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Child's Nervous System
Published in: Child's Nervous System 9/2012

01-09-2012 | Special Annual Issue

Spring-assisted correction of sagittal suture synostosis

Authors: Marie-Lise C. van Veelen, Irene M. J. Mathijssen

Published in: Child's Nervous System | Issue 9/2012

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Abstract

Purpose

The purpose of this study is to describe the technique and advantages and limitations of spring-assisted cranioplasty for sagittal suture synostosis.

Methods

Preliminary data are presented of the first 41 patients treated with this technique at our institution.

Results

The cephalic index was 75 after surgery and dropped to 74 one year after surgery. Mean blood loss of both procedures combined was 54 ml.

Conclusion

Spring-assisted cranioplasty requires only two small incisions and is at least as effective as other techniques with respect to the cephalic index. Blood loss, operative time, and complication rate are reduced. The most important disadvantage is the need to remove the springs in a second intervention. A second drawback is that the expansion of the spring is not controllable after placement. This can be partially intercepted by adjusting the spring (or the craniotomy) to the patient’s specific features.
Literature
1.
David L, Plikatis CM, Couture D et al (2010) Outcome analysis of our first 75 spring-assisted surgeries for scaphocephaly. J Craniofac Surg 21:3–9PubMedCrossRef
2.
Jimenez DF, Barone C, McGee ME et al (2004) Endoscopy-assisted wide vertex craniectomy, barrel stave osteotomies, and postoperative helmet molding therapy in the management of sagittal suture craniosynostosis. J Neurosurg Pediatr 100:407–417CrossRef
3.
Lauritzen C, Sugawara Y, Kocabalkan O et al (1998) Spring-mediated dynamic craniofacial reshaping. Scand J Plast Reconstr Hand Surg 32:331–338CrossRef
4.
Lauritzen CGK, Davis C, Ivarsson A et al (2008) The evolving role of springs in craniofacial surgery: the first 100 clinical cases. Plast Reconstr Surg 121:545–554PubMedCrossRef
5.
Mutchnick IS, Maugans TA (2012) Nonendoscopic, minimally invasive calvarial vault remodeling without postoperative helmeting for sagittal synostosis. J Neurosurg Pediatr 9:222–227PubMedCrossRef
6.
Pyle J, Glazier S, Couture D et al (2009) Spring-assisted surgery—a surgeon’s manual for the manufacture and utilization of springs in craniofacial surgery. J Craniofac Surg 20:1962–1968PubMedCrossRef
7.
Taylor JA, Maugans TA (2011) Comparison of spring-mediated cranioplasty to minimally invasive strip craniectomy and barrel staving for early treatment of sagittal craniosynostosis. J Craniofac Surg 22:1225–1229PubMedCrossRef
8.
Windh P, Davis C, Sanger C et al (2008) Spring-assisted cranioplasty vs Pi-plasty for sagittal synostosis—a long-term follow-up study. J Craniofac Surg 19:59–64PubMed
Metadata
Title
Spring-assisted correction of sagittal suture synostosis
Authors
Marie-Lise C. van Veelen
Irene M. J. Mathijssen
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 9/2012
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-012-1850-5

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