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Objective:To discuss the diagnosis and treatment method of scoliosis with Chiari malformation.Method:12 patients who were suffered from scoliosis associated with Chiari malformation,in which there was 7 patients also complicated sytingomyelia.Firstly,posterior suboccipital craniectomy to enlarge foramen occipital magnum was performed,then the patients underwent the scoliosis correction with instrumentation.