Decompression with or without Duraplasty for Chiari I and Syringomyelia

D David D. Limbrick (Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Richmond) C Chevis N. Shannon (Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville) E Emine O. Bayman (Department of Biostatistics, College of Public Health, University of Iowa, Iowa City) T Thanda Meehan (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) M Marisa Kallem (Department of Biostatistics, College of Public Health, University of Iowa, Iowa City) L Laurie L. Ackerman (Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis) P P. David Adelson (Department of Neurosurgery, West Virginia University School of Medicine, Morgantown) R Raheel Ahmed G Gregory Albert (Department of Neurosurgery, University of Arkansas College of Medicine, Little Rock) P Philipp R. Aldana (Department of Pediatric Neurosurgery, University of Florida College of Medicine, Jacksonville) T Tord D. Alden (Department of Pediatric Neurosurgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago) R Richard C.E. Anderson (Division of Pediatric Neurosurgery, Department of Neurological Surgery, NYU Grossman School of Medicine, New York) L Lissa C. Baird (Department of Neurosurgery, Harvard Medical School, Boston) D David Bauer (Department of Radiology, Memorial Sloan Kettering Cancer Center) T Tammy Bethel-Anderson (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) K Karin Bierbrauer (Division of Pediatric Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati) D Douglas L. Brockmeyer (Division of Pediatric Neurosurgery, Primary Children’s Hospital, University of Utah, Salt Lake City) J Joshua J. Chern (Department of Neurosurgery, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta) D Daniel E. Couture (Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC) D David J. Daniels (Department of Neurosurgery, Mayo Clinic, Rochester, MN) R Robert C. Dauser (Department of Neurosurgery, Baylor College of Medicine, Houston) B Brian J. Dlouhy (Department of Neurosurgery, University of Iowa Hospitals, Iowa City) S Susan R. Durham (Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles) R Richard G. Ellenbogen (Department of Neurosurgery, University of Washington Medicine, Seattle) R Ramin Eskandari (Department of Neurosurgery, Medical University of South Carolina, Charleston) S Stephen R. Gannon (Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville) G Gerald A. Grant (Department of Neurosurgery, Duke University School of Medicine, Durham, NC) P Patrick C. Graupman (Division of Pediatric Neurosurgery, Gillette Children’s Hospital, St. Paul, MN) J Jacob K. Greenberg (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) S Stephanie Greene (Department of Neurosurgery, Duke University School of Medicine, Durham, NC) J Jeffrey P. Greenfield (Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York) N Naina L. Gross (Department of Neurosurgery, St. Francis Health System, Tulsa, OK) D Daniel J. Guillaume (Department of Neurosurgery, University of Minnesota Medical School, Minneapolis) T Todd C. Hankinson (Department of Neurosurgery, Children’s Hospital Colorado, Aurora) G Gregory Heuer (Division of Pediatric Neurosurgery, Children’s Hospital of Philadelphia, Philadelphia) M Mark Iantosca (Department of Neurosurgery, Penn State Health, Hershey, PA) B Bermans J. Iskandar (Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison) E Eric M. Jackson (Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore) G George I. Jallo (Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL) J James M. Johnston (Division of Neurosurgery, University of Alabama School of Medicine, Birmingham) R Robert F. Keating (Department of Neurosurgery, Children’s National Medical Center, Washington, DC) M Michael P. Kelly (Division of Orthopedics and Scoliosis, Rady Children’s Hospital, San Diego, CA) E Elaine Kennedy (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) M Mark D. Krieger (Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles) A Abhaya V. Kulkarni (Division of Neurosurgery, Hospital for Sick Children, Toronto) R Rick Labuda (Conquer Chiari, Wexford, PA) J Jeffrey R. Leonard (Department of Neurological Surgery, Ohio State University College of Medicine, Columbus) C Cormac O. Maher (Department of Neurosurgery, Stanford Medicine, Palo Alto, CA) F Francesco T. Mangano (Division of Pediatric Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati) J J. Gordon McComb (Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles) S Sean D. McEvoy (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) R Robert C. McKinstry (Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis) A Arnold H. Menezes (Department of Neurosurgery, University of Iowa Hospitals, Iowa City) T Toba N. Niazi (Department of Pediatric Neurosurgery, Nicklaus Children’s Hospital, University of Miami School of Medicine, Miami) J Jerry Oakes (Division of Neurosurgery, University of Alabama School of Medicine, Birmingham) G Greg Olavarria (Division of Pediatric Neurosurgery, Arnold Palmer Hospital for Children, Orlando, FL) B Brent R. O’Neill (Department of Neurosurgery, Penn State Health, Hershey, PA) D Dorothy Poppe (Bobby Jones Chiari and Syringomyelia Foundation, New York) J John Ragheb (Department of Pediatric Neurosurgery, Nicklaus Children’s Hospital, University of Miami School of Medicine, Miami) S Samuel Reeves (Palm Beach, FL) L Lisa Reynolds (St. Louis) N Nathan R. Selden (Department of Neurosurgery, Oregon Health and Science University, Portland) M Manish N. Shah (Division of Pediatric Neurosurgery, University of Texas McGovern Medical School, Houston) J Joshua S. Shimony (Department of Radiology, Washington University in St. Louis) M Matthew D. Smyth (Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL) S Sandy Spears (Bainbridge Island (Seattle), WA) S Scellig S.D. Stone (Department of Neurosurgery, Harvard Medical School, Boston) J Jennifer M. Strahle (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) M Mandeep Tamber (Division of Neurosurgery, BC Children’s Hospital Research Institute, University of British Columbia, Vancouver, Canada) G Gina Tramelli (Washington University in St. Louis, St. Louis) G Gerald F. Tuite (Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL) E Elizabeth C. Tyler-Kabara (Department of Neurosurgery, University of Texas at Austin, Austin) H Haley Vance (Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville) S Scott D. Wait (Carolina Neurosurgery and Spine Associates, Charlotte, NC) J John C. Wellons (Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville) W William E. Whitehead (Department of Neurosurgery, Baylor College of Medicine, Houston) A Alexander T. Yahanda (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) Y Yan Yan R Ralph G. Dacey (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) T Tae Sung Park (Department of Neurological Surgery, Washington University School of Medicine, St. Louis) J James C. Torner (Department of Epidemiology, College of Public Health, University of Iowa, Iowa City)

Article Details

Volume / Issue Vol. 394, Issue 20
Published May 28, 2026
Pages 2015-2025
ISSN 0028-4793
Publisher Massachusetts Medical Society

Journal Info

New England Journal of Medicine

Massachusetts Medical Society

ISSN: 0028-4793 Social Sciences

Authors (81)

D

David D. Limbrick

Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Richmond

C

Chevis N. Shannon

Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville

E

Emine O. Bayman

Department of Biostatistics, College of Public Health, University of Iowa, Iowa City

T

Thanda Meehan

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

M

Marisa Kallem

Department of Biostatistics, College of Public Health, University of Iowa, Iowa City

L

Laurie L. Ackerman

Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis

P

P. David Adelson

Department of Neurosurgery, West Virginia University School of Medicine, Morgantown

R

Raheel Ahmed

G

Gregory Albert

Department of Neurosurgery, University of Arkansas College of Medicine, Little Rock

P

Philipp R. Aldana

Department of Pediatric Neurosurgery, University of Florida College of Medicine, Jacksonville

T

Tord D. Alden

Department of Pediatric Neurosurgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago

R

Richard C.E. Anderson

Division of Pediatric Neurosurgery, Department of Neurological Surgery, NYU Grossman School of Medicine, New York

L

Lissa C. Baird

Department of Neurosurgery, Harvard Medical School, Boston

D

David Bauer

Department of Radiology, Memorial Sloan Kettering Cancer Center

T

Tammy Bethel-Anderson

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

K

Karin Bierbrauer

Division of Pediatric Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati

D

Douglas L. Brockmeyer

Division of Pediatric Neurosurgery, Primary Children’s Hospital, University of Utah, Salt Lake City

J

Joshua J. Chern

Department of Neurosurgery, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta

D

Daniel E. Couture

Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC

D

David J. Daniels

Department of Neurosurgery, Mayo Clinic, Rochester, MN

R

Robert C. Dauser

Department of Neurosurgery, Baylor College of Medicine, Houston

B

Brian J. Dlouhy

Department of Neurosurgery, University of Iowa Hospitals, Iowa City

S

Susan R. Durham

Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles

R

Richard G. Ellenbogen

Department of Neurosurgery, University of Washington Medicine, Seattle

R

Ramin Eskandari

Department of Neurosurgery, Medical University of South Carolina, Charleston

S

Stephen R. Gannon

Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville

G

Gerald A. Grant

Department of Neurosurgery, Duke University School of Medicine, Durham, NC

P

Patrick C. Graupman

Division of Pediatric Neurosurgery, Gillette Children’s Hospital, St. Paul, MN

J

Jacob K. Greenberg

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

S

Stephanie Greene

Department of Neurosurgery, Duke University School of Medicine, Durham, NC

J

Jeffrey P. Greenfield

Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York

N

Naina L. Gross

Department of Neurosurgery, St. Francis Health System, Tulsa, OK

D

Daniel J. Guillaume

Department of Neurosurgery, University of Minnesota Medical School, Minneapolis

T

Todd C. Hankinson

Department of Neurosurgery, Children’s Hospital Colorado, Aurora

G

Gregory Heuer

Division of Pediatric Neurosurgery, Children’s Hospital of Philadelphia, Philadelphia

M

Mark Iantosca

Department of Neurosurgery, Penn State Health, Hershey, PA

B

Bermans J. Iskandar

Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison

E

Eric M. Jackson

Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore

G

George I. Jallo

Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL

J

James M. Johnston

Division of Neurosurgery, University of Alabama School of Medicine, Birmingham

R

Robert F. Keating

Department of Neurosurgery, Children’s National Medical Center, Washington, DC

M

Michael P. Kelly

Division of Orthopedics and Scoliosis, Rady Children’s Hospital, San Diego, CA

E

Elaine Kennedy

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

M

Mark D. Krieger

Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles

A

Abhaya V. Kulkarni

Division of Neurosurgery, Hospital for Sick Children, Toronto

R

Rick Labuda

Conquer Chiari, Wexford, PA

J

Jeffrey R. Leonard

Department of Neurological Surgery, Ohio State University College of Medicine, Columbus

C

Cormac O. Maher

Department of Neurosurgery, Stanford Medicine, Palo Alto, CA

F

Francesco T. Mangano

Division of Pediatric Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati

J

J. Gordon McComb

Division of Neurosurgery, Children’s Hospital Los Angeles, Los Angeles

S

Sean D. McEvoy

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

R

Robert C. McKinstry

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis

A

Arnold H. Menezes

Department of Neurosurgery, University of Iowa Hospitals, Iowa City

T

Toba N. Niazi

Department of Pediatric Neurosurgery, Nicklaus Children’s Hospital, University of Miami School of Medicine, Miami

J

Jerry Oakes

Division of Neurosurgery, University of Alabama School of Medicine, Birmingham

G

Greg Olavarria

Division of Pediatric Neurosurgery, Arnold Palmer Hospital for Children, Orlando, FL

B

Brent R. O’Neill

Department of Neurosurgery, Penn State Health, Hershey, PA

D

Dorothy Poppe

Bobby Jones Chiari and Syringomyelia Foundation, New York

J

John Ragheb

Department of Pediatric Neurosurgery, Nicklaus Children’s Hospital, University of Miami School of Medicine, Miami

S

Samuel Reeves

Palm Beach, FL

L

Lisa Reynolds

St. Louis

N

Nathan R. Selden

Department of Neurosurgery, Oregon Health and Science University, Portland

M

Manish N. Shah

Division of Pediatric Neurosurgery, University of Texas McGovern Medical School, Houston

J

Joshua S. Shimony

Department of Radiology, Washington University in St. Louis

M

Matthew D. Smyth

Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL

S

Sandy Spears

Bainbridge Island (Seattle), WA

S

Scellig S.D. Stone

Department of Neurosurgery, Harvard Medical School, Boston

J

Jennifer M. Strahle

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

M

Mandeep Tamber

Division of Neurosurgery, BC Children’s Hospital Research Institute, University of British Columbia, Vancouver, Canada

G

Gina Tramelli

Washington University in St. Louis, St. Louis

G

Gerald F. Tuite

Department of Neurosurgery, Johns Hopkins All Children’s Hospital, St. Petersburg, FL

E

Elizabeth C. Tyler-Kabara

Department of Neurosurgery, University of Texas at Austin, Austin

H

Haley Vance

Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville

S

Scott D. Wait

Carolina Neurosurgery and Spine Associates, Charlotte, NC

J

John C. Wellons

Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville

W

William E. Whitehead

Department of Neurosurgery, Baylor College of Medicine, Houston

A

Alexander T. Yahanda

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

Y

Yan Yan

R

Ralph G. Dacey

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

T

Tae Sung Park

Department of Neurological Surgery, Washington University School of Medicine, St. Louis

J

James C. Torner

Department of Epidemiology, College of Public Health, University of Iowa, Iowa City