The Surgical Timing of Cranioplasty with Autologous Cryopreserved Bone in Geriatric Patients

, Su-Ho Kim; , Sang-Jun Suh; , Min-Seok Lee; , Yoon-Soo Lee; , Jeong-Ho Lee; , Dong-Gee Kang

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2016;12(1):25-30.
Published online June 30, 2016.

The Surgical Timing of Cranioplasty with Autologous Cryopreserved Bone in Geriatric Patients

Su-Ho Kim , Sang-Jun Suh , Min-Seok Lee , Yoon-Soo Lee , Jeong-Ho Lee , Dong-Gee Kang

Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea

고령 환자에서 냉동 자가 골편을 이용한 두개골 성형술의 시기에 대한 고찰

김수호·서상준·이민석·이윤수·이정호·강동기

대구 파티마병원 신경외과

Abstract

Objective
The purpose of this study was to compare the surgical complications between early and late cranioplasty (CP) with cryopreserved autologous bone in geriatric patients.
Methods
29 patients aged more than 65 were enrolled in this study. They were underwent CP with cryopreserved autologous bone between 2006 and 2015 in our hospital. We divided into two groups. 14 patients were underwent CP at less than 8 weeks (Group A) between craniectomy (CE) and CP, 15 patients were underwent CP at more than 8 weeks (Group B) between CE and CP. We investigated the duration between CE and CP, causes which undergone operation, operation time, intraoperative blood loss, pre-operative GCS (Glasgow coma scale), GCS at discharge and complications such as infection, epidural fluid collection and hematoma, hydrocephalus. We compared the surgical outcomes between two groups.
Results
Operation time and amount of intraoperative blood loss were not significant difference between two groups. Epidural fluid collection or epidural hematoma occurred in 3 patients to group A and 3 patients to group B. Hydrocephalus after CP occurred in 3 patients to group A and 2 patients to group B. Other superficial or deep infection, osteomyelitis and etc. did not occur in the two groups.
Conclusion
We could not find a significant difference of complications between the two groups. We think that before determine the timing of CP, considering the general condition of patients is necessary and we have to prepare for complications that may occur after CP.

Key Words: CranioplastyㆍComplicationㆍGeriatrics