Sequencing of Cranioplasty and Shunt Surgery After Decompressive Craniectomy: A Swedish Multicenter Study
The sequence of cranioplasty and shunt surgery did not significantly influence overall risks of implant revision or functional outcome, although complication patterns and their clinical severity differed between approaches. Cranioplasty implant removal remains a particularly serious event, while shunt infections can be equally detrimental. Future studies should refine sequencing strategies considering hydrocephalus type, timing, and procedural factors to minimize risk and improve patient outcomes.
Authors
- Klas Holmgren (ORCID: https://orcid.org/0000-0002-8611-1304)
- Alba Corell (ORCID: https://orcid.org/0000-0002-6329-2392)
- Richard Ågren (ORCID: https://orcid.org/0000-0003-1331-7907)
- Fredrik Vedung (ORCID: https://orcid.org/0000-0003-3321-768X)
- David Bark (ORCID: https://orcid.org/0000-0002-9865-6176)
- Peter Lindvall (ORCID: https://orcid.org/0000-0002-9552-2957)
- Bjartur Sæmundsson
- Teodor Svedung Wettervik
- Alexander Fletcher-Sandersjöö
- Robert Nilsson
Institutions
- Uppsala University (SE)
- Karolinska University Hospital (SE)
- Sahlgrenska University Hospital (SE)
- Karolinska Institutet (SE)
- University of Gothenburg (SE)
- Umeå University (SE)
Publication Details
- Journal
- Neurosurgery
- Published
- 2026-01-26
- DOI
- https://doi.org/10.1227/neu.0000000000003910
- Primary Topic
- Traumatic Brain Injury and Neurovascular Disturbances
- Type
- article
- Field-Weighted Citation Impact
- 0.00