title: Outcome analysis for correction of single suture craniosynostosis using resorbable fixation.
abstract: A retrospective review was performed on 63 patients at Childrens Healthcare of Atlanta at Scottish Rite who underwent correction of single-suture craniosynostosis using a resorbable fixation system. Included in the series were 24 patients with metopic synostosis, 15 with sagittal synostosis, and 24 with unicoronal synostosis. The average age at operation was 22.7 months (range: 2.8 months-18 years), and mean follow-up time was 30.7 months (range: 7.1-10 years). Reoperation equal to or exceeding the magnitude of the original procedure occurred in 4.76% of the patients. This was comparable to the reoperation rate observed at our institution using traditional fixation systems. Minor complications related to the use of resorbable plates were also identified, and the final outcome for single-suture synostosis was favorable. Results suggest that resorbable plates and screws are as effective as titanium-based systems in the treatment of single-suture synostosis.
authors.affiliation: Center for Craniofacial Disorders, Childrens Healthcare of Atlanta at Scottish Rite, Georgia, USA.
authors.forename: A
authors.initials: A
authors.lastname: Losken
authors.forename: J K
authors.initials: JK
authors.lastname: Williams
authors.forename: F D
authors.initials: FD
authors.lastname: Burstein
authors.forename: S R
authors.initials: SR
authors.lastname: Cohen
authors.forename: R
authors.initials: R
authors.lastname: Hudgins
authors.forename: W
authors.initials: W
authors.lastname: Boydston
authors.forename: A
authors.initials: A
authors.lastname: Reisner
authors.forename: C
authors.initials: C
authors.lastname: Simms
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D001672:Biocompatible Materials; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D002675:Child, Preschool; D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D019344:Lactic Acid; D008297:Male; D011100:Polyglycolic Acid; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011108:Polymers; D012086:Reoperation; D012189:Retrospective Studies; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D011108:Polymers; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011100:Polyglycolic Acid; D019344:Lactic Acid; D014025:Titanium