Surgeries Performed at North Shore University Hospital
The surgeries we perform are diversified and include:
- Posterior fossa decompression
- Posterior fossa revision
- Craniocervical fusion
- Tethered cord surgery
- Syringomyelia operation
- Numerous minor surgeries, including:
- Invasive surgical traction
- Ventriculoperitoneal shunt
- Anterior cervical discectomy fusion
A surgical approach is greatly enhanced by the use of color Doppler sonography and morphometric measurements.
Specialization Means Expertise
Since Chiari-related surgeries are performed daily at The Chiari Institute, our surgeons benefit from the concept of full immersion. They have been exposed to an endless series of anatomical variants and have faced and solved complex technical problems.
Minimally Invasive Surgery for CMI (Chiari I Malformation)
This article concerns a relatively recent variation to CMI surgery, which involves the opening of skull and C1, without Duraplasty. A number of pediatric neurosurgeons are the current main advocates for this procedure. Their case series is small, since they just started; so long term results are unknown. This procedure is intended for young children. Their point is that when the dura (and the arachnoid) is opened, there is an increased risk of CSF leaks, wound infection, and meningitis. The risk of CSF leak is about 8% nationwide (while it is just 0.2% at The Chiari Institute).
» Read the complete article by Dr. Bolognese (PDF)
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