{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T02:44:53Z","timestamp":1767235493865},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10]]},"abstract":"OBJECTIVE<\/jats:title>Minimally invasive (MI) synostectomy with postoperative helmet orthosis is increasingly used in the management of sagittal craniosynostosis. Although the MI technique reduces or eliminates the need for access to the lateral skull surface, the modified prone\/sphinx position remains popular. The authors present their initial experience with supine positioning for MI sagittal synostectomy.<\/jats:p><\/jats:sec>METHODS<\/jats:title>The authors used supine positioning with the head turned laterally on a horseshoe head holder in 5 consecutive patients undergoing MI sagittal synostectomy.<\/jats:p><\/jats:sec>RESULTS<\/jats:title>Resection of the sagittal suture from the anterior to posterior fontanel was accomplished in all patients. Surgical time averaged 70 minutes. No patient required transfusion. The posttreatment cephalic index averaged 83%.<\/jats:p><\/jats:sec>CONCLUSIONS<\/jats:title>Initial experience with supine positioning for MI sagittal synostectomy suggests that the technique can be used as an alternative to the modified prone position, with the potential to reduce anesthetic risk in these patients.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.5.peds18200","type":"journal-article","created":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T13:55:57Z","timestamp":1532094957000},"page":"344-347","source":"Crossref","is-referenced-by-count":1,"title":["Performance of minimally invasive sagittal synostectomy with supine patient positioning: technical note"],"prefix":"10.3171","volume":"22","author":[{"given":"Jonathan E.","family":"Martin","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery;"},{"name":"Department of Surgery, Division of Craniofacial Surgery, Connecticut Children\u2019s Medical Center, Hartford, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Manning","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Bookland","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery;"},{"name":"Department of Surgery, Division of Craniofacial Surgery, Connecticut Children\u2019s Medical Center, Hartford, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Castiglione","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Craniofacial Surgery, Connecticut Children\u2019s Medical Center, Hartford, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1965","DOI":"10.1097\/00006534-199912000-00003","article-title":"Endoscopic craniectomy for early correction of craniosynostosis","volume":"104","author":"Barone CM","year":"1999","unstructured":"Barone CM, Jimenez DF: Endoscopic craniectomy for early correction of craniosynostosis. 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