Optimal timing of autologous cranioplasty after decompressive craniectomy in children.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Piedra, MP; Thompson, EM; Selden, NR; Ragel, BT; Guillaume, DJ

Published Date

  • October 2012

Published In

Volume / Issue

  • 10 / 4

Start / End Page

  • 268 - 272

PubMed ID

  • 22861195

Pubmed Central ID

  • 22861195

Electronic International Standard Serial Number (EISSN)

  • 1933-0715

Digital Object Identifier (DOI)

  • 10.3171/2012.6.PEDS1268

Language

  • eng

Conference Location

  • United States