Zalatimo Omar, Ranasinghe Moksha, Dias Mark, Iantosca Mark
Department of Neurosurgery, Penn State Hershey Medical Center, Hershey, PA 17033, USA.
J Neurosurg Pediatr. 2012 Jun;9(6):676-9. doi: 10.3171/2012.2.PEDS11304.
Depressed skull fractures in neonates involve the inward buckling of the skull bones to resemble a cup shape or "ping-pong ball" shape. In the past, several methods have been used to treat these fractures for cosmetic effect, including the use of vacuum extraction. The aim of this study was to demonstrate the use of a novel treatment method for these skull fractures. All patients presented to Hershey Medical Center between May 2007 and March 2010. All underwent treatment of their ping-pong skull fracture using a novel technique of percutaneous screw elevation with self-tapping microscrews (4 or 5 mm) typically used in neurosurgery for cranial plating. Four patients were treated, all between the ages of 2 days and 4 months. Two of the patients were treated under general anesthesia and 2 with local anesthesia only. All patients had good cosmetic results and experienced no adverse events. Percutaneous screw elevation of the ping-pong type, simple depressed skull fracture in neonates is a feasible method of treatment with a low complication rate associated with the procedure and no risk from anesthesia.
新生儿颅骨凹陷性骨折表现为颅骨向内屈曲，呈杯状或“乒乓球”状。过去，为了达到美容效果，人们使用了多种方法来治疗这些骨折，包括使用真空吸引。本研究的目的是展示一种治疗这些颅骨骨折的新方法。所有患者均于2007年5月至2010年3月间就诊于好时医疗中心。所有患者均采用一种新型技术治疗乒乓球样颅骨骨折，该技术使用神经外科颅骨板固定时常用的自攻微型螺钉（4或5毫米）进行经皮螺钉抬高。共治疗4例患者，年龄均在2天至4个月之间。其中2例患者在全身麻醉下接受治疗，2例仅接受局部麻醉。所有患者均取得了良好的美容效果，且未发生不良事件。经皮螺钉抬高治疗新生儿乒乓球样、单纯凹陷性颅骨骨折是一种可行的治疗方法，该手术并发症发生率低，且无麻醉风险。
