Surgical Treatment of Chiari I Malformation

This article is a discussion of the surgical technique for posterior fossa decompression as treatment for Chiari I malformation. It includes a brief discussion of the indications for surgical treatment as well as a discussion of the risks and benefits of bone-only decompression or decompression with accompanying duraplasty. Most of the text is dedicated to the technical description of the surgical procedure for decompression of the Chiari I malformation with particular attention to techniques aimed at avoiding common complications.