{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:42:01Z","timestamp":1791906121885,"version":"4.3.4"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.wneu.2025.124348","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T03:43:11Z","timestamp":1754451791000},"page":"124348","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Head Fixation Devices in Neurosurgery: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"202","author":[{"given":"Ahmed Adnan","family":"Al-Juboori","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2856-5201","authenticated-orcid":false,"given":"Saif Anmar","family":"Badran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6016-7062","authenticated-orcid":false,"given":"Aous Mohammad","family":"Qasim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9827-9263","authenticated-orcid":false,"given":"Ali Akram","family":"Shahadha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Sabah","family":"Alsamok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania H.","family":"Al-Taie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5636-0599","authenticated-orcid":false,"given":"Mustafa","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2025.124348_bib1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.neuchi.2016.09.005","article-title":"Headholders\u2019\u2013complications in neurosurgery: a review of the literature and recommendations for its use","volume":"62","author":"Beuriat","year":"2016","journal-title":"Neurochirurgie"},{"key":"10.1016\/j.wneu.2025.124348_bib3","doi-asserted-by":"crossref","first-page":"656","DOI":"10.3171\/jns.1978.48.4.0656","article-title":"A newly designed multipurpose microneurosurgical head frame","volume":"48","author":"Sugita","year":"1978","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.wneu.2021.04.081","article-title":"The mayfield skull clamp: a literature review of its complications and technical nuances for application","volume":"151","author":"Thijs","year":"2021","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib6","doi-asserted-by":"crossref","first-page":"189","DOI":"10.2147\/TCRM.S247402","article-title":"Estimation of risk factors for head slippage using a head clamp system. A retrospective study","volume":"25","author":"Sakakura","year":"2020","journal-title":"Ther Clin Risk Manag"},{"key":"10.1016\/j.wneu.2025.124348_bib7","doi-asserted-by":"crossref","first-page":"e453","DOI":"10.1016\/j.wneu.2020.07.051","article-title":"Intraoperative head slippage with the head clamp system can occur during epileptic surgery","volume":"142","author":"Sakakura","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.bas.2024.102906","article-title":"3D printed headholder for use in neurosurgical cadaver training","volume":"4","author":"van Lanen","year":"2024","journal-title":"Brain and Spine"},{"key":"10.1016\/j.wneu.2025.124348_bib9","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1055\/s-0039-1693026","article-title":"Ergonomics and musculoskeletal health of the surgeon","volume":"32","author":"Schlussel","year":"2019","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.wneu.2025.124348_bib10","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.wneu.2025.124348_bib11","series-title":"JBI Manual for Evidence Synthesis","article-title":"Chapter 7: Systematic reviews of etiology and risk","author":"Moola","year":"2020"},{"key":"10.1016\/j.wneu.2025.124348_bib12","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s00381-004-0997-0","article-title":"Complications of bioresorbable fixation systems in pediatric neurosurgery","volume":"21","author":"Kumar","year":"2005","journal-title":"Child's Nervous Syst"},{"key":"10.1016\/j.wneu.2025.124348_bib13","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1007\/s00381-008-0621-9","article-title":"Depressed skull fracture and epidural hematoma from head fixation with pins for craniotomy in children","volume":"24","author":"Vitali","year":"2008","journal-title":"Child's Nervous Syst"},{"key":"10.1016\/j.wneu.2025.124348_bib14","doi-asserted-by":"crossref","first-page":"306","DOI":"10.3340\/jkns.2009.45.5.306","article-title":"Broken mayfield head clamp","volume":"45","author":"Lee","year":"2009","journal-title":"J Korean Neurosurg Soc"},{"issue":"Suppl 2","key":"10.1016\/j.wneu.2025.124348_bib15","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s00586-010-1323-z","article-title":"The use of the three-pronged mayfield head clamp resulting in an intracranial epidural hematoma in an adult patient","volume":"19","author":"Lee","year":"2010","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2025.124348_bib16","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00381-010-1213-z","article-title":"Depressed skull fracture by a three-pin head holder: a case illustration","volume":"27","author":"Mart\u00ednez-Lage","year":"2011","journal-title":"Child's Nervous Syst"},{"key":"10.1016\/j.wneu.2025.124348_bib17","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.clineuro.2011.12.036","article-title":"Skull fracture secondary to application of a mayfield skull clamp in an adult patient: case report and review of the literature","volume":"114","author":"Matouk","year":"2012","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib18","doi-asserted-by":"crossref","first-page":"539","DOI":"10.3171\/2014.10.PEDS14447","article-title":"Preliminary experience with an intraoperative MRI-Compatible infant headholder","volume":"15","author":"Boop","year":"2015","journal-title":"J Neurosurg Pediatr"},{"key":"10.1016\/j.wneu.2025.124348_bib19","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1093\/neuros\/nyx315","article-title":"Complications of head immobilization devices in children: contact mechanics, and analysis of a single institutional experience","volume":"82","author":"Zaazoue","year":"2018","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2025.124348_bib20","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1159\/000491825","article-title":"Is the mayfield head holder obligatory for intracranial aneurysm clipping?","volume":"53","author":"Demartini","year":"2018","journal-title":"Pediatr Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib21","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.4103\/ija.IJA_477_18","article-title":"Venous air embolism following application of mayfield head clamp: a word of caution","volume":"62","author":"Khandelwal","year":"2018","journal-title":"Indian J Anaesth"},{"key":"10.1016\/j.wneu.2025.124348_bib22","doi-asserted-by":"crossref","first-page":"286","DOI":"10.4103\/0976-3147.178661","article-title":"Pin-site epidural hematoma: a catastrophic complication of cranial fixation in a child","volume":"7","author":"Krishnan","year":"2016","journal-title":"J Neurosciences Rural Pract"},{"key":"10.1016\/j.wneu.2025.124348_bib23","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.ijscr.2019.07.079","article-title":"Bilateral skull fracture with massive epidural hematoma secondary to pin-type head fixation in a pediatric patient: case report and review of the literature","volume":"62","author":"Parenrengi","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"10.1016\/j.wneu.2025.124348_bib25","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1186\/s13256-021-02776-8","article-title":"Skull fracture and epidural hematoma caused by use of a mayfield skull clamp in an adult patient with chronic hemodialysis: a case report","volume":"15","author":"Furuya","year":"2021","journal-title":"J Med Case Rep"},{"key":"10.1016\/j.wneu.2025.124348_bib26","doi-asserted-by":"crossref","first-page":"e395","DOI":"10.1016\/j.wneu.2021.08.070","article-title":"The incidence of depressed skull fractures due to the use of pin-type head frame systems in the adult population: 10-year experience of a single neurosurgical center","volume":"155","author":"Hiwatari","year":"2021","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib27","doi-asserted-by":"crossref","first-page":"80","DOI":"10.21037\/jss-23-117","article-title":"Comparison of head positioning using the mayfield skull clamp versus padded headrest in anterior cervical discectomy and fusion surgery","volume":"10","author":"Lucia","year":"2024","journal-title":"J Spine Surg"},{"key":"10.1016\/j.wneu.2025.124348_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.inat.2025.102024","article-title":"Sagitta frame\u2013A universal system for ventricular puncture. Clinical correlation\u2013initial experience","volume":"40","author":"Gabrovsky","year":"2025","journal-title":"Interdiscip Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib30","article-title":"Lessons learned about the mayfield-type cranial fixation system","volume":"6","author":"Pereira","year":"2024","journal-title":"Arch Pediatr Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib31","doi-asserted-by":"crossref","first-page":"e710","DOI":"10.1016\/j.wneu.2022.08.062","article-title":"The current status in intraoperative image-guided neurosurgery associated with progressive operating rooms: a retrospective analysis","volume":"167","author":"Ogiwara","year":"2022","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2025.124348_bib32","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s41016-021-00244-2","article-title":"Potential risk analysis and experience summarization of unstable factors of cranial fixation devices in neurosurgical operations: three-case reports and systematic review","volume":"7","author":"Cheng","year":"2021","journal-title":"Chin Neurosurg J"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875025007041?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875025007041?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:05:00Z","timestamp":1779771900000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875025007041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":28,"alternative-id":["S1878875025007041"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2025.124348","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Head Fixation Devices in Neurosurgery: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2025.124348","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"124348"}}