Naser, PV;
Tsitsopoulos, P;
Zacharias, F;
Castano-Leon, AM;
Buki, A;
Depreitere, B;
Van Essen, T;
Korhonen, TK;
Mee, H;
Hossain, I;
et al.
Naser, PV; Tsitsopoulos, P; Zacharias, F; Castano-Leon, AM; Buki, A; Depreitere, B; Van Essen, T; Korhonen, TK; Mee, H; Hossain, I; Posti, J; Lippa, L; Papadopoulos, MC; Terpolilli, N; Marklund, N; Petr, O; Toth, P; Luoto, T; Krieg, SM; Unterberg, AW; Younsi, A; European, CSG
(2025)
The current state of cranioplasty in Europe - Results from a European cranioplasty survey.
BRAIN AND SPINE, 5.
p. 104214.
ISSN 2772-5294
https://doi.org/10.1016/j.bas.2025.104214
SGUL Authors: Papadopoulos, Marios
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Abstract
Introduction Cranioplasty, a surgical procedure to restore skull integrity and aesthetic contour following decompressive craniectomy, poses challenges in material selection and timing, driven by the lack of guidelines and ongoing regulatory changes. Research question This study aimed to provide an overview of current cranioplasty practices in Europe, explicitly addressing a potential shift towards alloplastic materials and the management of patients with concomitant hydrocephalus. Material and methods An online survey was conducted among European neurosurgical centers from January to March 2024, collecting data on material preferences, timing of procedures, and management strategies for cranioplasty. Descriptive and statistical analyses were performed on 110 complete responses. Results Respondents favored alloplastic materials over autologous bone for cranioplasty, citing regulatory constraints and reduced infection risk as primary reasons. Variability was observed in the timing of procedures and the management of patients with hydrocephalus, with most centers adopting staged approaches. Discussion and conclusion The shift towards alloplastic materials in cranioplasty reflects regulatory pressures rather than material-specific considerations. Despite variability in practice, our findings underscore the need for standardized guidelines and further research to optimize patient outcomes. This study provides valuable insights into current practices and highlights areas for future investigation in cranioplasty.
Item Type: | Article | ||||||||
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Additional Information: | © 2025 The Authors. Published by Elsevier B.V. on behalf of EUROSPINE, the Spine Society of Europe, EANS, the European Association of Neurosurgical Societies. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | ||||||||
Keywords: | Cranioplasty, Alloplastic materials, Autologous bone, Hydrocephalus management, European survey, Regulatory changes | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Neuroscience & Cell Biology Research Institute Academic Structure > Neuroscience & Cell Biology Research Institute > Neuromodulation & Motor Control |
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Journal or Publication Title: | BRAIN AND SPINE | ||||||||
ISSN: | 2772-5294 | ||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 | ||||||||
Web of Science ID: | WOS:001437690200001 | ||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/117307 | ||||||||
Publisher's version: | https://doi.org/10.1016/j.bas.2025.104214 |
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