Abstract
Background
Posterior cranial vault distraction osteogenesis is currently used to enlarge the cranial volume and control the intracranial pressure. This procedure carries the risk of hardware dislocation, and especially in infants, as their skull being thin, the screws may damage the underlying dura.
Technical note
In this paper, the authors describe a simple method to fixate the internal distractor to the skull vault in case of thin calvaria using metallic wires.
Discussion
This method allows a strong and tight application of the distractor to the osteotomy margins and reduces the risks of loosening of the device and the risk of dural tears. It is particularly useful in young children or in case of diffuse digitate impressions with areas of reduced thickness of the skull bone.
References
Derderian CA, Bastidas N, Bartlett SP (2012) Posterior cranial vault expansion using distraction osteogenesis. Childs Nerv Syst 28(9):1551–1556
Nowinski D, Di Rocco F, Renier D, SainteRose C, Leikola J, Arnaud E (2012) Posterior cranial vault expansion in the treatment of craniosynostosis. Comparison of current techniques. Childs Nerv Syst 28(9):1537–1544
Serlo WS, Ylikontiola LP, Lähdesluoma N, Lappalainen OP, Korpi J, Verkasalo J, Sàndor GK (2011) Posterior cranial vault distraction osteogenesis in craniosynostosis: estimated increases in intracranial volume. Childs Nerv Syst 27(4):627–633
Sgouros S, Goldin JH, Hockley AD, Wake MJ (1996) Posterior skull surgery in craniosynostosis. Childs Nerv Syst 12(11):727–733
White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H (2009) Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst 25(2):231–236
Arnaud E, Marchac A, Jeblaoui Y, Renier D, Di Rocco F (2012) Spring-assisted posterior skull expansion without osteotomies. Childs Nerv Syst 28(9):1545–1549
Ong J, Harshbarger RJ 3rd, Kelley P, George T (2014) Posterior cranial vault distraction osteogenesis: evolution of technique. Semin Plast Surg 28(4):163–178
Greives MR, Ware BW, Tian AG, Taylor JA, Pollack IF, Losee JE (2015) Complications in posterior cranial vault distraction. Ann Plast Surg 76;(2) 211–5
Steinbacher DM, Skirpan J, Puchała J, Bartlett SP (2011) Expansion of the posterior cranial vault using distraction osteogenesis. Plast Reconstr Surg 127(2):792–801
Maurice SM, Gachiani JM (2014) Posterior cranial vault distraction with resorbable distraction devices. J Craniofac Surg 25(4):1249–1251
Aoki M, Sakamoto Y, Miwa T, Yoshida K, Kishi K (2015) The GETA technique: a novel technique protecting the dura against the distractors for early cranial expansion. Childs Nerv Syst 31(5):773–776
Derderian CA, Wink JD, McGrath JL, Collinsworth A, Bartlett SP, Taylor JA (2015) Volumetric changes in cranial vault expansion: comparison of fronto-orbital advancement and posterior cranial vault distraction osteogenesis. Plast Reconstr Surg 135(6):1665–1672
Bhadkamkar MA, Albright SB, Wolfswinkel EM, Bollo R, Buchanan EP (2015) Posterior cranial vault distraction in the treatment of shunt-induced craniosynostosis. J Craniofac Surg 26(1):e70–e72
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No conflict of interest. No disclosure to declare.
Rights and permissions
About this article
Cite this article
Di Rocco, F., Szathmari, A. & Mottolese, C. Wire fixation of internal distractor for cranial vault remodeling. Childs Nerv Syst 32, 1131–1133 (2016). https://doi.org/10.1007/s00381-016-3031-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-016-3031-4