Correction of sagittal craniosynostosis using a novel parietal bone fixation technique: results over a 10-year period.
Isolated sagittal synostosis is a common form of craniosynostosis affecting roughly 1 in 5,000 children at birth. This results in a scaphocephalic head shape with a characteristically elongated anterior-posterior dimension and narrowed biparietal diameter. We present our experience with the correction of scaphocephaly due to sagittal synostosis using cranial vault reconstruction with a novel form of parietal bone fixation in 21 patients over 10 years. The medial fixation results in a hinging effect whereby transverse brain growth at the squamoid suture is enhanced. This results in excellent cosmetic results that are immediate and durable without the need for postoperative molding helmets. Furthermore, the complications associated with this procedure are limited.
Sikorski
Christian W
CW
Section of Neurosurgery, Comer Children's Hospital, The University of Chicago, Chicago, IL 60637, USA.
Iteld
Lawrence
L
McKinnon
McKay
M
Yamini
Bakhtiar
B
Frim
David M
DM
D001864:Bone Wires; D003398:Craniosynostoses / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007223:Infant; D007902:Length of Stay; D010294:Parietal Bone / Q000637:transplantation*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome