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Hydroxyapatite bone cement for suboccipital retrosigmoid cranioplasty: A single institution case series
Alexander L Luryi1, Ketan R Bulsara2, Elias M Michaelides1
1Department of Surgery, Yale University School of Medicine, New Haven, CT, United States.
Objective:
To report rates of cerebrospinal fluid leak, wound infection, and other complications after repair of retrosigmoid craniotomy with hydroxyapatite bone cement.
Methods:
Retrospective case review at tertiary referral center of patients who underwent retrosigmoid craniotomy from 2013 to 2016 with hydroxyapatite cement cranioplasty.
Outcome Measures:
Presence of absence of cerebrospinal fluid leak, wound infection, and other complications.
Results:
Twenty cases of retrosigmoid craniotomy repaired with hydroxyapatite cement were identified. Median length of follow up was 9.8months. No cases of cerebrospinal fluid leak were identified. One patient developed a wound infection which was thought to be related to a chronic inflammatory response to the implanted dural substitute. No other major complications were noted.
Conclusions:
A method and case series of suboccipital retrosigmoid cranioplasty using hydroxyapatite cement and a are reported. Hydroxyapatite cement cranioplasty is a safe and effective technique for repair of retrosigmoid craniotomy defects.