id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
work_fleg652s6jgwzcv6guvc4zznym	K. Daniel Riew	The Role of Atlantoaxial Instability on Chiari, Ossification of the Posterior Longitudinal Ligament, Spondylosis and Stenosis	2019	2	.pdf	application/pdf	1244	85	57	Dr. Atul Goel and Dr. Sanjay Behari, that take somewhat different positions on the treatment of Chiari malformation. However, as Dr. Behari points out, > 70% of patients with a pure Chiari I malformation have excellent improvement of their neurologic function with a simple decompression. He treated the patient with a posterior atlantoaxial and C3–6 fusion. that the patient needed an atlantoaxial fusion. The Role of Atlantoaxial Instability on Chiari, OPLL, Spondylosis and Stenosis Riew KD patients with OPLL can be treated exactly as Dr. Goel recommends, with the fusion and no decompression. in moderate to severe myelopathy, or for those with quadriparesis, I do not believe that a solidly fused OPLL patient with inadequate decompression will improve in any significant way. fail to see how adding a posterior fusion without decompression can help such patients. If this were not the case, no patient would be eligible for a cervical disc arthroplasty, since it is contraindicated 	./cache/work_fleg652s6jgwzcv6guvc4zznym.pdf	./txt/work_fleg652s6jgwzcv6guvc4zznym.txt