Long-term outcomes of posterior fossa decompression for Chiari malformation type 1: which patients are most prone to failure?
Khashayar MozaffariLaurence DavidsonEric ChalifTiffany N PhanAndrew D SparksJohn S MyserosChima O OluigboRobert F KeatingPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2021)
PFD provides a safe treatment option with similar clinical improvements and lower post-operative complication rate compared to PFDD, albeit at the cost of greater chance of reoperation, especially in the setting of a holocord syrinx. Patients with a holocord syrinx should be considered for a PFDD as their initial procedure.