Journal
JOURNAL OF NEUROSURGERY-PEDIATRICS
Volume 10, Issue 4, Pages 268-272Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2012.6.PEDS1268
Keywords
cranioplasty; intracranial pressure; children decompressive craniectomy; trauma
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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. (http://thejns.org/doi/abs/10.3171/2012.6.PEDS1268)
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