The impact of implant material and patient age on the long-term outcome of secondary cranioplasty following decompressive craniectomy for severe traumatic brain injury.

ABSTRACT:

Background

Secondary cranioplasty (CP) is considered to support the neurological recovery of patients after decompressive craniectomy (DC), but the treatment success might be limited by complications associated to confounders, which are not yet fully characterized. The aim of this study was to identify the most relevant factors based on the necessity to perform revision surgeries.

Methods

Data from 156 patients who received secondary CP following DC for severe traumatic brain injury (TBI) between 1984 and 2015 have been retrospectively analyzed and arranged into cohorts according to the occurrence of complications requiring surgical intervention.

Results

Cox regression analysis revealed a lower revision rate in patients with polymethylmethacrylate (PMMA) implants than

SUBMITTER: Hambock M 

PROVIDER: S-EPMC7066309 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature