Operative management of growing skull fractures: a technical note. 2008

Ashutosh Singhal, and Paul Steinbok
Division of Neurosurgery, Department of Pediatric Surgery, British Columbia Children's Hospital, University of British Columbia, 4480 Oak Street, Room K3-159, Vancouver, British Columbia, Canada, V6H 3V4. ash.singhal@cw.bc.ca

OBJECTIVE Growing skull fractures can be a challenging surgical problem facing the pediatric neurosurgeon. The goal of this manuscript is to clarify effective surgical methods and to provide the rationale for these techniques. METHODS We describe the surgical techniques for treatment of growing skull fractures. We clarify the underlying concepts, with respect to dural closure and repair of bony defects, that have led to these techniques. CONCLUSIONS With effective surgical technique, the pediatric neurosurgeon can effectively treat growing skull fractures, with excellent outcomes in terms of bony coverage and cosmesis.

UI MeSH Term Description Entries
D008297 Male Males
D009493 Neurosurgery A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system. Neurosurgeries
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012887 Skull Fractures Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED). Linear Skull Fracture,Skull Fracture, Linear,Skull Fracture, Non-Depressed,Non-Depressed Skull Fracture,Fracture, Non-Depressed Skull,Fracture, Skull,Fractures, Linear Skull,Fractures, Non-Depressed Skull,Fractures, Skull,Linear Skull Fractures,Non Depressed Skull Fracture,Non-Depressed Skull Fractures,Skull Fracture,Skull Fracture, Non Depressed,Skull Fractures, Linear,Skull Fractures, Non-Depressed

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