Matches in SemOpenAlex for { <https://semopenalex.org/work/W2513035187> ?p ?o ?g. }
- W2513035187 endingPage "743" @default.
- W2513035187 startingPage "737" @default.
- W2513035187 abstract "OBJECTIVE The authors performed a study to identify clinical characteristics of pediatric patients diagnosed with Chiari I malformation and scoliosis associated with a need for spinal fusion after posterior fossa decompression when managing the scoliotic curve. METHODS The authors conducted a multicenter retrospective review of 44 patients, aged 18 years or younger, diagnosed with Chiari I malformation and scoliosis who underwent posterior fossa decompression from 2000 to 2010. The outcome of interest was the need for spinal fusion after decompression. RESULTS Overall, 18 patients (40%) underwent posterior fossa decompression alone, and 26 patients (60%) required a spinal fusion after the decompression. The mean Cobb angle at presentation and the proportion of patients with curves > 35° differed between the decompression-only and fusion cohorts (30.7° ± 11.8° vs 52.1° ± 26.3°, p = 0.002; 5 of 18 vs 17 of 26, p = 0.031). An odds ratio of 1.0625 favoring a need for fusion was established for each 1° of increase in Cobb angle (p = 0.012, OR 1.0625, 95% CI 1.0135–1.1138). Among the 14 patients older than 10 years of age with a primary Cobb angle exceeding 35°, 13 (93%) ultimately required fusion. Patients with at least 1 year of follow-up whose curves progressed more 10° after decompression were younger than those without curve progression (6.1 ± 3.0 years vs 13.7 ± 3.2 years, p = 0.001, Mann-Whitney U-test). Left apical thoracic curves constituted a higher proportion of curves in the decompression-only group (8 of 16 vs 1 of 21, p = 0.002). CONCLUSIONS The need for fusion after posterior fossa decompression reflected the curve severity at clinical presentation. Patients presenting with curves measuring > 35°, as well as those greater than 10 years of age, may be at greater risk for requiring fusion after posterior fossa decompression, while patients less than 10 years of age may require routine monitoring for curve progression. Left apical thoracic curves may have a better response to Chiari malformation decompression." @default.
- W2513035187 created "2016-09-16" @default.
- W2513035187 creator A5004640005 @default.
- W2513035187 creator A5016295180 @default.
- W2513035187 creator A5017467779 @default.
- W2513035187 creator A5025146732 @default.
- W2513035187 creator A5030026759 @default.
- W2513035187 creator A5041505138 @default.
- W2513035187 creator A5042380113 @default.
- W2513035187 creator A5067004248 @default.
- W2513035187 creator A5069380512 @default.
- W2513035187 creator A5075729156 @default.
- W2513035187 creator A5088490243 @default.
- W2513035187 date "2016-12-01" @default.
- W2513035187 modified "2023-10-14" @default.
- W2513035187 title "Factors associated with spinal fusion after posterior fossa decompression in pediatric patients with Chiari I malformation and scoliosis" @default.
- W2513035187 cites W1564814518 @default.
- W2513035187 cites W1607731974 @default.
- W2513035187 cites W1782932658 @default.
- W2513035187 cites W1801036281 @default.
- W2513035187 cites W1989251335 @default.
- W2513035187 cites W1993492810 @default.
- W2513035187 cites W2002178019 @default.
- W2513035187 cites W2005063645 @default.
- W2513035187 cites W2010183716 @default.
- W2513035187 cites W2019335936 @default.
- W2513035187 cites W2035797838 @default.
- W2513035187 cites W2048742745 @default.
- W2513035187 cites W2052676208 @default.
- W2513035187 cites W2063280771 @default.
- W2513035187 cites W2063315159 @default.
- W2513035187 cites W2073783880 @default.
- W2513035187 cites W2076106441 @default.
- W2513035187 cites W2084217016 @default.
- W2513035187 cites W2084325936 @default.
- W2513035187 cites W2085834627 @default.
- W2513035187 cites W2107851000 @default.
- W2513035187 cites W2126602013 @default.
- W2513035187 cites W2130965499 @default.
- W2513035187 cites W2135865882 @default.
- W2513035187 cites W2167939369 @default.
- W2513035187 cites W2318137960 @default.
- W2513035187 cites W2334379568 @default.
- W2513035187 cites W4255566690 @default.
- W2513035187 doi "https://doi.org/10.3171/2016.5.peds16180" @default.
- W2513035187 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27589598" @default.
- W2513035187 hasPublicationYear "2016" @default.
- W2513035187 type Work @default.
- W2513035187 sameAs 2513035187 @default.
- W2513035187 citedByCount "17" @default.
- W2513035187 countsByYear W25130351872017 @default.
- W2513035187 countsByYear W25130351872018 @default.
- W2513035187 countsByYear W25130351872019 @default.
- W2513035187 countsByYear W25130351872020 @default.
- W2513035187 countsByYear W25130351872021 @default.
- W2513035187 countsByYear W25130351872023 @default.
- W2513035187 crossrefType "journal-article" @default.
- W2513035187 hasAuthorship W2513035187A5004640005 @default.
- W2513035187 hasAuthorship W2513035187A5016295180 @default.
- W2513035187 hasAuthorship W2513035187A5017467779 @default.
- W2513035187 hasAuthorship W2513035187A5025146732 @default.
- W2513035187 hasAuthorship W2513035187A5030026759 @default.
- W2513035187 hasAuthorship W2513035187A5041505138 @default.
- W2513035187 hasAuthorship W2513035187A5042380113 @default.
- W2513035187 hasAuthorship W2513035187A5067004248 @default.
- W2513035187 hasAuthorship W2513035187A5069380512 @default.
- W2513035187 hasAuthorship W2513035187A5075729156 @default.
- W2513035187 hasAuthorship W2513035187A5088490243 @default.
- W2513035187 hasConcept C126322002 @default.
- W2513035187 hasConcept C126838900 @default.
- W2513035187 hasConcept C141071460 @default.
- W2513035187 hasConcept C143409427 @default.
- W2513035187 hasConcept C156957248 @default.
- W2513035187 hasConcept C167135981 @default.
- W2513035187 hasConcept C2777836068 @default.
- W2513035187 hasConcept C2778871979 @default.
- W2513035187 hasConcept C2779480328 @default.
- W2513035187 hasConcept C2780375110 @default.
- W2513035187 hasConcept C2780955175 @default.
- W2513035187 hasConcept C2781149351 @default.
- W2513035187 hasConcept C2909349919 @default.
- W2513035187 hasConcept C36454342 @default.
- W2513035187 hasConcept C71924100 @default.
- W2513035187 hasConceptScore W2513035187C126322002 @default.
- W2513035187 hasConceptScore W2513035187C126838900 @default.
- W2513035187 hasConceptScore W2513035187C141071460 @default.
- W2513035187 hasConceptScore W2513035187C143409427 @default.
- W2513035187 hasConceptScore W2513035187C156957248 @default.
- W2513035187 hasConceptScore W2513035187C167135981 @default.
- W2513035187 hasConceptScore W2513035187C2777836068 @default.
- W2513035187 hasConceptScore W2513035187C2778871979 @default.
- W2513035187 hasConceptScore W2513035187C2779480328 @default.
- W2513035187 hasConceptScore W2513035187C2780375110 @default.
- W2513035187 hasConceptScore W2513035187C2780955175 @default.
- W2513035187 hasConceptScore W2513035187C2781149351 @default.
- W2513035187 hasConceptScore W2513035187C2909349919 @default.
- W2513035187 hasConceptScore W2513035187C36454342 @default.
- W2513035187 hasConceptScore W2513035187C71924100 @default.