{"id":81541,"date":"2024-09-20T00:00:00","date_gmt":"2024-09-19T22:00:00","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/conventional-criteria-vs-filum-system-method-the-difference-in-surgical-indications-for-arnold-chiari-syndrome-syringomyelia-idiopathic-scoliosis-and-other-related-diseases-based-on-the-ris\/"},"modified":"2026-01-23T11:39:21","modified_gmt":"2026-01-23T10:39:21","slug":"conventional-criteria-vs-filum-system-method-difference-surgical-indications-arnold-chiari-syndrome-syringomyelia-idiopathic-scoliosis-related-diseases-based-ris","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/en\/conventional-criteria-vs-filum-system-method-difference-surgical-indications-arnold-chiari-syndrome-syringomyelia-idiopathic-scoliosis-related-diseases-based-ris\/","title":{"rendered":"Conventional criteria VS Filum System\u00ae method: The difference in surgical indications for Arnold-Chiari syndrome, syringomyelia, idiopathic scoliosis and other related diseases, based on the risk-benefit ratio of the surgical intervention"},"content":{"rendered":"

Published by\u00a0ICSEB<\/a>\u00a0at 20 September, 2024<\/p>\n

\"\"<\/a><\/p>\n

The\u00a0Filum System\u00ae<\/sup>\u00a0<\/strong>is a unique method grounded in a scientific discovery, which was recognised in Dr. Royo-Salvador\u2019s\u00a0cum laude<\/em>\u00a0doctoral thesis by a committee of university professors. This discovery proves the existence of a new disease \u2013 the Filum Disease \u2013 as the underlying cause of various related conditions previously considered to be of unknown origin, including Arnold-Chiari Syndrome Types I, 0, and 1.5, syringomyelia and idiopathic scoliosis, among others.<\/p>\n

In addition, the proposed treatment for these conditions employs a minimally invasive surgical technique, developed through original research, which reduces the risks associated with the traditional sectioning of the Filum terminale, both in terms of technique and anaesthesia (which is local).<\/p>\n

Many patients with the mentioned diagnoses, who are recommended surgery by the ICSEB neurosurgeons, often wonder:\u00a0why do other specialists recommend not performing surgery and instead suggest yearly check-ups without surgical intervention?<\/strong><\/p>\n

The answer depends on the interpretation of the disease, on what it is considered to be its cause, the treatment deemed appropriate to eliminate it, the method used and the goal of the surgery.<\/strong><\/p>\n

The factors that influence the balance between risks and benefits in a surgical intervention are:<\/strong>\u00a0the patient preparation, pre-surgical stays, antibiotic prophylaxis, the level of surgical contamination, the duration and invasiveness of the procedure and the patient\u2019s health condition. In addition to these factors, there are those related to anaesthesia and its type: general, local with sedation, or a combination of both.<\/p>\n

When the chosen treatment is a major and invasive surgery \u2013 such as\u00a0craniectomy<\/strong>\u00a0for Arnold-Chiari Syndrome Type I and\u00a0syringostomy<\/strong>\u00a0for syringomyelia \u2013 it is typically recommended only for symptomatic cases, since these procedures can carry\u00a0higher risks of morbidity and mortality than the natural course of the condition itself<\/strong>.<\/p>\n

(See:<\/p>\n

https:\/\/institutchiaribcn.com\/en\/diseases-we-treat\/arnold-chiari-syndrome\/<\/a><\/p>\n

https:\/\/institutchiaribcn.com\/en\/diseases-we-treat\/syringomyelia\/<\/a>\u00a0)<\/p>\n

Conventionally, imaging and neurological follow-up is typically recommended for cases that do not have symptoms significantly affecting the patient\u2019s quality of life.<\/p>\n

On the other hand, if the chosen surgery is\u00a0the Sectioning of the Filum Terminale for Filum Disease according to the Filum System\u00ae, its disadvantages are minimal, with only a few complications related to the surgical wound \u2013 such as infection or dehiscence \u2013 similar to any other surgery, with no neurological deficits, morbidity or mortality.<\/strong><\/p>\n

It is easy to see why, in most diagnosed cases, our neurosurgeons recommend undergoing the sectioning of the Filum Terminale as soon as possible:\u00a0our method eliminates the root cause of the disease, stops its progression and allows the nervous system to repair any reversible lesion, preventing new ones from appearing or existing ones from becoming irreversible, thus improving the patient\u2019s quality of life.<\/strong><\/p>\n

Since the benefits outweigh the risks, even for patients who are nearly asymptomatic or have no significant limitations, it is best to proceed without delay.<\/strong>\u00a0This helps prevent the condition from worsening, which can happen with age, injuries, or other triggering factors, or simply due to the natural progression of the disease.<\/p>\n

You can request a remote consultation with the ICSEB specialists for a second opinion, to see if you could be a candidate for the application of the Filum System\u00ae and potentially\u00a0improve your quality of life!<\/strong><\/p>\n","protected":false},"featured_media":81542,"template":"","tipos-de-comunicacion":[512],"class_list":["post-81541","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry","tipos-de-comunicacion-news-announcement"],"yoast_head":"\nFilum System\u00ae vs conventional criteria | ICSEB<\/title>\n<meta name=\"description\" content=\"Comparative analysis of traditional surgical criteria and the Filum System\u00ae method for Chiari, syringomyelia and scoliosis cases.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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