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Child's Nervous System
Published in: Child's Nervous System 6/2016

01-06-2016 | Technical Note

Wire fixation of internal distractor for cranial vault remodeling

Authors: Federico Di Rocco, Alexandru Szathmari, Carmine Mottolese

Published in: Child's Nervous System | Issue 6/2016

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Abstract

Background

Posterior cranial vault distraction osteogenesis is currently used to enlarge the cranial volume and control the intracranial pressure. This procedure carries the risk of hardware dislocation, and especially in infants, as their skull being thin, the screws may damage the underlying dura.

Technical note

In this paper, the authors describe a simple method to fixate the internal distractor to the skull vault in case of thin calvaria using metallic wires.

Discussion

This method allows a strong and tight application of the distractor to the osteotomy margins and reduces the risks of loosening of the device and the risk of dural tears. It is particularly useful in young children or in case of diffuse digitate impressions with areas of reduced thickness of the skull bone.
Literature
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Derderian CA, Bastidas N, Bartlett SP (2012) Posterior cranial vault expansion using distraction osteogenesis. Childs Nerv Syst 28(9):1551–1556CrossRefPubMed
2.
Nowinski D, Di Rocco F, Renier D, SainteRose C, Leikola J, Arnaud E (2012) Posterior cranial vault expansion in the treatment of craniosynostosis. Comparison of current techniques. Childs Nerv Syst 28(9):1537–1544CrossRefPubMed
3.
Serlo WS, Ylikontiola LP, Lähdesluoma N, Lappalainen OP, Korpi J, Verkasalo J, Sàndor GK (2011) Posterior cranial vault distraction osteogenesis in craniosynostosis: estimated increases in intracranial volume. Childs Nerv Syst 27(4):627–633CrossRefPubMed
4.
Sgouros S, Goldin JH, Hockley AD, Wake MJ (1996) Posterior skull surgery in craniosynostosis. Childs Nerv Syst 12(11):727–733CrossRefPubMed
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White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H (2009) Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst 25(2):231–236CrossRefPubMed
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Arnaud E, Marchac A, Jeblaoui Y, Renier D, Di Rocco F (2012) Spring-assisted posterior skull expansion without osteotomies. Childs Nerv Syst 28(9):1545–1549CrossRefPubMed
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Ong J, Harshbarger RJ 3rd, Kelley P, George T (2014) Posterior cranial vault distraction osteogenesis: evolution of technique. Semin Plast Surg 28(4):163–178CrossRefPubMedPubMedCentral
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Greives MR, Ware BW, Tian AG, Taylor JA, Pollack IF, Losee JE (2015) Complications in posterior cranial vault distraction. Ann Plast Surg 76;(2) 211–5
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Steinbacher DM, Skirpan J, Puchała J, Bartlett SP (2011) Expansion of the posterior cranial vault using distraction osteogenesis. Plast Reconstr Surg 127(2):792–801CrossRefPubMed
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Maurice SM, Gachiani JM (2014) Posterior cranial vault distraction with resorbable distraction devices. J Craniofac Surg 25(4):1249–1251CrossRefPubMed
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Aoki M, Sakamoto Y, Miwa T, Yoshida K, Kishi K (2015) The GETA technique: a novel technique protecting the dura against the distractors for early cranial expansion. Childs Nerv Syst 31(5):773–776CrossRefPubMed
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Derderian CA, Wink JD, McGrath JL, Collinsworth A, Bartlett SP, Taylor JA (2015) Volumetric changes in cranial vault expansion: comparison of fronto-orbital advancement and posterior cranial vault distraction osteogenesis. Plast Reconstr Surg 135(6):1665–1672CrossRefPubMed
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Bhadkamkar MA, Albright SB, Wolfswinkel EM, Bollo R, Buchanan EP (2015) Posterior cranial vault distraction in the treatment of shunt-induced craniosynostosis. J Craniofac Surg 26(1):e70–e72CrossRefPubMed
Metadata
Title
Wire fixation of internal distractor for cranial vault remodeling
Authors
Federico Di Rocco
Alexandru Szathmari
Carmine Mottolese
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3031-4

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