2008
DOI: 10.1097/scs.0b013e31815c94c8
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Spring-Assisted Cranioplasty vs Pi-Plasty for Sagittal Synostosis-A Long Term Follow-Up Study

Abstract: Spring-assisted cranioplasty (SAS) has been used for the treatment of selected cases of sagittal synostosis at our unit routinely since 1998. In order to assess the long-term outcomes of this procedure, we compared the clinical data and morbidity with the pi-plasty technique, our previous standard procedure for the treatment of such children. The first 20 consecutive patients who underwent SAS for isolated sagittal synostosis with complete records, and who were 3 years old at the time of this study, were inclu… Show more

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Cited by 96 publications
(121 citation statements)
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“…Postoperative helmet therapy, springassisted cranioplasty, or cranial distraction must be used to maintain patency of the released suture and to guide subsequent growth. [2][3][4]18,26 These strategies have been applied to the other cranial sutures with success, and a limited number of experiences with nonsyndromic multisuture synostosis cases have been reported.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Postoperative helmet therapy, springassisted cranioplasty, or cranial distraction must be used to maintain patency of the released suture and to guide subsequent growth. [2][3][4]18,26 These strategies have been applied to the other cranial sutures with success, and a limited number of experiences with nonsyndromic multisuture synostosis cases have been reported.…”
Section: Discussionmentioning
confidence: 99%
“…[2][3][4]18,26 These procedures are less invasive than traditional open cranioplasty and allow safe interventions at an early age. While widely used in cases of single-suture craniosynostosis, only sporadic reports exist of this technique's use in cases of multisuture synostosis.…”
mentioning
confidence: 99%
“…7,10,17,18,30,37,41,48,52 The incidence of postoperative intracranial hypertension with these procedures has yet to be reported. In broad terms, these approaches appear to result in better morphological outcomes than open vertex strip craniectomy procedures, with cephalic indices within the normal range.…”
Section: Discussionmentioning
confidence: 99%
“…For this data set, only the papers providing total number, mean, and standard deviation of the relevant factors were included for statistical analysis. 8,16,22,25,27 The cranial index was collected preoperatively using CT scans to report the ratio of maximal biparietal distance over maximal occipitofrontal distance multiplied by 100. Postoperatively, cephalograms were used to obtain the biparietal distance and occipitofrontal distance of patients who had springs implanted for more than 2 months.…”
Section: Methods Data Collectionmentioning
confidence: 99%
“…15 Since its introduction, spring-mediated treatment of sagittal synostosis has been evaluated at multiple institutions with reasonable results. 3,4,8,16,17,22,25,27 At the Children's Hospital of Philadelphia (CHOP), we use a modification of the spring-mediated cranioplasty (SMC) technique to treat sagittal synostosis without the prolonged use of an external orthosis. In this report we present our recent results of SMC, including our modifications of the technique.…”
mentioning
confidence: 99%