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Osteogenic Distraction

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Textbook of Pediatric Neurosurgery

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Abstract

The primary method for cranioplasty is a one-stage operation with the fixation of the bone flaps with wires, titanium miniplates or resorbable plates, screws, or tacks. However, in some cases, the required expansion of intracranial volume is greater than that can be safely achieved in one-stage repair, mainly due to insufficient soft tissue. In these instances cranial distraction is an excellent tool to gain more expansion. The created gaps between bone parts cannot be filled with bone grafts. Despite initial fear, the experience showed that the ossification of these gaps during cranial distraction is usually not a problem.

Another indication for distraction is the need for gradual bone transport to achieve the desired cosmetic outcome. Cranial distraction is, however, hampered by many potential minor problems and major complications. These must be recognized by the surgeon and clearly understood by the team. Careful consideration of the need for such a laborious procedure must be taken into account when choosing between one-stage cranioplasty and distraction.

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Author information

Authors and Affiliations

  1. Department of Pediatric Neurosurgery, Burdenko Institute, Moscow, Russian Federation

    Leonid Satanin

  2. PEDEGO Research group, Surgical Research group, University of Oulu, Finland; Medical Research Centre, Oulu University Hospital, Oulu, Finland

    Niina Salokorpi & Willy Serlo

  3. Pediatric Oral and Maxillofacial Surgery and Stomatology Teaching Hospital of Central Research, Institute of Stomatology and Maxillofacial Surgery Ministry of Health, Moscow, Russian Federation

    Vitaliy Roginskiy

  4. Chief of Pediatric Cranio-Maxillo-Facial Surgery Department, Central Research Institute of Stomatology and Maxillofacial Surgery, Moscow, Russian Federation

    Alexander L. Ivanov

Authors
  1. Leonid Satanin
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  2. Niina Salokorpi
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  3. Vitaliy Roginskiy
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  4. Alexander L. Ivanov
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  5. Willy Serlo
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Corresponding author

Correspondence to Leonid Satanin .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. Department of Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. University of Paris, Paris, France

    Rocco, F Di

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© 2018 Springer International Publishing AG

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Satanin, L., Salokorpi, N., Roginskiy, V., Ivanov, A.L., Serlo, W. (2018). Osteogenic Distraction. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_71-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_71-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31512-6

  • Online ISBN: 978-3-319-31512-6

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

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