Surgical outcomes in depressed skull fractures: An institutional experience

Abstract

Aims: The aim is to study the various factors associated with depressed skull fractures (DSFs) and their relationship with outcomes in patients who underwent surgery. Settings and Design: This was a cross-sectional study in a hospital setting. Patients and Methods: One hundred and fifty patients who underwent surgeries over a period of 6 years at our institute for DSFs were followed up and outcomes were analyzed. Patients having other medical- or trauma-related surgical morbidities were excluded. All age groups were studied. Statistical Analysis Used: The statistical analysis was performed using Chi-square test. Results: There was a significant relationship between the mode of injury, Glasgow coma scale (GCS) score at admission and discharge, and underlying brain injuries with the outcomes. The variables such as pneumocephalus, dural tears, type of fracture and site of the fracture, and age and sex distribution of the patient were not statistically influencing the outcomes. Conclusions: Patients who underwent surgery for DSFs, with good GCS at admission and discharge, with no underlying brain injury, and who did not sustain injuries in a road traffic accident had better outcomes.

Outcome of Depressed Cranial Fracture: A single centre Experience of 490 Cases with short literature Review

“…Therefore it can be emphasized that GCS both at admission and at discharge had significant role in predicting outcome. 7 In this present study, frontal region (34.29%) was the most common site of fractures followed by parietal region (27.14%) and temporal region (16.94%). Our study findings were similar with study by Manne et al 7 and differed with study done by Ritesh et al, 12 where most common site of fractures were parietal 40% followed by frontal 34% and temporal 10%.…”

“…There was no significant association between sex and outcome which is similar to previous studies. 7,8 The mean age of presentation was 34.70±10.52 years in our series. We noted maximum patients (45.51%) were in the age group 20-40 years.…”

“…12,13 In the present study, RTAs was most common mode of injury (62.04%). A similar study was done by 7,12,13 where RTAs was most common mechanism in depressed fractures. But, Theses findings differed with a study, Al-Derazi et al 14 in which accidental heavy object fall was major the causes of injury;and Swann et al and Ananda et al, 15,16 in which assault was principal causes of injury.…”

“…There were 413 patients between 13 and 15 GCS score of which 392 had good outcome. Patients with preoperative GCS in the range of `13-15 were 84.13% (413), in the range of 9-12 were 14.28% (70) and those below 8 were 1.42% (7). A similar study done by Ritesh et al 12 patients with preoperative GCS in the range of 13-15 were 37 %, in the range of 9-12 were 145 and those below 8 were 12%.…”

“…Most of these age group cases were working populations who were at risk of RTAs, assault and other injuries while commuting. 7 The outcome became worse with increase in age from 6.15% in age <40 years to 15% in >40 years. So there was significant correlation between age and outcome as reported by Ritesh et al and Jagger J.…”