ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026
Spring-assisted cranioplasty for sagittal synostosis: long-term clinical and patient-reported outcomes : Ten-year outcomes of spring-assisted cranioplasty for isolated sagittal synostosis: a single-institution cohort study.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Non-syndromic craniosynostosis: contemporary concepts in biology, diagnosis, and distraction-based operative strategy.Archives of craniofacial surgery · 2026Article
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8 authors.
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Abstract
purposeSpring-assisted cranioplasty is an established technique for the correction of isolated sagittal craniosynostosis, yet data on long-term clinical durability and patient-perceived outcomes remain limited. The purpose of this study was to evaluate long-term surgical, aesthetic, and patient-reported outcomes following spring-assisted cranioplasty, with a particular focus on the need for secondary cranial surgery and concordance between surgeon- and parent-reported assessments.
methodsA single-centre cohort study was performed, including consecutive patients with isolated, nonsyndromic sagittal synostosis treated with spring-assisted cranioplasty between April 2010 and September 2015. Patients were followed within a standardized multidisciplinary craniofacial pathway extending into late childhood and adolescence. Long-term outcomes were assessed using reoperation rates, Kaplan-Meier reoperation-free survival analysis, surgeon-reported Whitaker classification, and structured parent-reported satisfaction measures.
resultsNinety-one of the original 100 patients had complete long-term follow-up and were included, with a mean follow-up duration of 10.0 years (range 5-15 years). Nine patients (9.9%) required secondary cranial surgery during follow-up, including four for raised intracranial pressure and five for aesthetic indications. Reoperation-free survival was 90.1% at 10 years, with the median survival not reached. Surgeon-reported outcomes were excellent, with 87.9% classified as Whitaker Class I. Parent-reported satisfaction was high, with 82.4% completely satisfied and unwilling to consider further surgery.
conclusionSpring-assisted cranioplasty for isolated sagittal synostosis provides durable long-term functional and aesthetic outcomes, with a low incidence of secondary cranial surgery and high patient and parent satisfaction when combined with structured multidisciplinary follow-up.
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