Academic Journal
Long-term complications and implant survival rates after cranioplastic surgery: a single-center study of 392 patients
| Title: | Long-term complications and implant survival rates after cranioplastic surgery: a single-center study of 392 patients |
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| Authors: | Henrik Giese, Jennifer Meyer, Andreas Unterberg, Christopher Beynon |
| Source: | Neurosurg Rev |
| Publisher Information: | Springer Science and Business Media LLC, 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Adult, Male, 2. Zero hunger, Decompressive Craniectomy, Prostheses and Implants, Middle Aged, Plastic Surgery Procedures, Surgical Flaps, 3. Good health, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Risk Factors, Humans, CAD/CAM implant, Risk Factors [MeSH], Decompressive craniectomy, Postoperative Complications/diagnosis [MeSH], Original Article, Male [MeSH], Prostheses and Implants/adverse effects [MeSH], Surgical Flaps/adverse effects [MeSH], Postoperative Complications/etiology [MeSH], Surgical Flaps/trends [MeSH], Female [MeSH], Follow-Up Studies [MeSH], Reconstructive Surgical Procedures/trends [MeSH], Adult [MeSH], Humans [MeSH], Multidrug-resistant bacteria, Cranioplasty, Retrospective Studies [MeSH], Middle Aged [MeSH], Bone Resorption/etiology [MeSH], Decompressive Craniectomy/trends [MeSH], Prostheses and Implants/trends [MeSH], Reconstructive Surgical Procedures/methods [MeSH], Autologous cranioplasty, Bone Resorption/diagnosis [MeSH], PMMA, Decompressive Craniectomy/methods [MeSH], Reconstructive Surgical Procedures/adverse effects [MeSH], Female, Bone Resorption, Follow-Up Studies, Retrospective Studies |
| Description: | Cranioplasty (CP) is a standard procedure in neurosurgical practice for patients after (decompressive) craniectomy. However, CP surgery is not standardized, is carried out in different ways, and is associated with considerable complication rates. Here, we report our experiences with the use of different CP materials and analyze long-term complications and implant survival rates. We retrospectively studied patients who underwent CP surgery at our institution between 2004 and 2014. Binary logistic regression analysis was performed in order to identify risk factors for the development of complications. Kaplan-Meier analysis was used to estimate implant survival rates. A total of 392 patients (182 females, 210 males) with a mean age of 48 years were included. These patients underwent a total of 508 CP surgeries. The overall complication rate of primary CP was 33.2%, due to bone resorption/loosening (14.6%) and graft infection (7.9%) with a mean implant survival of 120 ± 5 months. Binary logistic regression analysis showed that young age (p = 0.026, OR 3.150), the presence of multidrug-resistant bacteria (p = 0.045, OR 2.273), and cerebrospinal fluid (CSF) shunt (p = 0.001, OR 3.137) were risk factors for postoperative complications. The use of titanium miniplates for CP fixation was associated with reduced complication rates and bone flap osteolysis as well as longer implant survival rates. The present study highlights the risk profile of CP surgery. Young age ( |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1437-2320 0344-5607 |
| DOI: | 10.1007/s10143-020-01374-4 |
| Access URL: | https://link.springer.com/content/pdf/10.1007/s10143-020-01374-4.pdf https://pubmed.ncbi.nlm.nih.gov/32844249 https://pubmed.ncbi.nlm.nih.gov/32844249/ https://link.springer.com/content/pdf/10.1007/s10143-020-01374-4.pdf https://europepmc.org/article/PMC/PMC8121727 https://link.springer.com/article/10.1007/s10143-020-01374-4 https://www.ncbi.nlm.nih.gov/pubmed/32844249 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121727 https://repository.publisso.de/resource/frl:6470570 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....251ee86483ef0881ee583fc83bf4fc5c |
| Database: | OpenAIRE |
| ISSN: | 14372320 03445607 |
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| DOI: | 10.1007/s10143-020-01374-4 |