst"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.03.108","article-title":"Headache and other symptoms in Chiari malformation type I are associated with cerebrospinal fluid flow improvement after decompression: a two-institutional study","volume":"163","author":"Mugge L","year":"2022","unstructured":"Mugge L, Caras A, Henkel N, Dassi C, Schroeder J, Prevedello DM. Headache and other symptoms in Chiari malformation type I are associated with cerebrospinal fluid flow improvement after decompression: a two-institutional study. World Neurosurg. 2022, 163:e253-62. 10.1016\/j.wneu.2022.03.108","journal-title":"World Neurosurg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.02.092","article-title":"Efficacy of posterior fossa decompression with duraplasty for patients with Chiari malformation type I: a systematic review and meta-analysis","volume":"113","author":"Chai Z","year":"2018","unstructured":"Chai Z, Xue X, Fan H, et al.. Efficacy of posterior fossa decompression with duraplasty for patients with Chiari malformation type I: a systematic review and meta-analysis. World Neurosurg. 2018, 113:357-365.e1. 10.1016\/j.wneu.2018.02.092","journal-title":"World Neurosurg"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3171\/2017.6.PEDS16367","article-title":"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","volume":"20","author":"Lu VM","year":"2017","unstructured":"Lu VM, Phan K, Crowley SP, Daniels DJ. 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. 2017, 20:439-49. 10.3171\/2017.6.PEDS16367","journal-title":"J Neurosurg Pediatr"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3171\/PED\/2008\/2\/7\/042","article-title":"Comparison of posterior fossa decompression with and without duraplasty for the surgical treatment of Chiari malformation type I in pediatric patients: a meta-analysis","volume":"2","author":"Durham SR","year":"2008","unstructured":"Durham SR, Fjeld-Olenec K. 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. 2008, 2:42-9. 10.3171\/PED\/2008\/2\/7\/042","journal-title":"J Neurosurg Pediatr"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-010-1295-7","article-title":"Duraplasty or not? An evidence-based review of the pediatric Chiari I malformation","volume":"27","author":"Hankinson T","year":"2011","unstructured":"Hankinson T, Tubbs RS, Wellons JC. Duraplasty or not? An evidence-based review of the pediatric Chiari I malformation. Childs Nerv Syst. 2011, 27:35-40. 10.1007\/s00381-010-1295-7","journal-title":"Childs Nerv Syst"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-62515-7_17","article-title":"Bony decompression for Chiari malformation type I: long-term follow-up","author":"Massimi L","year":"2019","unstructured":"Massimi L, Frassanito P, Chieffo D, Tamburrini G, Caldarelli M. Bony decompression for Chiari malformation type I: long-term follow-up. New Trends in Craniovertebral Junction Surgery. Acta Neurochirurgica Supplement. Visocchi M (ed): Springer, Cham; 2019. 125:119-24. 10.1007\/978-3-319-62515-7_17"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-019-04218-9","article-title":"Bony decompression vs duraplasty for Chiari I malformation: does the eternal dilemma matter?","volume":"35","author":"Massimi L","year":"2019","unstructured":"Massimi L, Frassanito P, Bianchi F, Tamburrini G, Caldarelli M. Bony decompression vs duraplasty for Chiari I malformation: does the eternal dilemma matter?. Childs Nerv Syst. 2019, 35:1827-38. 10.1007\/s00381-019-04218-9","journal-title":"Childs Nerv Syst"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-017-0857-5","article-title":"The effect of posterior fossa decompression in adult Chiari malformation and basilar invagination: a systematic review and meta-analysis","volume":"41","author":"de Oliveira Sousa U","year":"2018","unstructured":"de Oliveira Sousa U, de Oliveira MF, Heringer LC, Barcelos AC, Botelho RV. The effect of posterior fossa decompression in adult Chiari malformation and basilar invagination: a systematic review and meta-analysis. Neurosurg Rev. 2018, 41:311-21. 10.1007\/s10143-017-0857-5","journal-title":"Neurosurg Rev"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12987-018-0118-1","article-title":"Cerebellar tonsil ectopia measurement in type I Chiari malformation patients show poor inter-operator reliability","volume":"15","author":"Lawrence BJ","year":"2018","unstructured":"Lawrence BJ, Urbizu A, Allen PA, et al.. Cerebellar tonsil ectopia measurement in type I Chiari malformation patients show poor inter-operator reliability. Fluids Barriers CNS. 2018, 15:33. 10.1186\/s12987-018-0118-1","journal-title":"Fluids Barriers CNS"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e31823200a6","article-title":"A novel scoring system for assessing Chiari malformation type I treatment outcomes","volume":"70","author":"Aliaga L","year":"2012","unstructured":"Aliaga L, Hekman KE, Yassari R, et al.. A novel scoring system for assessing Chiari malformation type I treatment outcomes. Neurosurgery. 2012, 70:656-64; discussion 664-5. 10.1227\/NEU.0b013e31823200a6","journal-title":"Neurosurgery"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3171\/2022.12.FOCUS22627","article-title":"Long-term outcomes of foramen magnum decompression with duraplasty for Chiari malformation type I in adults: a series of 297 patients","volume":"54","author":"Wang B","year":"2023","unstructured":"Wang B, Wang C, Zhang YW, et al.. Long-term outcomes of foramen magnum decompression with duraplasty for Chiari malformation type I in adults: a series of 297 patients. Neurosurg Focus. 2023, 54:E5. 10.3171\/2022.12.FOCUS22627","journal-title":"Neurosurg Focus"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3171\/2012.10.JNS12305","article-title":"Surgical treatment of Chiari malformation with and without syringomyelia: experience with 177 adult patients","volume":"118","author":"Batzdorf U","year":"2013","unstructured":"Batzdorf U, McArthur DL, Bentson JR. Surgical treatment of Chiari malformation with and without syringomyelia: experience with 177 adult patients. J Neurosurg. 2013, 118:232-42. 10.3171\/2012.10.JNS12305","journal-title":"J Neurosurg"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3171\/2022.2.PEDS21446","article-title":"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","volume":"30","author":"Akbari SH","year":"2022","unstructured":"Akbari SH, Yahanda AT, Ackerman LL, et al.. 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. 2022, 30:39-51. 10.3171\/2022.2.PEDS21446","journal-title":"J Neurosurg Pediatr"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.4415\/ANN_20_01_08","article-title":"Syringomyelia and Chiari Syndrome Registry: advances in epidemiology, clinical phenotypes and natural history based on a North Western Italy cohort","volume":"56","author":"Ciaramitaro P","year":"2020","unstructured":"Ciaramitaro P, Garbossa D, Peretta P, et al.. Syringomyelia and Chiari Syndrome Registry: advances in epidemiology, clinical phenotypes and natural history based on a North Western Italy cohort. Ann Ist Super Sanita. 2020, 56:48-58. 10.4415\/ANN_20_01_08","journal-title":"Ann Ist Super Sanita"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3171\/2014.9.JNS14406","article-title":"Outcome methods used in clinical studies of Chiari malformation type I: a systematic review","volume":"122","author":"Greenberg JK","year":"2015","unstructured":"Greenberg JK, Milner E, Yarbrough CK, et al.. Outcome methods used in clinical studies of Chiari malformation type I: a systematic review. J Neurosurg. 2015, 122:262-72. 10.3171\/2014.9.JNS14406","journal-title":"J Neurosurg"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199905000-00042","article-title":"Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients","volume":"44","author":"Milhorat TH","year":"1999","unstructured":"Milhorat TH, Chou MW, Trinidad EM, Kula RW, Mandell M, Wolpert C, Speer MC. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery. 1999, 44:1005-17. 10.1097\/00006123-199905000-00042","journal-title":"Neurosurgery"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-015-2699-1","article-title":"Management of Chiari I malformation in children: effectiveness of intra-operative ultrasound for tailoring foramen magnum decompression","volume":"31","author":"Narenthiran G","year":"2015","unstructured":"Narenthiran G, Parks C, Pettorini B. Management of Chiari I malformation in children: effectiveness of intra-operative ultrasound for tailoring foramen magnum decompression. Childs Nerv Syst. 2015, 31:1371-6. 10.1007\/s00381-015-2699-1","journal-title":"Childs Nerv Syst"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.SPINE1433","article-title":"Multimodal evaluation of CSF dynamics following extradural decompression for Chiari malformation type I","volume":"22","author":"Quon JL","year":"2015","unstructured":"Quon JL, Grant RA, DiLuna ML. Multimodal evaluation of CSF dynamics following extradural decompression for Chiari malformation type I. J Neurosurg Spine. 2015, 22:622-30. 10.3171\/2014.10.SPINE1433","journal-title":"J Neurosurg Spine"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.05.124","article-title":"Comparative assessment of three posterior fossa decompression techniques and evaluation of the evidence supporting the efficacy of syrinx shunting and filum terminale sectioning in Chiari malformation type I. A systematic review and network meta-analysis","volume":"152","author":"Antkowiak L","year":"2021","unstructured":"Antkowiak L, Tabakow P. Comparative assessment of three posterior fossa decompression techniques and evaluation of the evidence supporting the efficacy of syrinx shunting and filum terminale sectioning in Chiari malformation type I. A systematic review and network meta-analysis. World Neurosurg. 2021, 152:31-43. 10.1016\/j.wneu.2021.05.124","journal-title":"World Neurosurg"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.3171\/2016.11.PEDS16263","article-title":"Comparison of posterior fossa volumes and clinical outcomes after decompression of Chiari malformation type I","volume":"19","author":"Khalsa SS","year":"2017","unstructured":"Khalsa SS, Siu A, DeFreitas TA, et al.. Comparison of posterior fossa volumes and clinical outcomes after decompression of Chiari malformation type I. J Neurosurg Pediatr. 2017, 19:511-7. 10.3171\/2016.11.PEDS16263","journal-title":"J Neurosurg Pediatr"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1159\/000371659","article-title":"National trends, complications, and hospital charges in pediatric patients with Chiari malformation type I treated with posterior fossa decompression with and without duraplasty","volume":"50","author":"Shweikeh F","year":"2015","unstructured":"Shweikeh F, Sunjaya D, Nuno M, Drazin D, Adamo MA. 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. 2015, 50:31-7. 10.1159\/000371659","journal-title":"Pediatr Neurosurg"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3171\/ped.2004.101.2.0184","article-title":"Dura-splitting decompression of the craniocervical junction: reduced operative time, hospital stay, and cost with equivalent early outcome","volume":"101","author":"Limonadi FM","year":"2004","unstructured":"Limonadi FM, Selden NR. Dura-splitting decompression of the craniocervical junction: reduced operative time, hospital stay, and cost with equivalent early outcome. J Neurosurg. 2004, 101:184-8. 10.3171\/ped.2004.101.2.0184","journal-title":"J Neurosurg"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2022.09.005","article-title":"Short-term and long-term complications associated with posterior fossa decompression for Chiari malformation","volume":"34","author":"Batzdorf U","year":"2023","unstructured":"Batzdorf U. Short-term and long-term complications associated with posterior fossa decompression for Chiari malformation. Neurosurg Clin N Am. 2023, 34:113-7. 10.1016\/j.nec.2022.09.005","journal-title":"Neurosurg Clin N Am"},{"key":"ref33","article-title":"Posterior fossa decompression with duraplasty in Chiari-1 malformations","volume":"25","author":"Rehman L","year":"2015","unstructured":"Rehman L, Akbar H, Bokhari I, Babar AK, M Hashim AS, Arain SH. Posterior fossa decompression with duraplasty in Chiari-1 malformations. J Coll Physicians Surg Pak. 2015, 25:254-8.","journal-title":"J Coll Physicians Surg Pak"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2015.9.5.721","article-title":"Foramen magnum decompression and duraplasty is superior to only foramen magnum decompression in Chiari malformation type 1 associated with syringomyelia in adults","volume":"9","author":"G\u00fcrb\u00fcz MS","year":"2015","unstructured":"G\u00fcrb\u00fcz MS, Berkman MZ, \u00dcnal E, Akp\u0131nar E, G\u00f6k \u015e, Orakd\u00f6\u011fen M, Ayd\u0131n S. Foramen magnum decompression and duraplasty is superior to only foramen magnum decompression in Chiari malformation type 1 associated with syringomyelia in adults. Asian Spine J. 2015, 9:721-7. 10.4184\/asj.2015.9.5.721","journal-title":"Asian Spine J"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2003.15.3.3","article-title":"Revision surgery for Chiari malformation decompression","volume":"15","author":"Mazzola CA","year":"2003","unstructured":"Mazzola CA, Fried AH. Revision surgery for Chiari malformation decompression. Neurosurg Focus. 2003, 15:E3. 10.3171\/foc.2003.15.3.3","journal-title":"Neurosurg Focus"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.04.082","article-title":"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","volume":"151","author":"Osborne-Grinter M","year":"2021","unstructured":"Osborne-Grinter M, Arora M, Kaliaperumal C, Gallo P. 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. 2021, 151:e579-98. 10.1016\/j.wneu.2021.04.082","journal-title":"World Neurosurg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/254010-evaluating-the-need-for-durotomy-and-duraplasty-in-adults-undergoing-suboccipital-craniectomy-for-chiari-decompression-a-case-series-analysis-of-radiographic-and-clinical-outcomes","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T18:12:19Z","timestamp":1716228739000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/254010-evaluating-the-need-for-durotomy-and-duraplasty-in-adults-undergoing-suboccipital-craniectomy-for-chiari-decompression-a-case-series-analysis-of-radiographic-and-clinical-outcomes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":36,"URL":"https:\/\/doi.org\/10.7759\/cureus.60694","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5,20]]}}}