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

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 approac...

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Veröffentlicht in:Acta neurochirurgica Jg. 163; H. 2; S. 423 - 440
Hauptverfasser: Iaccarino, C., Kolias, A., Adelson, P. D., Rubiano, A. M., Viaroli, E., Buki, A., Cinalli, G., Fountas, K., Khan, T., Signoretti, S., Waran, V., Adeleye, A. O., Amorim, R., Bertuccio, A., Cama, A., Chesnut, R. M., De Bonis, P., Estraneo, A., Figaji, A., Florian, S. I., Formisano, R., Frassanito, P., Gatos, C., Germanò, A., Giussani, C., Hossain, I., Kasprzak, P., La Porta, F., Lindner, D., Maas, A. I. R., Paiva, W., Palma, P., Park, K. B., Peretta, P., Pompucci, A., Posti, J., Sengupta, S. K., Sinha, A., Sinha, V., Stefini, R., Talamonti, G., Tasiou, A., Zona, G., Zucchelli, M., Hutchinson, P. J., Servadei, F.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Vienna Springer Vienna 01.02.2021
Springer Nature B.V
Schlagworte:
Brain Injuries, Traumatic - surgery
Conference Report
Consensus Development Conferences as Topic
Craniotomy - standards
Humans
Hydrocephalus
Hydrocephalus - surgery
Interventional Radiology
Italy
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Public health
Reconstructive Surgical Procedures - standards
Review - Conference Report
Review Article - Conference Report
Skull
Surgical Orthopedics
Traumatic brain injury
Italy
Cranioplasty
Rehabilitation
Neurosurgery
hydrocephalus
Decompressive craniectomy
ISSN:0001-6268, 0942-0940, 0942-0940
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Zusammenfassung: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.
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ISSN:0001-6268
0942-0940
0942-0940
DOI:10.1007/s00701-020-04663-5