Aseptic Bone Flap Resorption after Cranioplasty with Autologous Bone: Incidence, Risk Factors, and Clinical Implications

Jang Hun Kim, Jong Hyun Kim, Taek-Hyun Kwon, Kyuha Chong, Soon Young Hwang, Won Ki Yoon

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objectives: Aseptic bone flap resorption (ABFR) is a known complication of cranioplasty (CP) with an autologous bone flap. The incidence of ABFR has been reported to be as high as 34.2% in the literature; however, it is underestimated in clinical fields. We retrospectively reviewed 13 years of clinical cases of patients who underwent CP after decompressive craniectomy (DC) to investigate the incidence and risk factors of ABFR. Methods: Ninety-one patients who underwent DC and CP in Guro Hospital, Korea University Medical Center, were enrolled. ABFR was defined using serial brain computed tomography. To identify possible risk factors for ABFR, univariate and multivariate Cox regression and receiver operating characteristic curve analyses were performed. Results: Of the 91 patients enrolled, ABFR was diagnosed in 32 patients (35.1%). Bone flap size, existence of a shunting system, and the DC-CP interval were significant in the univariate analysis. Bone flap size was statistically significant in the multivariate analysis (P = 0.0189). The cutoff points of the DC-CP interval and bone flap size were 44 days and 110 cm2, respectively. Conclusions: The incidence of ABFR was remarkably high. Bone flap size, the existence of a shunting system, and the DC-CP interval were shown to be potential risk factors of ABFR after CP.

Original languageEnglish
Pages (from-to)e111-e118
JournalWorld Neurosurgery
Volume115
DOIs
Publication statusPublished - 2018 Jul 1
Externally publishedYes

Fingerprint

Bone Resorption
Decompressive Craniectomy
Bone and Bones
Incidence
Korea
ROC Curve
Multivariate Analysis
Tomography
Brain

Keywords

  • Aseptic bone flap resorption
  • Cranioplasty
  • Decompressive craniectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Aseptic Bone Flap Resorption after Cranioplasty with Autologous Bone : Incidence, Risk Factors, and Clinical Implications. / Kim, Jang Hun; Kim, Jong Hyun; Kwon, Taek-Hyun; Chong, Kyuha; Hwang, Soon Young; Yoon, Won Ki.

In: World Neurosurgery, Vol. 115, 01.07.2018, p. e111-e118.

Research output: Contribution to journalArticle

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abstract = "Objectives: Aseptic bone flap resorption (ABFR) is a known complication of cranioplasty (CP) with an autologous bone flap. The incidence of ABFR has been reported to be as high as 34.2{\%} in the literature; however, it is underestimated in clinical fields. We retrospectively reviewed 13 years of clinical cases of patients who underwent CP after decompressive craniectomy (DC) to investigate the incidence and risk factors of ABFR. Methods: Ninety-one patients who underwent DC and CP in Guro Hospital, Korea University Medical Center, were enrolled. ABFR was defined using serial brain computed tomography. To identify possible risk factors for ABFR, univariate and multivariate Cox regression and receiver operating characteristic curve analyses were performed. Results: Of the 91 patients enrolled, ABFR was diagnosed in 32 patients (35.1{\%}). Bone flap size, existence of a shunting system, and the DC-CP interval were significant in the univariate analysis. Bone flap size was statistically significant in the multivariate analysis (P = 0.0189). The cutoff points of the DC-CP interval and bone flap size were 44 days and 110 cm2, respectively. Conclusions: The incidence of ABFR was remarkably high. Bone flap size, the existence of a shunting system, and the DC-CP interval were shown to be potential risk factors of ABFR after CP.",
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