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001) were increased within the OCF group, whereas only basilar invagination (1/4, P.001) was increased in the OCF/VD group. Clivo-axial angle (CXA) was significantly lower for both OCF (128.8± 15.3°, P=.008) and OCF/VD (115.0± 11.6°, P=.025) groups when compared to PFD-only group (145.3± 12.7°). pB-C2 did not differ among groups. Although PFD alone is adequate for treating the vast majority of CM-1/SM patients, OCF or OCF/VD may be occasionally utilized. Cranial base and spine pathologies and CXA may provide insight into the need fo
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