Chiari decompression removes protective bone (skull/C1), eliminating the “bony safety zone” behind the brain and cord, so posterior injections carry higher risk. Imaging guidance helps but doesn’t erase that risk. PICL approaches from the front and doesn’t add much risk, though patients may respond less robustly if stabilizing tissues were removed. #CCI #ChiariDecompression #PICL #DrCenteno #CraniocervicalInstability #CentenoSchultzClinic #InterventionalOrthobiologics | Centeno-Schultz Clinic

13K views · 97 reactions | Severe case with Chiari malformation with decompression surgery and a fusion of the top two bones in the neck. #chiarimalformation #vertigo #headache #dizziness | Montclair Upper Cervical Chiropractic | Facebook