ArticleNeurotrauma reports2025
Gap Expansion Between Cranial Bone and Polyether Ether Ketone Implant in Cranioplasty of Pediatric Patients after Decompressive Craniectomy at Follow-up.
Article in Neurotrauma reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study aimed to explore the experience and complications of cranioplasty (CP) with polyether ether ketone (PEEK) in pediatric and adolescent patients after decompressive craniectomy (DC). A total of 62 children (aged <18 years) with cranial bone defects due to DC underwent CP with a custom-made PEEK at our department between January 2018 and April 2023. The clinical characteristics, radiological features, surgical conditions, postoperative complications, and follow-up results of these patients were analyzed retrospectively. Kaplan-Meier survival analysis and Cox regression were used to analyze data. The age of the patients ranged from 2 to 17 years. The follow-up periods ranged from 12 to 70 months. Six patients experienced subcutaneous fluid accumulation (9.7%), five experienced epidural fluid accumulation (8.1%), and two experienced scalp inflammation (3.2%), which all were cured before discharge. Seven patients experienced bone gap expansion at the interface between the cranial bone and PEEK during follow-up (11.3%). Univariate analysis showed that DC-CP time interval (<3 months) and age were two influencing factors. Multivariate analysis revealed that age was the most important factor (
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