2018 AANS Annual Scientific Meeting-557. Incidence of Cervicomedullary Decompression in Patients with Achondroplasia: A Large, National Database Analysis

557. Incidence of Cervicomedullary Decompression in Patients with Achondroplasia: A Large, National Database Analysis

Video Transcription

Video Summary

In the video, Dr. Jeff Nadel presents a study on screening and surgery for foramen magnum stenosis in children with achondroplasia. The study used the OptumInsight dataset, a large insurance claims database, to analyze the rates of cervical medullary decompression and adherence to screening recommendations. The prevalence of achondroplasia in the dataset was 1.43 per 10,000 enrollees. Among 3,577 children with achondroplasia, the cumulative incidence rate of cervical medullary decompression was 3.3%, with the highest rate in infancy. Approximately 42% of patients received some form of screening, but only 13.9% were fully screened according to the 2005 AAP guidelines. The study concludes that while screening rates have improved since the guideline revision, they still do not meet the standard outlined by the AAP. The study was supported by an NIH training grant, with Dr. Nadel being a fourth-year medical student at the University of Michigan.

Asset Caption

Jeffrey Nadel

Keywords

Dr. Jeff Nadel

foramen magnum stenosis

achondroplasia

cervical medullary decompression

screening recommendations