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The goal is to remove bone and decompress the area of the brain with pressure. The dura overlying the herniated tonsils is opened and a patch is sewn to expand the space similar to letting out the waistband on a pair of pants. Pin On Chiari Surgery for chiari malformations. Chiari malformation surgery . In chiari malformation surgery doctors remove a small section of bone at the back of your skull to make room for part of your brain cerebellum and relieve pressure on your brainstem cerebellum and spinal cord. Not everyone with chiari malformation requires surgery but when a patient s individual circumstances warrant it a neurosurgeon may recommend decompression surgery known as a decompressive suboccipital craniectomy and cervical laminectomy. This is often the back of the skull and the back of the c1 and or c2 vertebrae. Traditional surgical treatment and minimally invasive surgical treatment. Surgery for chiari 0. Surgery for chiari malformation if your doctor does recom...