Bone Flap Resorption Following Cranioplasty after Decompressive Craniectomy: Preliminary Report.
10.13004/kjnt.2015.11.1.1
- Author:
Ji Sang KIM
1
;
Jin Hwan CHEONG
;
Je Il RYU
;
Jae Min KIM
;
Choong Hyun KIM
Author Information
1. Department of Neurosurgery, Hanyang University Guri Hosptial, Guri, Korea. cjh2324@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Bone resorption;
Cranioplasty;
Decompressive craniectomy
- MeSH:
Bone Resorption;
Brain Injuries;
Cerebral Hemorrhage;
Cerebral Infarction;
Decision Making;
Decompressive Craniectomy*;
Diagnosis;
Follow-Up Studies;
Humans;
Intracranial Hypertension;
Logistic Models;
Risk Factors;
Sterilization;
Subarachnoid Hemorrhage;
Transplants
- From:Korean Journal of Neurotrauma
2015;11(1):1-5
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Resorption of autologous bone flap grafts is a known long-term complication of cranioplasty following decompressive craniectomy (DC). We analyzed our data to identify risk factors for bone flap resorption (BFR) following cranioplasty. METHODS: A total of 162 patients who underwent cranioplasty following DC due to life-threatening elevated intracranial pressure between October 2003 and December 2012, were included in our investigation. Follow-up exceeded one year. RESULTS: BFR occurred as a long-term complication in 9 of the 162 patients (5.6%). The affected patients consisted of individuals who had undergone DC for traumatic brain injury (TBI; n=4), for subarachnoid hemorrhage (SAH; n=3), for cerebral infarction (n=1), and intracerebral hemorrhage (n=1). Logistic regression analysis identified no significant risk factors for BFR. CONCLUSION: TBI and SAH as initial diagnoses are more often associated with BFR than other diagnoses. This finding may influence future surgical decision making, especially in patients with possible risk factors for BFR. A prospective study with a large number of patients is needed to identify potential predictors of BFR such as bone flap sterilization and preservation.
