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- W2350892433 abstract "Objective To analyze the effect of cranioplasty at early stage after severe brain injury on short-term and long-term neurological rehabilitation and prognosis.Methods A retrospective study was carried out in 27 cases with large skull defects after decompressive craniectomy because of severe brain injury.Cranioplasty was performed at early stage after decompressive craniectomy(5~8 w).Twenty-seven cases performed the cranioplasty in conventional time(3~6 months postoperation) were selected randomly as control group.Three-dimensional titanium plate was used for the repair.Barthel index,Fugl-Meyer score,neurological deficit scores were used in the early outcome evaluation 12 d and 1 month postoperation,and the incidence of complications was assessed.Subjective score for quality of life and GOS were used for the evaluation of long-term prognosis at 18 months postoperation.Results There was no significant difference in all parameters at 12 d after cranioplasty.The parameters of early repair group were better than that of conventional group 1 month after cranioplasty(P0.05),with the Barthel score the most significant(P=0.009).The quality of life score was higher in early group than control group 1 month and 18 months postoperation.Syndrome of the trephined and subdural effusion were significantly decreased,with significant difference in two groups.There was no difference in the incidence of other complications in two groups.The scores for long-term prognosis in early group was higher than that in control group.Conclusion Cranioplasty at early stage following decompressive craniectomy is safe and helpful for the decrease of complications,recovery of neurological functions and improvement of long-term prognosis." @default.
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- W2350892433 date "2011-01-01" @default.
- W2350892433 modified "2023-09-22" @default.
- W2350892433 title "Cranioplasty after severe brain injury at early stage improves the neurological functions and prognosis" @default.
- W2350892433 hasPublicationYear "2011" @default.
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