Decompression with or without Duraplasty for Chiari I and Syringomyelia (Registro nro. 22888)
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| 000 -Cabecera | |
|---|---|
| Campo de control interno | 03084nam a2200373 4500 |
| 001 - Número de control | |
| control field | ESSALUD |
| 005 - Fecha y hora de la última transacción | |
| Campo de control | 20260902145039.0 |
| 007 - Tipo material - Descripcion fisica - info general | |
| Tipo material - Descripcion fisica - info general | ta |
| 008 - Elementos de Longitud Fija - Información General | |
| Elementos de Longitud Fija - Información | t pe ||||| |||| 00| 0 spa d |
| 040 ## - Origen de la Catalogación | |
| Origen de la Catalogación | BMG |
| 041 ## - Idioma | |
| Idioma | eng |
| 100 ## - Autor | |
| Autor | Limbrick, David D. |
| Rol del Autor | Autor |
| 9 (RLIN) | 54408 |
| 245 ## - Titulo | |
| Titulo | Decompression with or without Duraplasty for Chiari I and Syringomyelia |
| 300 ## - Páginas | |
| Paginación | páginas: 2015-2025 |
| 520 ## - Resumen | |
| Resumen | Background: In children with Chiari type I malformation and syringomyelia, neurosurgical posterior fossa decompression (PFD) provides clinical improvement, but whether duraplasty (incising the dura and placing a dural graft) improves outcomes is unclear. Methods: We conducted a multicenter, cluster-randomized, controlled trial of PFD with duraplasty (PFD-D) as compared with PFD alone. Persons 21 years of age or younger with cerebellar tonsillar ectopia of at least 5 mm and a maximum syrinx diameter of 3.0 to 9.9 mm were enrolled at 38 centers. Centers were cluster-randomized: all the participants within each center underwent the same intervention. The primary outcome was surgical complications within 6 months. Secondary outcomes were clinical improvement, syrinx reduction, and repeat decompression at 10 to 24 months and the change in overall health-related quality of life at 6 to 24 months. Results: A total of 162 participants were included in the trial, of whom 78 were assigned to undergo PFD-D and 84 to undergo PFD alone. The percentage of participants with complications within 6 months was 14% with PFD-D and 6% with PFD (adjusted odds ratio, 2.59; 95% confidence interval [CI], 0.86 to 7.84; P=0.11). At 24 months, the percentage of participants with clinical improvement was 58% with PFD-D and 46% with PFD; the mean (±SD) syrinx reduction was 3.08±2.33 mm and 1.22±1.79 mm, respectively; and the percentage of participants with repeat decompression was 3% and 14%. Changes in health-related quality of life were similar in the two groups. Conclusions: The percentage of participants with surgical complications did not differ significantly between those who underwent PFD-D and those who underwent PFD alone. Larger trials are needed to determine the relative benefits and risks of these two procedures.<br/><br/> |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | ENFERMEDADES INFANTILES |
| 9 (RLIN) | 53890 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | MEDICINA CLÍNICA HOSPITALARIA |
| 9 (RLIN) | 53754 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | ORTOPEDIA GENERAL |
| 9 (RLIN) | 54409 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | PEDIATRÍA GENERAL |
| 9 (RLIN) | 54247 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | TRASTORNOS DE LA COLUMNA VERTEBRAL |
| 9 (RLIN) | 54410 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | NEUROLOGÍA |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | NEUROCIRUGÍA GENERAL |
| 9 (RLIN) | 53668 |
| 700 ## - Autor Personal | |
| Autor Personal | Shannon, Chevis N. |
| 9 (RLIN) | 54411 |
| 700 ## - Autor Personal | |
| Autor Personal | Bayman, Emine O. |
| 9 (RLIN) | 54412 |
| 700 ## - Autor Personal | |
| Autor Personal | Meehan, Thanda |
| 9 (RLIN) | 54413 |
| 700 ## - Autor Personal | |
| Autor Personal | Kallem, Marisa |
| 9 (RLIN) | 54414 |
| 700 ## - Autor Personal | |
| Autor Personal | Ackerman, Laurie L. |
| 9 (RLIN) | 54415 |
| 700 ## - Autor Personal | |
| Autor Personal | Adelson, P. David |
| 9 (RLIN) | 54416 |
| 700 ## - Autor Personal | |
| Autor Personal | Ahmed, Raheel |
| 9 (RLIN) | 54417 |
| 700 ## - Autor Personal | |
| Autor Personal | Albert, Gregory |
| 9 (RLIN) | 54418 |
| 700 ## - Autor Personal | |
| Autor Personal | Aldana, Philipp R. |
| 9 (RLIN) | 54419 |
| 773 0# - Revista (Relacion con el numero) | |
| Host Biblionumber | 22717 |
| Host Itemnumber | 22665 |
| Ciudad, Editorial | Massachusetts NEJM Group |
| Codigo barras item/ejemplar | NEJM013 |
| Titulo de la Revista | The New England Journal of Medicine |
| Número de control de registro | ESSALUD |
| ISSN | 0028-4793 |
| 942 ## - Elementos de Koha | |
| Tipo de Documento | Artículos |
| Fecha procesamiento | 2026-08-28 |
| Catalogador | sqb |
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