Endoscopic-Assisted Osteotomy with Absorbable Plate as Internal Attachment Point for External Spring Distraction Osteogenesis in the Treatment of Sagittal Synostosis in Infants.
case_series · Level IV
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- Record sourced from PubMed, PMID 41962863.
- Also identified by DOI 10.1016/j.wneu.2026.124977.
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Abstract
Sagittal synostosis (SS) is the premature closure of sagittal sutures. To investigate the use of absorbable plates as internal attachment points for external spring (ES) traction in the treatment of sagittal craniosynostosis in infants, as well as clarify the indications and advantages of the method. The spring-assisted therapy was applied to treat SS in 24 infants aged between 3 and 9 months. The therapy was divided into 2 groups. One group used ES for 12 children, and the other group used internal springs (IS) for 12 children. The ES group used the ES and traction point absorbent plate fixation method. The procedure is initiated with the endoscopic-assisted resection of the fused sagittal suture. The distraction point was fixed onto an absorbable plate, and 1-0 nylon or steel wire was used to pull out the scalp, after which the ES was hung on the distraction. After 3 months of fixation, the nylon thread was cut, and the ES was removed without anesthesia. IS group serves as the control group. We compared cephalic index outcomes and infection rates in our 12 cases of SS treated with an IS versus a control group. The differences did not reach statistical significance (P > 0.05). Twenty-four infants with SS were treated. Twelve infants with SS using an ES distraction with the traction point fixed to an absorbable plate. All of the patients showed satisfactory appearances at 1-year follow-up examinations, and all of their cephalic index had returned to normal, and the head shape was essentially corrected within 1 year. There is no significant difference between the 2 methods. The endoscope-assisted osteotomy plus absorbable plate as the interior attachment point for ES distraction is a novel way to treat SS in infants. Our 36-month follow-up showed even better efficacy, however, while remaining safe and reliable. It therefore represents an excellent treatment option for SS in infants.