{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:27:53Z","timestamp":1769729273958,"version":"3.49.0"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"20","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,11,11]]},"abstract":"\n BACKGROUND<\/jats:title>\n Depressed skull fractures in infants often present as \u201cping-pong ball\u201d fractures with inward buckling of the calvarium, secondary to trauma. Management varies widely, and few concrete guidelines exist in the literature to guide decision-making when choosing a methodology for fracture elevation. The authors present two cases of attempted depressed skull fracture elevation with traction on a percutaneously placed bone fiducial screw, followed by a review of the literature, in order to further investigate the factors considered when selecting an intervention.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n An 8-month-old female and a 10-month-old male presented with a right parietal depressed skull fracture. Both underwent attempted fracture elevation with a self-tapping screw anchored into the skull. The authors directly elevated the fracture with the screw technique in the 8-month-old female patient. The 10-month-old male had persistent depressed skull deformity; thus, the authors extended the incision for a standard craniotomy for depressed skull fracture elevation.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Percutaneous screw placement may be considered an option in the spectrum of treatment strategies for select patients with depressed skull fractures. Consideration of patient age, skull thickness, and depth of skull fracture can assist with the choice of treatment strategy and the preoperative prediction of the likelihood of fracture elevation success with this technique.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE23742<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case23742","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T01:46:04Z","timestamp":1731289564000},"source":"Crossref","is-referenced-by-count":0,"title":["Use of a percutaneous bone fiducial screw for elevating simple closed depressed skull fractures: illustrative cases"],"prefix":"10.3171","volume":"8","author":[{"given":"Lucinda","family":"Chiu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Scoville","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin M.","family":"Hoeman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S.","family":"Raskin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandi","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Handbook of Neurosurgery","first-page":"949","article-title":"Pediatric head injury","author":"Greenberg","year":"2020","unstructured":"Greenberg MS. Pediatric head injury. In: Handbook of Neurosurgery. 9th ed. Thieme Publishers; 2020:949-955."},{"key":"bib2","series-title":"Surg Neurol Int","first-page":"170","article-title":"\u201cPing-pong\u201d fracture: an exclusive entity of neonates and infants? a case analysis and literature review","volume":"14","author":"Minghinelli","year":"2023","unstructured":"Minghinelli FEMarquez YBPipolo DORecalde RJMantese BRugilo C. \u201cPing-pong\u201d fracture: an exclusive entity of neonates and infants? a case analysis and literature review. Surg Neurol Int. 2023;14:170."},{"issue":"6","key":"bib3","series-title":"J Reprod Med","first-page":"321","article-title":"Intrauterine spontaneous depression of fetal skull: a case report and review of literature","volume":"16","author":"Guha-Ray","year":"1976","unstructured":"Guha-Ray DK. Intrauterine spontaneous depression of fetal skull: a case report and review of literature. J Reprod Med. 1976;16(6):321-324."},{"issue":"9","key":"bib4","series-title":"Gynecol Obstet Fertil Senol","first-page":"706","article-title":"Fracture spontan\u00e9e \u00ab en balle de ping pong \u00bb au cours d\u2019un accouchement voie basse.","volume":"49","author":"Riethmuller","year":"2021","unstructured":"Riethmuller DForey PLEquy V, et al. Fracture spontan\u00e9e \u00ab en balle de ping pong \u00bb au cours d\u2019un accouchement voie basse. Spontaneous ping-pong fracture during vaginal delivery. Gynecol Obstet Fertil Senol. 2021;49(9):706-708."},{"issue":"1","key":"bib5","series-title":"Am J Obstet Gynecol","first-page":"165","article-title":"Comparison of \u201cinstrument-associated\u201d and \u201cspontaneous\u201d obstetric depressed skull fractures in a cohort of 68 neonates","volume":"192","author":"Dupuis","year":"2005","unstructured":"Dupuis OSilveira RDupont C, et al. Comparison of \u201cinstrument-associated\u201d and \u201cspontaneous\u201d obstetric depressed skull fractures in a cohort of 68 neonates. Am J Obstet Gynecol. 2005;192(1):165-170."},{"issue":"6","key":"bib6","series-title":"Childs Nerv Syst","first-page":"323","article-title":"Pediatric depressed skull fractures: analysis of 530 cases","volume":"12","author":"Er\u015fahin","year":"1996","unstructured":"Er\u015fahin YMutluer SMirzai HPalali I. Pediatric depressed skull fractures: analysis of 530 cases. Childs Nerv Syst. 1996;12(6):323-331."},{"key":"bib7","series-title":"World Neurosurg","first-page":"69","article-title":"Decision-making challenge of ping-pong fractures in children: case exemplification and systematic review of literature","volume":"165","author":"Altieri","year":"2022","unstructured":"Altieri RGrasso ECammarata G, et al. Decision-making challenge of ping-pong fractures in children: case exemplification and systematic review of literature. World Neurosurg. 2022;165:69-80."},{"issue":"5451","key":"bib8","series-title":"Br Med J","first-page":"1644","article-title":"Congenital moulding depressions of the skull","volume":"1","author":"Axton","year":"1965","unstructured":"Axton JHLevy LF. Congenital moulding depressions of the skull. Br Med J. 1965;1(5451):1644-1647."},{"key":"bib9","article-title":"Children: stages of growth and development","author":"Rivers","unstructured":"Rivers E. Children: stages of growth and development. In: Payne-James J, Byard RW. Encyclopedia of Forensic and Legal Medicine. 2nd ed. Elsevier; 2016:539-557."},{"issue":"5","key":"bib10","series-title":"Eur J Orthod","first-page":"489","article-title":"Three-dimensional analysis of cranial growth from 6 to 12 months of age","volume":"36","author":"Meyer-Marcotty","year":"2014","unstructured":"Meyer-Marcotty PB\u00f6hm HLinz CKochel JStellzig-Eisenhauer ASchweitzer T. Three-dimensional analysis of cranial growth from 6 to 12 months of age. Eur J Orthod. 2014;36(5):489-496."},{"issue":"6","key":"bib11","series-title":"J Neurosurg Pediatr","first-page":"676","article-title":"Treatment of depressed skull fractures in neonates using percutaneous microscrew elevation","volume":"9","author":"Zalatimo","year":"2012","unstructured":"Zalatimo ORanasinghe MDias MIantosca M. Treatment of depressed skull fractures in neonates using percutaneous microscrew elevation. J Neurosurg Pediatr. 2012;9(6):676-679."},{"key":"bib12","series-title":"Kortbondige Spreuken Wegens de Ziektens","volume":"47","author":"Boerhaave","year":"1741","unstructured":"Boerhaave H. Kortbondige Spreuken Wegens de Ziektens, te Kennen en te Geneezen. Johannes Gysius; 1741:47"},{"issue":"11","key":"bib13","series-title":"J Trauma","first-page":"1551","article-title":"Closed depressed skull fracture in childhood reduced with suction cup method: case report","volume":"31","author":"Paul","year":"1991","unstructured":"Paul MAFahner T. Closed depressed skull fracture in childhood reduced with suction cup method: case report. J Trauma. 1991;31(11):1551-1552."},{"issue":"5","key":"bib14","series-title":"Obstet Gynecol Surv","first-page":"284","article-title":"Congenital depression of the fetal skull","volume":"45","author":"Strong","year":"1990","unstructured":"Strong THJrFeldman DBCooke JKGreenspoon JSBarton L. Congenital depression of the fetal skull. Obstet Gynecol Surv. 1990;45(5):284-289."},{"issue":"1","key":"bib15","series-title":"J Neurosurg","first-page":"69","article-title":"Rational management of simple depressed skull fractures in infants","volume":"103","author":"Hung","year":"2005","unstructured":"Hung KLLiao HTHuang JS. Rational management of simple depressed skull fractures in infants. J Neurosurg. 2005;103(1suppl):69-72."},{"key":"bib16","series-title":"BMJ Case Rep","first-page":"bcr2016215437","article-title":"Congenital depression of the skull in a neonate","volume":"2016","author":"Tayeh","year":"2016","unstructured":"Tayeh CBali BMilad NNajjar M. Congenital depression of the skull in a neonate. BMJ Case Rep. 2016;2016:bcr2016215437."},{"key":"bib17","series-title":"World Neurosurg","first-page":"186","article-title":"The evolution of modern treatment for depressed skull fractures","volume":"121","author":"Stein","year":"2019","unstructured":"Stein SC. The evolution of modern treatment for depressed skull fractures. World Neurosurg. 2019;121:186-192."},{"issue":"2","key":"bib18","series-title":"J Pediatr","first-page":"262","article-title":"Nonsurgical elevation of depressed skull facture in an infant","volume":"72","author":"Raynor","year":"1968","unstructured":"Raynor RParsa M. Nonsurgical elevation of depressed skull facture in an infant. J Pediatr. 1968;72(2):262-264."},{"issue":"2","key":"bib19","series-title":"J Pediatr","first-page":"300","article-title":"Elevation of depressed skull fracture with a breast pump","volume":"77","author":"Schrager","year":"1970","unstructured":"Schrager GO. Elevation of depressed skull fracture with a breast pump. J Pediatr. 1970;77(2):300-301."},{"issue":"3","key":"bib20","series-title":"J Neurosurg Pediatr","first-page":"325","article-title":"Vacuum-assisted elevation of pediatric ping-pong skull fractures: a case series and technical note","volume":"27","author":"Arocho-Quinones","year":"2021","unstructured":"Arocho-Quinones EVLew SMFoy AB. Vacuum-assisted elevation of pediatric ping-pong skull fractures: a case series and technical note. J Neurosurg Pediatr. 2021;27(3):325-334."},{"issue":"5","key":"bib21","series-title":"Pediatr Neurosurg","first-page":"273","article-title":"Depressed skull fractures in children: treatment using an obstetrical vacuum extractor","volume":"42","author":"de Paul Djientcheu","year":"2006","unstructured":"de Paul Djientcheu VNjamnshi AKOngolo-Zogo PAko SEssomba ASosso MA. Depressed skull fractures in children: treatment using an obstetrical vacuum extractor. Pediatr Neurosurg. 2006;42(5):273-276."},{"issue":"7","key":"bib22","series-title":"Cureus","first-page":"e5205","article-title":"Closed depressed skull fracture in childhood reduced with suction cup vacuum method: case report and a systematic literature review","volume":"11","author":"Ballestero","year":"2019","unstructured":"Ballestero MFDe Oliveira RS. Closed depressed skull fracture in childhood reduced with suction cup vacuum method: case report and a systematic literature review. Cureus. 2019;11(7):e5205."},{"key":"bib1","series-title":"Handbook of Neurosurgery","first-page":"949","article-title":"Pediatric head injury","author":"Greenberg","year":"2020","unstructured":"Greenberg MS. Pediatric head injury. In: Handbook of Neurosurgery. 9th ed. Thieme Publishers; 2020:949-955."},{"key":"bib2","series-title":"Surg Neurol Int","first-page":"170","article-title":"\u201cPing-pong\u201d fracture: an exclusive entity of neonates and infants? a case analysis and literature review","volume":"14","author":"Minghinelli","year":"2023","unstructured":"Minghinelli FEMarquez YBPipolo DORecalde RJMantese BRugilo C. \u201cPing-pong\u201d fracture: an exclusive entity of neonates and infants? a case analysis and literature review. Surg Neurol Int. 2023;14:170."},{"issue":"6","key":"bib3","series-title":"J Reprod Med","first-page":"321","article-title":"Intrauterine spontaneous depression of fetal skull: a case report and review of literature","volume":"16","author":"Guha-Ray","year":"1976","unstructured":"Guha-Ray DK. Intrauterine spontaneous depression of fetal skull: a case report and review of literature. J Reprod Med. 1976;16(6):321-324."},{"issue":"9","key":"bib4","series-title":"Gynecol Obstet Fertil Senol","first-page":"706","article-title":"Fracture spontan\u00e9e \u00ab en balle de ping pong \u00bb au cours d\u2019un accouchement voie basse.","volume":"49","author":"Riethmuller","year":"2021","unstructured":"Riethmuller DForey PLEquy V, et al. Fracture spontan\u00e9e \u00ab en balle de ping pong \u00bb au cours d\u2019un accouchement voie basse. Spontaneous ping-pong fracture during vaginal delivery. Gynecol Obstet Fertil Senol. 2021;49(9):706-708."},{"issue":"1","key":"bib5","series-title":"Am J Obstet Gynecol","first-page":"165","article-title":"Comparison of \u201cinstrument-associated\u201d and \u201cspontaneous\u201d obstetric depressed skull fractures in a cohort of 68 neonates","volume":"192","author":"Dupuis","year":"2005","unstructured":"Dupuis OSilveira RDupont C, et al. Comparison of \u201cinstrument-associated\u201d and \u201cspontaneous\u201d obstetric depressed skull fractures in a cohort of 68 neonates. Am J Obstet Gynecol. 2005;192(1):165-170."},{"issue":"6","key":"bib6","series-title":"Childs Nerv Syst","first-page":"323","article-title":"Pediatric depressed skull fractures: analysis of 530 cases","volume":"12","author":"Er\u015fahin","year":"1996","unstructured":"Er\u015fahin YMutluer SMirzai HPalali I. Pediatric depressed skull fractures: analysis of 530 cases. Childs Nerv Syst. 1996;12(6):323-331."},{"key":"bib7","series-title":"World Neurosurg","first-page":"69","article-title":"Decision-making challenge of ping-pong fractures in children: case exemplification and systematic review of literature","volume":"165","author":"Altieri","year":"2022","unstructured":"Altieri RGrasso ECammarata G, et al. Decision-making challenge of ping-pong fractures in children: case exemplification and systematic review of literature. World Neurosurg. 2022;165:69-80."},{"issue":"5451","key":"bib8","series-title":"Br Med J","first-page":"1644","article-title":"Congenital moulding depressions of the skull","volume":"1","author":"Axton","year":"1965","unstructured":"Axton JHLevy LF. Congenital moulding depressions of the skull. Br Med J. 1965;1(5451):1644-1647."},{"key":"bib9","article-title":"Children: stages of growth and development","author":"Rivers","unstructured":"Rivers E. Children: stages of growth and development. In: Payne-James J, Byard RW. Encyclopedia of Forensic and Legal Medicine. 2nd ed. Elsevier; 2016:539-557."},{"issue":"5","key":"bib10","series-title":"Eur J Orthod","first-page":"489","article-title":"Three-dimensional analysis of cranial growth from 6 to 12 months of age","volume":"36","author":"Meyer-Marcotty","year":"2014","unstructured":"Meyer-Marcotty PB\u00f6hm HLinz CKochel JStellzig-Eisenhauer ASchweitzer T. Three-dimensional analysis of cranial growth from 6 to 12 months of age. Eur J Orthod. 2014;36(5):489-496."},{"issue":"6","key":"bib11","series-title":"J Neurosurg Pediatr","first-page":"676","article-title":"Treatment of depressed skull fractures in neonates using percutaneous microscrew elevation","volume":"9","author":"Zalatimo","year":"2012","unstructured":"Zalatimo ORanasinghe MDias MIantosca M. Treatment of depressed skull fractures in neonates using percutaneous microscrew elevation. J Neurosurg Pediatr. 2012;9(6):676-679."},{"key":"bib12","series-title":"Kortbondige Spreuken Wegens de Ziektens","volume":"47","author":"Boerhaave","year":"1741","unstructured":"Boerhaave H. Kortbondige Spreuken Wegens de Ziektens, te Kennen en te Geneezen. Johannes Gysius; 1741:47"},{"issue":"11","key":"bib13","series-title":"J Trauma","first-page":"1551","article-title":"Closed depressed skull fracture in childhood reduced with suction cup method: case report","volume":"31","author":"Paul","year":"1991","unstructured":"Paul MAFahner T. Closed depressed skull fracture in childhood reduced with suction cup method: case report. J Trauma. 1991;31(11):1551-1552."},{"issue":"5","key":"bib14","series-title":"Obstet Gynecol Surv","first-page":"284","article-title":"Congenital depression of the fetal skull","volume":"45","author":"Strong","year":"1990","unstructured":"Strong THJrFeldman DBCooke JKGreenspoon JSBarton L. Congenital depression of the fetal skull. Obstet Gynecol Surv. 1990;45(5):284-289."},{"issue":"1","key":"bib15","series-title":"J Neurosurg","first-page":"69","article-title":"Rational management of simple depressed skull fractures in infants","volume":"103","author":"Hung","year":"2005","unstructured":"Hung KLLiao HTHuang JS. Rational management of simple depressed skull fractures in infants. J Neurosurg. 2005;103(1suppl):69-72."},{"key":"bib16","series-title":"BMJ Case Rep","first-page":"bcr2016215437","article-title":"Congenital depression of the skull in a neonate","volume":"2016","author":"Tayeh","year":"2016","unstructured":"Tayeh CBali BMilad NNajjar M. Congenital depression of the skull in a neonate. BMJ Case Rep. 2016;2016:bcr2016215437."},{"key":"bib17","series-title":"World Neurosurg","first-page":"186","article-title":"The evolution of modern treatment for depressed skull fractures","volume":"121","author":"Stein","year":"2019","unstructured":"Stein SC. The evolution of modern treatment for depressed skull fractures. World Neurosurg. 2019;121:186-192."},{"issue":"2","key":"bib18","series-title":"J Pediatr","first-page":"262","article-title":"Nonsurgical elevation of depressed skull facture in an infant","volume":"72","author":"Raynor","year":"1968","unstructured":"Raynor RParsa M. Nonsurgical elevation of depressed skull facture in an infant. J Pediatr. 1968;72(2):262-264."},{"issue":"2","key":"bib19","series-title":"J Pediatr","first-page":"300","article-title":"Elevation of depressed skull fracture with a breast pump","volume":"77","author":"Schrager","year":"1970","unstructured":"Schrager GO. Elevation of depressed skull fracture with a breast pump. J Pediatr. 1970;77(2):300-301."},{"issue":"3","key":"bib20","series-title":"J Neurosurg Pediatr","first-page":"325","article-title":"Vacuum-assisted elevation of pediatric ping-pong skull fractures: a case series and technical note","volume":"27","author":"Arocho-Quinones","year":"2021","unstructured":"Arocho-Quinones EVLew SMFoy AB. Vacuum-assisted elevation of pediatric ping-pong skull fractures: a case series and technical note. J Neurosurg Pediatr. 2021;27(3):325-334."},{"issue":"5","key":"bib21","series-title":"Pediatr Neurosurg","first-page":"273","article-title":"Depressed skull fractures in children: treatment using an obstetrical vacuum extractor","volume":"42","author":"de Paul Djientcheu","year":"2006","unstructured":"de Paul Djientcheu VNjamnshi AKOngolo-Zogo PAko SEssomba ASosso MA. Depressed skull fractures in children: treatment using an obstetrical vacuum extractor. Pediatr Neurosurg. 2006;42(5):273-276."},{"issue":"7","key":"bib22","series-title":"Cureus","first-page":"e5205","article-title":"Closed depressed skull fracture in childhood reduced with suction cup vacuum method: case report and a systematic literature review","volume":"11","author":"Ballestero","year":"2019","unstructured":"Ballestero MFDe Oliveira RS. Closed depressed skull fracture in childhood reduced with suction cup vacuum method: case report and a systematic literature review. Cureus. 2019;11(7):e5205."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/20\/article-CASE23742.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/20\/article-CASE23742.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/20\/article-CASE23742.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:53:47Z","timestamp":1769687627000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/20\/article-CASE23742.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":44,"journal-issue":{"issue":"20"},"URL":"https:\/\/doi.org\/10.3171\/case23742","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,11]]}}}