Treatment of Chiari Malformation and Concomitant Paediatric Scoliosis Long-Term Follow-Up in One Major Referral Centre in the UK

Oded Hershkovich*, Raphael Lotan, Netanel Steinberg, Galateia Katzouraki, Daniel D’Aquino, Magnum Tsegaye

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Paediatric scoliosis (PS) and Chiari malformation type 1 (CM-1) have been reported to be associated with each other. Scoliosis curvature is a common finding among patients operated for CM-1, and curve development has been related to it. We report a cohort of PS and CM-1 patients managed with posterior fossa and upper cervical decompression (PFUCD) by a single surgeon, with an average of two years of follow-up. Methods: We present a retrospective cohort in a single referral centre for patients with CM-1 and PS. Results: From 2011 to 2018, we identified fifteen patients with CM-1 and PS; eleven underwent PFUCD, ten had symptomatic CM-1, and one had asymptomatic CM-1 but showed curve progression. The remaining four CM-1 patients were asymptomatic and were hence treated conservatively. The average follow-up post-PFUCD was 26.2 months. Scoliosis surgery was performed in seven cases; six patients underwent PFUCD prior to the scoliosis correction. One scoliosis case underwent surgery in the presence of mild CM-1 treated conservatively. The remaining four cases were scheduled for scoliosis correction surgery, while three were managed conservatively, with one case lost to follow-up. The average time between PFUCD and scoliosis surgery was 11 months. None of the cases had intraoperative neuromonitoring alerts or perioperative neurological complications. Conclusion: CM-1 with concomitant scoliosis can be found. Symptomatic CM-1 might require surgery, but as we discovered, PFUCD had negligible effect on curve progression and the future need for scoliosis surgery.

Original languageEnglish
Article number3409
JournalJournal of Clinical Medicine
Volume12
Issue number10
DOIs
StatePublished - May 2023

Keywords

  • Chiari malformation type 1
  • curve
  • progression
  • scoliosis

Fingerprint

Dive into the research topics of 'Treatment of Chiari Malformation and Concomitant Paediatric Scoliosis Long-Term Follow-Up in One Major Referral Centre in the UK'. Together they form a unique fingerprint.

Cite this