“…The squamous portion of the occipital bone is primarily intramembranous in origin, with the exception of the nuchal region, which, like the two lateral exoccipitales and the basiocciput, ossifies endochondrally (Scheuer and Black, 2000). A number of studies (Zuckerman, 1955;Redfield, 1970;Tillmann and Lorenz, 1978;Sgouros et al, 1999;Scheuer and Black, 2000) have confirmed that most of the growth-related changes in the occipital bone and posterior cranial fossa occur during the first 5 years of life, before fusion of the intraoccipital synchondroses. Fusion of the anterior intraoccipital synchondroses can start as early as 3-4 years of age and are fused by 8 years of age (Tillmann and Lorenz, 1978), whereas the posterior synchondroses are fused by 5 years of age (Redfield, 1970).…”