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The circle of sagittal synostosis surgery. Semin Pediatr Neurol 2004 Dec;11(4):243-8



Pubmed ID




Scopus ID

2-s2.0-15044354569 (requires institutional sign-in at Scopus site)   23 Citations


Sagittal synostosis, the premature closure of the sagittal suture, accounts for more than 50% of all nonsyndromic single-suture synostoses. Although no detrimental neurologic effects can be directly attributed to the synostosis, a number of patients will have relatively increased intracranial pressure. Surgical correction for sagittal synostosis has evolved from simple removal of bone strips to extensive cranial remodeling, all in a attempt to achieve a normal head shape. The lack of outcome measures has limited the surgeon's ability to choose one surgical procedure over another. The use of a cranial helmet for passive molding of the head after surgery is effective when used with limited endoscopic surgery. We present the results of using an extended strip craniectomy combined with long-duration molding helmet therapy and compare it with other reported methods. The results suggest that passive molding with the helmet may have a greater effect on cranial shape than surgery.

Author List

Kaufman BA, Muszynski CA, Matthews A, Etter N


Bruce A. Kaufman MD Adjunct Professor in the Neurosurgery department at Medical College of Wisconsin
Anne E. Matthews PAC Physician Assistant Surgical in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Head Protective Devices
Postoperative Care
Retrospective Studies
Treatment Outcome