What question did this study set out to answer?

To evaluate the safety, efficacy, and outcomes of endoscopic sagittal suture strip craniectomy combined with postoperative helmet orthotic therapy for sagittal synostosis.

June 1, 2011Journal of Neurosurgery Pediatrics

The management of sagittal synostosis using endoscopic suturectomy and postoperative helmet therapy

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Authors

EREmily B. Ridgway JBJohn Berry-Candelario RGRonald T. Grondin

Discussion

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Overview

Retrospective chart review demonstrates safe and durable cranial remodeling in infants with sagittal synostosis, indicating effective minimally invasive treatment.

Key Points

To evaluate the safety, efficacy, and outcomes of endoscopic sagittal suture strip craniectomy combined with postoperative helmet orthotic therapy for sagittal synostosis.
Retrospective chart review of infants treated with endoscopic sagittal suture strip craniectomy and postoperative helmet therapy between 2004 and 2008.
Assessed perioperative variables, complication rates, head circumference percentile, cranial index, and revision surgeries over a mean follow-up of 2.34 years (N=56).
Mean surgical duration was 45.32 minutes, mean hospital stay was 1.39 days, with 2 blood transfusions, zero deaths, and a mean age at surgery of 3.24 months.
Postoperative cranial remodeling with helmet therapy (mean duration 7.47 months) increased mean cranial index from 0.69 preoperatively to 0.76 and head circumference percentile from 61.42% to 89.27% over 2 years.
Reoperations occurred in 3 patients, including 1 sagittal suture refusion and 2 secondary fusions of other cranial sutures.

Cite This Study

Ridgway et al. (2011) studied this question.

synapsesocial.com/papers/6aa87e7fed57a7b7cb59fd94 https://doi.org/10.3171/2011.3.peds10418

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June 1, 2011Journal of Neurosurgery Pediatrics

The management of sagittal synostosis using endoscopic suturectomy and postoperative helmet therapy

View Full Paper

Ask AI

Bookmark

Authors

EREmily B. Ridgway JBJohn Berry-Candelario RGRonald T. Grondin

Discussion

Member takes

Overview

Retrospective chart review demonstrates safe and durable cranial remodeling in infants with sagittal synostosis, indicating effective minimally invasive treatment.

Key Points

To evaluate the safety, efficacy, and outcomes of endoscopic sagittal suture strip craniectomy combined with postoperative helmet orthotic therapy for sagittal synostosis.
Retrospective chart review of infants treated with endoscopic sagittal suture strip craniectomy and postoperative helmet therapy between 2004 and 2008.
Assessed perioperative variables, complication rates, head circumference percentile, cranial index, and revision surgeries over a mean follow-up of 2.34 years (N=56).
Mean surgical duration was 45.32 minutes, mean hospital stay was 1.39 days, with 2 blood transfusions, zero deaths, and a mean age at surgery of 3.24 months.
Postoperative cranial remodeling with helmet therapy (mean duration 7.47 months) increased mean cranial index from 0.69 preoperatively to 0.76 and head circumference percentile from 61.42% to 89.27% over 2 years.
Reoperations occurred in 3 patients, including 1 sagittal suture refusion and 2 secondary fusions of other cranial sutures.

Cite This Study

Ridgway et al. (2011) studied this question.

synapsesocial.com/papers/6aa87e7fed57a7b7cb59fd94 https://doi.org/10.3171/2011.3.peds10418

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