Aim: To determine the outcomes of decompressive craniectomy in patients presented with traumatic brain injury.

Study Design: Prospective/Observational study

Place and Duration of Study: Department of Neurosurgery, Bahawal Victoria Hospital, Bahawalpur from 1^st July 2019 to 31^st December 2019.

Methods: Sixty two patients of both genders presented with traumatic brain injury undergoing decompressive craniectomy were included. Patient’s detailed demographics including age, gender, cause of injury and site were recorded. Preoperatively Glasgow coma scale was used to examine the severity. Final outcomes were examined by Glasgow outcome scale. Follow-up was taken at postoperatively 3 months.

Results: Forty two (67.74%) were males while 20(32.26%) were females. Mean age of patients was 34.26±13.57 years (ranges 12 to 65 years). Fifty one (82.26%) patients had severe, 9(14.51%) had moderate and 2(3.23%) had mild injury as Glasgow coma scale. Thirty eight (61.29%) patients had favorable outcomes while 15(24.19%) had unfavorable outcomes and mortality found in 9 (14.52%) patients. Complications found in 7(11.29%) patients.

Conclusion: Decompressive craniectomy is safe and effective treatment modality for traumatic brain injury with high rate of favorable outcomes. Also it is very helpful for reducing the intracranial pressure.

Keywords: Traumatic brain injury, Decompressive craniectomy, Recovery, Disability, Mortality