{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:06:04Z","timestamp":1777770364768,"version":"3.51.4"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Depressed (\u201cping-pong\u201d) skull fractures can be treated by different means, including observation, non-surgical treatments, or surgical intervention. The authors describe their experience with vacuum-assisted elevation of ping-pong skull fractures and evaluate variables associated with surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors present a retrospective review of all ping-pong skull fractures treated with vacuum-assisted elevation at the Children\u2019s Hospital of Orange County in 2021\u20132022. Variables included patient age, mechanism of injury, fracture depth, bone thickness at the fracture site, and degree of elevation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven patients underwent vacuum-assisted elevation of ping-pong fractures at the\u00a0bedside without the use of anesthesia. Fractures caused by birth-related trauma were deeper than those caused by falls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was no significant\u00a0difference between groups in bone thickness at the fracture site (2.10\u00a0mm vs 2.16\u00a0mm, n.s). Six of the seven patients experienced significant improvement in fracture site depression, with four displaying a complete fracture reduction and two displaying a significant reduction. The degree of fracture reduction was modestly related to the depth of fracture, with the two deepest fractures failing to achieve full reduction. Age appeared to be related to fracture reduction, with the lowest reduction observed in one of the oldest patients in this sample. No complications were observed in any patient other than temporary mild swelling at the suction site, and no re-treatment or surgery for the fractures was required.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Vacuum-assisted elevation of ping-pong skull fractures is a safe and effective noninvasive treatment option for infants that can be used under certain circumstances. The procedure can be done safely\u00a0at the bedside\u00a0and is a relatively quick procedure.\u00a0It\u00a0avoids the need for open surgical intervention, anesthesia, or hospital admission, and\u00a0can lead to excellent outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-024-06307-w","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T11:03:14Z","timestamp":1709031794000},"page":"1833-1838","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pediatric ping-pong skull fractures treated with vacuum-assisted elevation"],"prefix":"10.1007","volume":"40","author":[{"given":"Syed D.","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia D.","family":"Allhusen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Muhonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh N.","family":"Magge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"6307_CR1","first-page":"bcr2014207077","volume":"2015","author":"D Preston","year":"2015","unstructured":"Preston D, Jackson S, Gandhi S (2015) Non-traumatic depressed skull fracture in a neonate or \u2018ping pong\u2019 fracture. 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