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Consensus statement from the international consensus meeting on post-traumatic cranioplasty.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Iaccarino, C 
Adelson, PD 
Rubiano, AM 
Viaroli, E 

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.

Description

Keywords

Cranioplasty, Decompressive craniectomy, Neurosurgery, Rehabilitation, hydrocephalus, Brain Injuries, Traumatic, Consensus Development Conferences as Topic, Craniotomy, Humans, Hydrocephalus, Italy, Plastic Surgery Procedures

Journal Title

Acta Neurochir (Wien)

Conference Name

Journal ISSN

0001-6268
0942-0940

Volume Title

163

Publisher

Springer Science and Business Media LLC
Sponsorship
European Commission (602150)