Comparison of Spring-Mediated Cranioplasty to Minimally Invasive Strip Craniectomy and Barrel Staving for Early Treatment of Sagittal Craniosynostosis

• DOI: 10.1097/scs.0b013e31821c0f10
• Publication Date: 2011-07-19T10:02:47Z
• Authors: Jesse Adam Taylor; Todd A. Maugans
• Keywords: Cranioplasty; Cranial vault

The treatment of sagittal craniosynostosis has evolved from early strip craniectomy to total cranial vault remodeling and now back attempts at minimally invasive correction. To optimize outcomes while minimizing morbidity, we currently use 2 methods reconstruction in patients younger than 9 months: spring-mediated cranioplasty (SMC) with parietal barrel staving (SCPB). purpose this study was compare the safety efficacy methods. Hospital records our first 7 SMCs last SCPBs were analyzed for demographics, type operation performed, estimated blood loss, transfusion requirements, operative time, length stay intensive care unit, hospital stay, preoperative cephalic index, postoperative complications. techniques then compared using analysis variance. All 14 successfully underwent significant improvement index. Demographics, unit (P = 0.15), index 0.86), 0.64) similar between SMC SCPB. Spring-mediated had statistically significantly shorter time 0.002), less loss < 0.001), 0.009) as Complications included 1 spring dislodgment an that did not require additional management undercorrection SCPB group. Both are safe, effective means treating craniosynostosis. become predominant scaphocephaly months because its improved morbidity profile.