# Large acute epidural hematoma from head pin fixation fracture

## TL;DR

This paper discusses a rare case of a large acute epidural hematoma caused by a head pin fixation fracture during neurosurgery.

## Contribution

The paper highlights the importance of precise pin positioning and adequate force in head immobilization to prevent rare complications like fixation fractures.

## Key findings

- Secondary fixation fractures are rare but can lead to severe complications like epidural hematoma.
- Proper use of three-point clamps and attention to bone metabolism changes are crucial in head immobilization.
- Precise pin positioning is essential to avoid iatrogenic injuries during neurosurgical procedures.

## Abstract

Regarding head immobilization practices in neurosurgery, secondary fixation fractures are rare, underscoring the importance of precise pin positioning and an adequate force in the three‐point clamp to achieve adequate fixation. Attention should be given to factors such as changes in bone metabolism.