Prevalence of Postoperative Complications of Autologous and Heterologous Cranioplasty in the Pediatric Population: A Systematic Review of the Literature.


Journal

Pediatric neurosurgery
ISSN: 1423-0305
Titre abrégé: Pediatr Neurosurg
Pays: Switzerland
ID NLM: 9114967

Informations de publication

Date de publication:
2022
Historique:
received: 25 01 2022
accepted: 26 04 2022
pubmed: 25 5 2022
medline: 5 8 2022
entrez: 24 5 2022
Statut: ppublish

Résumé

Cranial reconstruction (CR) is a neurosurgical procedure performed to restore the cranial vault after a decompressive craniectomy. There are contrasting reports from the literature about the complications related to the use of heterologous materials for CR in the pediatric population. In this study, the authors try to better define such a rate of adverse events for autologous and heterologous materials. A systematic review of articles published up to December 2021 was performed. Studies were included if they reported the specific use of cranioplasty materials following craniectomy in patients younger than 18 years of age and had a minimum follow-up of at least 1 year. A total of 20 studies were selected. A total of 544 cases were included, of which 422 (77.6%) were with heterologous materials and 122 (22.4%) with autologous bone. The mean average age was 9.5 years. Polyetheretherketone and polymethylmethacrylate reported 29% and 33.3%, respectively, of complications, but only 3% and 5.6% of surgical revision. PHA reported a rate of 11.9%. Titanium reported 9.2% of complications and 4.1% of surgical revisions. Porous polyethylene had a complication rate of 36.4% and a revision rate of 0%. There is still no perfect material for CR. It seems that heterologous materials are superior to autologous bone for CR in children, and we may consider, whenever economic conditions will allow it, to use alloplastic material as first-line in small children.

Identifiants

pubmed: 35609519
pii: 000524874
doi: 10.1159/000524874
doi:

Types de publication

Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

238-244

Informations de copyright

© 2022 S. Karger AG, Basel.

Auteurs

Ismail Zaed (I)

Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Francesca Faedo (F)

Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Salvatore Chibbaro (S)

Department of Neurosurgery, Hautepierre Regional Hospital, Strasbourg University, Strasbourg, France.

Delia Cannizzaro (D)

Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Massimo Tomei (M)

Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Franco Servadei (F)

Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Andrea Cardia (A)

Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

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