title: Wire fixation of internal distractor for cranial vault remodeling.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors: Pediatric Neurosurgery, Hôpital Femme Mère Enfant, CHU Lyon & Université Claude-Bernard Lyon 1, 59 Bd Pinel, 69677, Bron Cedex, France. federicodirocco@gmail.com.
authors: Federico
authors: F
authors: Di Rocco
authors: Pediatric Neurosurgery, Hôpital Femme Mère Enfant, CHU Lyon & Université Claude-Bernard Lyon 1, 59 Bd Pinel, 69677, Bron Cedex, France.
authors: Alexandru
authors: A
authors: Szathmari
authors: Pediatric Neurosurgery, Hôpital Femme Mère Enfant, CHU Lyon & Université Claude-Bernard Lyon 1, 59 Bd Pinel, 69677, Bron Cedex, France.
authors: Carmine
authors: C
authors: Mottolese
mesh_terms: D002675:Child, Preschool; D006801:Humans; D021621:Imaging, Three-Dimensional; D019857:Osteogenesis, Distraction / Q000379:methods*; D012886:Skull / Q000601:surgery*; D053831:Surgical Fixation Devices; D015898:Tomography Scanners, X-Ray Computed
keywords: Cranial vault remodeling; Craniosynostosis; Internal distractors; Metallic wire; Raised intracranial pressure; Screws; Syndromic synostosis; Thumb printing