Editorial. Identifying risk factors for replacement cranioplasty after decompressive craniectomy

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In this issue of the Journal of Neurosurgery: Pediatrics, Rocque et al.4 present a high-quality, multicenter, retrospective study analyzing the effects of various clinical factors on postcranioplasty infection and resorption in children who previously underwent decompressive craniectomy. Thirteen centers contributed 359 patients under 19 years of age, with a mean age of 8.4 years at the time of cranioplasty. The clinical variables analyzed included the indication for craniectomy, history of abusive head trauma, bone storage method (frozen or abdomen), bone fixation method, drain use, bone graft size, presence of other implants (primarily ventriculoperitoneal [VP]

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ACCOMPANYING ARTICLE DOI: 10.3171/2018.3.PEDS17234.

INCLUDE WHEN CITING Published online June 8, 2018; DOI: 10.3171/2018.4.PEDS18184.

Disclosures The author reports no conflict of interest.

© AANS, except where prohibited by US copyright law.

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References

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Bowers CARiva-Cambrin JHertzler DA IIWalker ML: Risk factors and rates of bone flap resorption in pediatric patients after decompressive craniectomy for traumatic brain injury. J Neurosurg Pediatr 11:5265322013

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Jagannathan JOkonkwo DODumont ASAhmed HBahari APrevedello DM: Outcome following decompressive craniectomy in children with severe traumatic brain injury: a 10-year single-center experience with long-term follow up. J Neurosurg 106 (4 Suppl):2682752007

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Kochanek PMCarney NAdelson PDAshwal SBell MJBratton S: Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents—second edition. Pediatr Crit Care Med 13 (Suppl 1):S1S822012

4

Rocque BGAgee BSThompson EMPiedra MBaird LCSelden NR: Complications following pediatric cranioplasty after decompressive craniectomy: a multicenter retrospective study. J Neurosurg Pediatr [epub ahead of print June 8 2018. DOI: 10.3171/2018.3.PEDS17234]

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1

Bowers CARiva-Cambrin JHertzler DA IIWalker ML: Risk factors and rates of bone flap resorption in pediatric patients after decompressive craniectomy for traumatic brain injury. J Neurosurg Pediatr 11:5265322013

2

Rocque BGAmancherla KLew SMLam S: Outcomes of cranioplasty following decompressive craniectomy in the pediatric population. J Neurosurg Pediatr 12:1201252013

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