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Child's Nervous System
Published in: Child's Nervous System 2/2009

01-02-2009 | Original Paper

Posterior calvarial vault expansion using distraction osteogenesis

Authors: Nicholas White, Martin Evans, M. Stephen Dover, Peter Noons, Guirish Solanki, Hiroshi Nishikawa

Published in: Child's Nervous System | Issue 2/2009

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Abstract

Objectives

Management of raised intracranial pressure in syndromic multi-suture craniosynostosis by cranial vault expansion can be achieved by a number of techniques. We present our initial experience in treating this group of patients with posterior calvarial distraction.

Materials and methods

Six patients underwent distraction osteogenesis of their posterior calvarial vault.

Results

The mean period of distraction was 28 days. The mean consolidation period was 49 days. The mean distance of advancement was 24 mm. Five out of six patients completed their period of distraction and three of these cases also completed their period of consolidation. Significant calvarial expansion and improvement of head shape was achieved in all cases.

Conclusions

Posterior calvarial distraction is a safe and more efficient method of calvarial expansion than conventional techniques. These are early promising results, and future modification of the distraction devices will be needed if the effective consolidation time is to be increased.
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Metadata
Title
Posterior calvarial vault expansion using distraction osteogenesis
Authors
Nicholas White
Martin Evans
M. Stephen Dover
Peter Noons
Guirish Solanki
Hiroshi Nishikawa
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 2/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-008-0758-6

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