Current status of separation in infants Surgical management of skull fractures

Abstract

Patients with non-compressive skull fracture generally do not need surgical treatment, but the unique elasticity of the skull in infants can cause dural tear and brain herniation without bone compression after injury. The authors performed surgical treatment on 7 infants with such injuries, and report the surgical method and follow-up results. Each case had a non-compressive separated linear fracture with brain tissue protruding into the subgaleal space, obvious scalp swelling on the surface of the fracture site, and all but one had neurological abnormalities. Skull plain film showed that the margins of skull fractures were separated, and the distance between the fracture margins was 4-10 mm