Early or late cranioplasty following decompressive craniotomy for traumatic brain injury: A systematic review and meta-analysis

The Journal of International Medical Research
Feng ZhengBoris Krischek

Abstract

Objective To evaluate the effectiveness of early (<3 months) cranioplasty (CP) and late CP (>3 months) on post-operative complications in patients receiving decompressive craniotomy (DC) for traumatic brain injury (TBI). Methods The Cochrane Library, PubMed and EMBASE databases were systematically searched for studies published prior to May 21, 2017. A meta-analysis examined post-operative overall complication rates, infection rates, subdural fluid collection and operating times according to early and late CP. Results Of the initial 1675 references, five studies, all cohort, involving a total of 413 patients, were selected for the review. There was no difference between early and late CP in post-operative overall complication rate (RR=0.68, 95%CI [0.36, 1.29]) and the post-operative infection rate (RR=0.50, 95%CI [0.20, 1.24]) in patients receiving DC for TBI. However, there was a significant difference in post-operative subdural effusion (RR=0.24, 95%CI [0.07, 0.78]) and mean operative time (mean difference = -33.02 min, 95%CI [-48.19, -17.84]) both in favour of early CP. Conclusions No differences were found between early and late CP in post-operative overall complications and procedural related infections in patients receivi...Continue Reading

References

Oct 1, 1988·Neurosurgery·S Rifkinson-Mann
Nov 30, 1999·Critical Reviews in Neurosurgery : CR·M DujovnyA Aviles
Oct 17, 2002·Acta neurochirurgica·C AgnerM Gaviria
Feb 10, 2006·Acta neurochirurgica·A MatsunoT Nagashima
Mar 23, 2006·Neurological Research·Mario N Carvi Y Nievas, Hans-Georg Höllerhage
Apr 20, 2006·Journal of Neurosurgery·Bizhan AarabiHoward M Eisenberg
Jul 7, 2007·Neurosurgical Focus·Peter HutchinsonPeter Kirkpatrick
Mar 24, 2009·British Journal of Neurosurgery·Vishal KakarPeter John Kirkpatrick
Jul 21, 2009·Journal of Neurosurgery·Victor ChangDonald Seyfried
Jan 9, 2010·Stroke; a Journal of Cerebral Circulation·Mariana SarovUNKNOWN DECIMAL investigators
Aug 12, 2010·The Journal of Trauma·Kathryn M BeauchampAngela Sauaia
Jan 15, 2011·The Journal of Craniofacial Surgery·Hyoung-Joon Chun, Hyeong-Joong Yi
May 24, 2011·Lancet Neurology·Donald W Marion
Nov 9, 2011·Journal of Neurotrauma·Pasquale De BonisAngelo Pompucci
Dec 29, 2011·Journal of Neurotrauma·Patrick SchussErdem Güresir
Jun 26, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Stephen V NalbachWilliam B Gormley
Jan 1, 2013·Clinical Neurology and Neurosurgery·Dorothee WachterVeit Rohde
May 15, 2013·Brain Injury : [BI]·Andreas BenderThomas Pfefferkorn
Jun 12, 2013·Nature Reviews. Neurology·Angelos G KoliasPeter J Hutchinson
Apr 30, 2014·Surgical Neurology International·Mark P PiedraBrian T Ragel
Jun 3, 2015·Neurocritical Care·David B KurlandJ Marc Simard
Nov 7, 2015·Therapeutics and Clinical Risk Management·Xiang MaoBaiyun Liu
Mar 21, 2016·Clinical Neurology and Neurosurgery·Feng Zheng, Boris Krischek

❮ Previous
Next ❯

Citations

Oct 4, 2020·Acta neurochirurgica·Dorian HirschmannChristian Dorfer
Feb 18, 2020·Frontiers in Neurology·Corrado IaccarinoAmos Olufemi Adeleye
Jul 6, 2021·Surgical Neurology International·Ahmed AloraidiAhmed Alkhani
Aug 14, 2021·Acta neurochirurgica·Arthur Maynart Pereira OliveiraWellingson Silva Paiva

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

Review Manager ( RevMan )
Mesh

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.