Optimal timing of autologous cranioplasty after decompressive craniectomy in children: Clinical article

Mark P. Piedra, Eric M. Thompson, Nathan R. Selden, Brian T. Ragel, Daniel J. Guillaume

Research output: Contribution to journalArticlepeer-review

75 Scopus citations

Abstract

Object. The object of this study was to determine if early cranioplasty after decompressive craniectomy for elevated intracranial pressure in children reduces complications. Methods. Sixty-one consecutive cases involving pediatric patients who underwent autologous cranioplasty after decompressive craniectomy for raised intracranial pressure at a single academic children's hospital over 15 years were studied retrospectively. Results. Sixty-one patients were divided into early (< 6 weeks; 28 patients) and late (= 6 weeks; 33 patients) cranioplasty cohorts. The cohorts were similar except for slightly lower age in the early (8.03 years) than the late (10.8 years) cranioplasty cohort (p < 0.05). Bone resorption after cranioplasty was significantly more common in the late (42%) than the early (14%) cranioplasty cohort (p < 0.05; OR 5.4). No other complication differed in incidence between the cohorts. Conclusions. After decompressive craniectomy for raised intracranial pressure in children, early (< 6 weeks) cranioplasty reduces the occurrence of reoperation for bone resorption, without altering the incidence of other complications.

Original languageEnglish (US)
Pages (from-to)268-272
Number of pages5
JournalJournal of Neurosurgery: Pediatrics
Volume10
Issue number4
DOIs
StatePublished - Oct 1 2012

Keywords

  • Children
  • Cranioplasty
  • Decompressive craniectomy
  • Intracranial pressure
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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