gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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30-day complication rate following cranioplasty: incidence and predictors

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  • Ehab Shiban - Klinikum rechts der Isar TU München , München, Deutschland
  • Antonia Hauser - Klinikum rechts der Isar TU München , München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar, Technische Universität München, Neurochirurgische Klinik und Poliklinik, München, Deutschland
  • Jens Lehmberg - Klinikum rechts der Isar TU München , München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocP 145

doi: 10.3205/17dgnc708, urn:nbn:de:0183-17dgnc7087

Published: June 9, 2017

© 2017 Shiban et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives: Cranioplastie is believed to be a simple neurosurgical procedure, so much so that it has become the “beginners” cranial case. However, these “simple” procedures may have high complication rates. The factors that contribute to periprocedural complications, both patient and surgery specific, need to be thoroughly assessed. The aim of this study was to evaluate such risk factors.

Methods: We conducted a review of all patients who underwent cranioplasty following craniectomy for stroke, subarachnoid hemorrhage, epidural hematoma, subdural hematoma and trauma between 2010 and 2016.

Results: 152 patients were identified. The overall complication rate was 26%.The mortality rate was 2%. 53% were male. Median age was 48 (range 11-78). Median duration till cranioplasty was 102 days (range 14 - 378). A young resident, old resident and an attending performed the surgery in 22.5%, 51.7% and 25.8% of cases, respectively. None of the following potential risk factors was associated with increased risk of periprocedural complications: Gender (p=0.3), Age (p=0.3), cause of initial surgery (p=0.07), duration of surgery (p=0.08), surgical experience (p=0.1), and duration until cranioplasty (p=0.3)

Conclusion: The 30-days complication rate following cranioplasty is relatively high. Thereby we found no clear predictor for 30-day complication development.