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ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

Wormian bones in simple sagittal synostosis: incidence and correlations.

Pablo Miranda-Lloret, Estela Plaza-Ramirez, Giovanni Pancucci, Adrian Verdu-Ferrer, Begoña Castello-Guarch, Francisco Menor-Serrano, Juan Antonio Simal-Julian

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Pablo Miranda-LloretDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain. miranda_pab@gva.es.ORCID 0000-0003-3623-5744
Estela Plaza-RamirezDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.
Giovanni PancucciDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.
Adrian Verdu-FerrerDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.
Begoña Castello-GuarchDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.
Francisco Menor-SerranoDepartment of Pediatric Radiology, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.
Juan Antonio Simal-JulianDepartment of Neurosurgery, Division of Pediatriac Neurosurgery, Hospital Univeristario Politécnico La Fe, Avda Fernando Abril Martorell 106, 46026, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWormian bones are accessory cranial bones of interest to neurosurgeons, radiologists, and anthropologists. Its origin is attributed to alteration in deformational forces. Sagittal synostosis alters normal cranial development and is a suitable model to explore the role of mechanical forces in wormian bone development. We aim to study the incidence and clinical correlations of wormian bones in patients with isolated sagittal synostosis operated on at Hospital La Fe in the past 10 years.

methodsWe retrospectively reviewed clinical and radiological data from patients with isolated sagittal synostosis treated at Hospital La Fe over the past 10 years. Demographic and clinical data were collected. Preoperative CT scans, including 3D reconstructions and MIP images, were assessed for anterior fontanelle and metopic suture patency, sagittal suture fusion, presence of apical wormian bones, and anthropometric measurements.

resultsA total of 104 patients (80 males, 24 females) were included. Mean age at diagnosis was 3.72 months; average cranial index was 0.64. Complete anterior fontanelle and metopic suture closure were observed in nine and 24 patients, respectively. Apical wormian bones were present in 41 patients. Fontanelle and metopic suture closure followed an age-dependent pattern. However, wormian bone presence was independent of age but significantly associated with occipital incline.

conclusionsApical wormian bones are frequently observed in sagittal synostosis. Their presence may reflect a compensatory response to altered cranial forces and correlates with occipital morphology. Apical wormian bones need not be included in the surgical resection plan.

Indexed as

Cranial SuturesCraniosynostosesSkullChild, PreschoolFemaleHumansIncidenceInfantMaleRetrospective StudiesTomography, X-Ray Computed3D cranial CTAnthropometryCraniosynostosisSagittal sutureScaphocephalyWormian bone

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.