What is the Downside of Chiari Surgery?

Описание: Ever wondered why some patients experience worsening instability after Chiari decompression surgery? In this video, Dr. Centeno reviews a case where a patient underwent an unsuccessful Chiari decompression that removed critical sub-occipital muscles, leading to destabilized craniocervical alignment and type 2b instability.

Dr. Centeno explains how the removal of bone and muscles, such as the rectus capitis posterior minor and major, can dramatically alter the anatomy and emphasizes why a fusion or PICL procedure may be necessary afterward.

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Key Timestamps:
00:00 – Introduction: Unsuccessful Chiari decompression case
00:21 – CT scan analysis: Altered skull and atlas alignment
00:40 – 3D image: Visualization of bone removal
01:07 – Discussion: Ongoing craniocervical instability and PICL fusion
01:18 – Warning: Loss of critical stabilizing muscles and patient unawareness