Implementation of cisternostomy as adjuvant to decompressive craniectomy for the management of severe brain trauma.

In the “secondary procedure” subgroup, a favorable outcome at 6 months was obtained in 60% of the AC group compared with 55.6% of patients in the DC group, and these results did not reach statistical significance due to the low numbers in the subgroup analysis (Table 3 and Fig. 2 ).

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Our study showed that in the AC group there was a significant trend towards less brain deformation (calculated in terms of outward brain herniation) and also allowing an earlier cranioplasty procedure.

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