Priority of neurological decompression was regarded as necessary for @entity1635 @entity1 associated with @entity1645 in order to decrease the risk of @entity1566 from @entity1635 surgery. We report a retrospective series of @entity1635 associated with @entity1645 in 13 adolescent @entity1 and explore the effectiveness and safety of posterior @entity1635 correction without suboccipital decompression. One-stage posterior approach total vertebral column resection was performed in seven @entity1 with @entity1635 or @entity1513 curve >90   (average 100.1   scoliotic and 97.1   kyphotic curves) or presented with apparent @entity51 , whereas the other six @entity1 underwent posterior pedicle screw instrumentation for correction of @entity85 alone (average 77.3   scoliotic and 44.0   kyphotic curves). The apex of the @entity1635 curve was located at T7-T12. Mean operating time and @entity548 was 463 min and 5,190 ml in @entity1 undergoing total vertebral column resection, with average correction rate of @entity1635 and @entity1513 being 63.3 and 71.1%, respectively. Mean operating time and @entity548 in @entity1 undergoing instrumentation alone was 246 min and 1,450 ml, with the average correction rate of @entity1635 and @entity1513 being 60.8 and 53.4%, respectively. The mean follow-up duration was 32.2 months. No iatrogenic @entity16 had been encountered during the operation procedure and follow-up. After vertebral column resection, @entity51 such as relaxation of anal sphincter or @entity4372 that occurred in three @entity1 preoperatively improved gradually. In summary, suboccipital decompression prior to correction of @entity85 may not always be necessary for adolescent @entity1 with @entity1635 associated with @entity1645 . Particularly in @entity1 with a severe and rigid curve or with significant @entity51 , posterior approach total vertebral column resection is likely a good option, which could not only result in satisfactory correction of deformity, but also decrease the risk of @entity16 secondary to surgical intervention by shortening spine and reducing the tension of spinal cord.

One-stage and posterior approach for correction of moderate to severe @entity1635 in adolescents associated with XXXX : is a prior suboccipital decompression always necessary?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4372 :: ('MESH:D009122', 'Disease') :: ['hypermyotonia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['intraoperative hemorrhage'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['kyphosis'] @entity1645 :: ('MESH:D001139', 'Disease') :: ['Chiari I malformation'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological deterioration', 'neurological injury'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits', 'neurological dysfunctions'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury'] @entity85 :: ('MESH:D009140', 'Disease') :: ['spinal deformity', 'spine deformity']
@entity1645 :: (MESH:D001139,Disease) :: ['Chiari I malformation']
