Bone Flap Resorption in Pediatric Patients Following Autologous Cranioplasty. Issue 5 (19th January 2021)

• Record Type: Journal Article
• Authors: Hersh, David S; Anderson, Hanna J; Woodworth, Graeme F; Martin, Jonathan E; Khan, Yusuf M
• Is Part Of: Operative neurosurgery. Volume 20:Issue 5(2021)
• Page Start: 436
• Page End: 443
• Publication Date: 2021-01-19
• Subjects: Craniectomy -- Cranioplasty -- Pediatric -- Resorption -- Osteolysis -- Aseptic necrosis; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opaa452
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract: Following a decompressive craniectomy, the autologous bone flap is generally considered the reconstructive material of choice in pediatric patients. Replacement of the original bone flap takes advantage of its natural biocompatibility and the associated low risk of rejection, as well as the potential to reintegrate with the adjacent bone and subsequently grow with the patient. However, despite these advantages and unlike adult patients, the replaced calvarial bone is more likely to undergo delayed bone resorption in pediatric patients, ultimately requiring revision surgery. In this review, we describe the materials that are currently available for pediatric cranioplasty, the advantages and disadvantages of autologous calvarial replacement, the incidence and classification of bone resorption, and the clinical risk factors for bone flap resorption that have been identified to date.