Consensus statement from the international consensus meeting on post-traumatic cranioplasty
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Consensus statement from the international consensus meeting on post-traumatic cranioplasty C. Iaccarino 1 & A. Kolias 2,3 & P. D. Adelson 4 & A. M. Rubiano 5 & E. Viaroli 2 & A. Buki 6 & G. Cinalli 7 & K. Fountas 8 & T. Khan 9 & S. Signoretti 10 & V. Waran 11 & A. O. Adeleye 12 & R. Amorim 13 & A. Bertuccio 14 & A. Cama 15 & R. M. Chesnut 16,17 & P. De Bonis 18 & A. Estraneo 19,20 & A. Figaji 21 & S. I. Florian 22 & R. Formisano 23 & P. Frassanito 24 & C. Gatos 25 & A. Germanò 26 & C. Giussani 27 & I. Hossain 28 & P. Kasprzak 29 & F. La Porta 30 & D. Lindner 31 & A. I. R. Maas 32 & W. Paiva 33 & P. Palma 34 & K. B. Park 35 & P. Peretta 36 & A. Pompucci 37 & J. Posti 38 & S. K. Sengupta 39 & A. Sinha 40 & V. Sinha 41 & R. Stefini 42 & G. Talamonti 43 & A. Tasiou 25 & G. Zona 44,45 & M. Zucchelli 46 & P. J. Hutchinson 2 & F. Servadei 47,48 Received: 10 July 2020 / Accepted: 28 November 2020 # The Author(s) 2020
Abstract Background Due to the lack of high-quality evidence which has hindered the development of evidence-based guidelines, there is a need to provide general guidance on cranioplasty (CP) following traumatic brain injury (TBI), as well as identify areas of ongoing uncertainty via a consensus-based approach. Methods The international consensus meeting on post-traumatic CP was held during the International Conference on Recent Advances in Neurotraumatology (ICRAN), in Naples, Italy, in June 2018. This meeting was endorsed by the Neurotrauma Committee of the World Federation of Neurosurgical Societies (WFNS), the NIHR Global Health Research Group on Neurotrauma, and several other neurotrauma organizations. Discussions and voting were organized around 5 pre-specified themes: (1) indications and technique, (2) materials, (3) timing, (4) hydrocephalus, and (5) paediatric CP. Results The participants discussed published evidence on each topic and proposed consensus statements, which were subject to ratification using anonymous real-time voting. Statements required an agreement threshold of more than 70% for inclusion in the final recommendations. Conclusions This document is the first set of practical consensus-based clinical recommendations on post-traumatic CP, focusing on timing, materials, complications, and surgical procedures. Future research directions are also presented. Keywords Cranioplasty . Rehabilitation . hydrocephalus . Decompressive craniectomy . Neurosurgery
Introduction Decompressive craniectomy (DC) is a surgical procedure frequently used following traumatic brain injury (TBI) [6, 100]. Decompressive craniectomy can control intracranial pressure (ICP) and reduce mortality with a wide range of outcome categories in survivors, but the related complications are not insignificant [29, 36]. While there has been a significant amount of literature devoted to DC for TBI, the available
This article is part of the Topical Collection on Conference Report * A. Kolias [email protected] Extended author information available on the last page of the article
guidelines [6]
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