Impact of depressed skull fracture surgery on outcome of head injury patients

Shakeel Ahmad, Ali Afzal, Lal Rehman, Farrukh Javeed


Objective: To assess outcomes in surgically managed patients with depressed skull fractures and associated moderate to severe head injury.

Methods: The study was conducted in the Department of Neurosurgery Jinnah Postgraduate Medical Centre, Karachi, from January 2016 to December 2017. We analyzed 90 patients with depressed skull fracture managed surgically from January 2015 to December 2016. The patients selected for this study belonged to all age groups with clinically palpable depressed skull fracture confirmed by CT brain with bone window. Outcome was assessed by Glasgow outcome score.

Results: Total 90 patients were included in the study. Sixty (66.7%) were male and 30 (33.3%) were female with mean age of years 27.58+11.329. Among 90 patients, 38.8% were aged between 21 and 30 years. Road traffic accident was seen in 72 (80%) patients. The commonest site of fracture was frontal region in 50 patients (55.6%). GCS improved post operatively on comparison to preoperative. Five patients expired.

Conclusion: Depressed skull fracture is common neuro surgical issue. Timely surgical management gives excellent results by decreasing morbidity and mortality.


How to cite this:Ahmad S, Afzal A, Rehman L, Javed F. Impact of depressed skull fracture surgery on outcome of head injury patients. Pak J Med Sci. 2018;34(1):130-134.   doi:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Full Text: PDF


  • There are currently no refbacks.

Comments on this article

View all comments
sejuta manfaat artikel unik sejarah kerajaan