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KMID : 1150320090050020118
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Journal of Korean Society of Geriatric Neurosurgery
2009 Volume.5 No. 2 p.118 ~ p.122
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The Analysis of Surgical Results of Cranioplasty in Elderly Patients
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Park Ji-Min
Eom Ki-Seong
Shin Sae-Ron
Kang Sung-Don
Kim Tae-Young
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Abstract
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Objective: Cranioplasty is considered a relatively safe procedure for cosmetic and brain protective purposes following a decompressive craniectomy due to severe head injury or stroke. There are limited data available on the possible complications and revision rate. We aimed to analyze the surgical results of cranioplasty in relation to the age of the patients and to report our surgical experiences in treating elderly patients.
Methods: In this retrospective study, we reviewed the case histories of 106 patients whom had undergone cranioplasty. In order to identify the age-dependent clinical characteristics, the patients were divided into 2 groups according to their ages. Group A consisted of 80 patients aged under 64 years, group B consisted of 26 patients aged over 65 years. We analyzed the Causes of craniectomy, sex ratio, materials used for covering defects of the skulls, period of craniectomy state (from craniectomy to cranioplasty), complications and mortality in relation to the ages of the patients.
Results: The most frequent cause of initial craniectomy was trauma. Especially, subdural hematoma was the most common cause. The male-to-female ratios were 2.5:1 in group A and 2.7:1 in group B. The Refrigerated autogenous bone flap-to allopalstic graft ratio were 3:1 in group A and 8:1 in group B. The period of craniectomy state were 122 days in group A and 107days in group B. There was no significant difference in surgical complications and mortality between two group.
Conclusion: Our results show the patient’s age was not significantly associated with an unfavorable surgical outcome of cranioplasty. Therefore, we recommend that even though old age, active surgical procedure should be considered.
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KEYWORD
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Cranioplasty, Elderly, Complication
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