Cranioplasty outcomes and associated complications: A single-centre observational study

British Journal of Neurosurgery
Ee Shern LiangPeter Yee Chiung Gan

Abstract

The resurgence of decompressive craniectomy has led to recent published reviews of the safety of cranioplasties. To date there is a wide range of reported mortality and morbidity. This observational study reports the outcomes of the cranioplasty operations from a single centre and evaluates the factors involved in their management. A retrospective search of all theatre logs was performed for the years 2006-2013 inclusive. 88 operations were documented as 'Cranioplasty'. Data collection include patient demographics, type of cranioplasty used, time lapse between decompression and cranioplasty, seniority of the operating surgeon(s), antibiotic regimen and complications. Outcomes were recorded at the three-month follow-up. The overall complication rate was 6.8%. The mean patient age was 36.2 years. 52.2% of patients had decompressive craniectomy for trauma, 11.3% had infectious pathology, 9% had subarachnoid haemorrhage, 9% had tumour with bone infiltration and 3.4% had stroke. 55.7% of patients had cranioplasty within 6 months of craniectomy. 61.3% of cranioplasties were with autologous bone, 20.4% titanium, 10.2% acrylic and 7.9% polyetheretherketone (PEEK). Significant complications included one case of infection, two cases of s...Continue Reading

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Citations

Mar 10, 2018·The Journal of Craniofacial Surgery·Yuanwei HuKang Zhang
Aug 11, 2017·The Journal of Craniofacial Surgery·Haifeng WangLi Bie
Jan 10, 2020·The Journal of Craniofacial Surgery·Tamir ShayChad R Gordon
Jan 25, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sihan ZhuJian Wang
Jan 11, 2021·Cell and Tissue Banking·Vicente MirabetCarlos Botella
May 31, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Elisabetta MartonGiuseppe Canova
Jul 1, 2021·Neurosurgery·Daniel M FountainUNKNOWN British Neurosurgical Trainee Research Collaborative (BNTRC)

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