{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:53:34Z","timestamp":1782863614500,"version":"3.54.5"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Craniosynostosis surgery is intended to repair cranial deformity, reduce the risk of increased intracranial pressure from cephalocranial disproportion, and reduce the risk of developmental delays. In recent years, minimally invasive surgical techniques have been developed to achieve these goals with less tissue disruption, lower rates of transfusion, and shorter recovery time. The operation focuses on unlocking the fused bones, while reshaping relies on an adjunct, most commonly a postoperative cranial molding helmet. As an alternative to the care-intensive helmeting process, reshaping with implanted cranial expander springs has emerged. In this video, the authors demonstrate their technique for spring-assisted minimally invasive repair of sagittal craniosynostosis.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/vimeo.com\/513923721\">https:\/\/vimeo.com\/513923721<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2021.1.focvid20103","type":"journal-article","created":{"date-parts":[[2021,4,6]],"date-time":"2021-04-06T16:12:56Z","timestamp":1617725576000},"page":"V8","source":"Crossref","is-referenced-by-count":1,"title":["Spring-assisted minimally invasive repair of sagittal craniosynostosis"],"prefix":"10.3171","volume":"4","author":[{"given":"Lance S.","family":"Governale","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Neurosurgery, and"},{"name":"Craniofacial Center, UF Health Shands Children's Hospital, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica A.","family":"Ching","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida, Gainesville; and"},{"name":"Craniofacial Center, UF Health Shands Children's Hospital, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1097\/01.prs.0000297638.76602.de","article-title":"The evolving role of springs in craniofacial surgery: the first 100 clinical cases","volume":"121","author":"Lauritzen CGK","year":"2008","unstructured":"Lauritzen CGK, Davis C, Ivarsson A, .  The evolving role of springs in craniofacial surgery: the first 100 clinical cases. Plast Reconstr Surg. 2008;121(2):545\u2013554.1830097510.1097\/01.prs.0000297638.76602.de"},{"issue":"4","key":"b2","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"833","DOI":"10.1097\/PRS.0000000000007168","article-title":"Long-term outcomes of spring-assisted surgery for sagittal craniosynostosis","volume":"146","author":"Runyan CM","year":"2020","unstructured":"Runyan CM, Gabrick KS, Park JG, .  Long-term outcomes of spring-assisted surgery for sagittal craniosynostosis. Plast Reconstr Surg. 2020;146(4):833\u2013841.10.1097\/PRS.000000000000716832590513"},{"issue":"5","key":"b3","series-title":"Pediatr Neurol","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.pediatrneurol.2015.07.006","article-title":"Craniosynostosis","volume":"53","author":"Governale LS","year":"2015","unstructured":"Governale LS. Craniosynostosis. Pediatr Neurol. 2015;53(5):394\u2013401.2637199510.1016\/j.pediatrneurol.2015.07.006"},{"issue":"3","key":"b4","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"e2020015511","DOI":"10.1542\/peds.2020-015511","article-title":"Identifying the misshapen head: craniosynostosis and related disorders","volume":"146","author":"Dias MS","year":"2020","unstructured":"Dias MS, Samson T, Rizk EB, .  Identifying the misshapen head: craniosynostosis and related disorders. Pediatrics. 2020;146(3):e2020015511.10.1542\/peds.2020-01551132868470"},{"issue":"4","key":"b5","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"862","DOI":"10.1097\/ALN.0b013e318210fd8f","article-title":"Efficacy of tranexamic acid in pediatric craniosynostosis surgery: a double-blind, placebo-controlled trial","volume":"114","author":"Goobie SM","year":"2011","unstructured":"Goobie SM, Meier PM, Pereira LM, .  Efficacy of tranexamic acid in pediatric craniosynostosis surgery: a double-blind, placebo-controlled trial. Anesthesiology. 2011;114(4):862\u2013871.10.1097\/ALN.0b013e318210fd8f21364458"},{"key":"b6","article-title":"SmartFlex Cranial Spring Distraction System: Surgical Technique Guide","author":"OsteoMed","unstructured":"OsteoMed. SmartFlex Cranial Spring Distraction System: Surgical Technique Guide. Part 030-1781, revision B. Accessed February 18, 2021.https:\/\/osteomed.com\/Literature\/030-1781%20Rev-B%20SmartFlex%20Surgical%20Technique%20Guide.pdf"},{"issue":"5","key":"b7","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"467","DOI":"10.3171\/2018.5.PEDS1846","article-title":"Analysis of clinical outcomes for treatment of sagittal craniosynostosis: a comparison of endoscopic suturectomy and cranial vault remodeling","volume":"22","author":"Isaac KV","year":"2018","unstructured":"Isaac KV, Meara JG, Proctor MR. Analysis of clinical outcomes for treatment of sagittal craniosynostosis: a comparison of endoscopic suturectomy and cranial vault remodeling. J Neurosurg Pediatr. 2018;22(5):467\u2013474.10.3171\/2018.5.PEDS184630074449"},{"issue":"5","key":"b8","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"410","DOI":"10.3171\/2017.5.PEDS16674","article-title":"One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care","volume":"20","author":"Nguyen DC","year":"2017","unstructured":"Nguyen DC, Farber SJ, Skolnick GB, .  One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care. J Neurosurg Pediatr. 2017;20(5):410\u2013418.10.3171\/2017.5.PEDS1667428841109"},{"issue":"2","key":"b1","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1097\/01.prs.0000297638.76602.de","article-title":"The evolving role of springs in craniofacial surgery: the first 100 clinical cases","volume":"121","author":"Lauritzen CGK","year":"2008","unstructured":"Lauritzen CGK, Davis C, Ivarsson A, .  The evolving role of springs in craniofacial surgery: the first 100 clinical cases. Plast Reconstr Surg. 2008;121(2):545\u2013554.1830097510.1097\/01.prs.0000297638.76602.de"},{"issue":"4","key":"b2","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"833","DOI":"10.1097\/PRS.0000000000007168","article-title":"Long-term outcomes of spring-assisted surgery for sagittal craniosynostosis","volume":"146","author":"Runyan CM","year":"2020","unstructured":"Runyan CM, Gabrick KS, Park JG, .  Long-term outcomes of spring-assisted surgery for sagittal craniosynostosis. Plast Reconstr Surg. 2020;146(4):833\u2013841.10.1097\/PRS.000000000000716832590513"},{"issue":"5","key":"b3","series-title":"Pediatr Neurol","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.pediatrneurol.2015.07.006","article-title":"Craniosynostosis","volume":"53","author":"Governale LS","year":"2015","unstructured":"Governale LS. Craniosynostosis. Pediatr Neurol. 2015;53(5):394\u2013401.2637199510.1016\/j.pediatrneurol.2015.07.006"},{"issue":"3","key":"b4","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"e2020015511","DOI":"10.1542\/peds.2020-015511","article-title":"Identifying the misshapen head: craniosynostosis and related disorders","volume":"146","author":"Dias MS","year":"2020","unstructured":"Dias MS, Samson T, Rizk EB, .  Identifying the misshapen head: craniosynostosis and related disorders. Pediatrics. 2020;146(3):e2020015511.10.1542\/peds.2020-01551132868470"},{"issue":"4","key":"b5","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"862","DOI":"10.1097\/ALN.0b013e318210fd8f","article-title":"Efficacy of tranexamic acid in pediatric craniosynostosis surgery: a double-blind, placebo-controlled trial","volume":"114","author":"Goobie SM","year":"2011","unstructured":"Goobie SM, Meier PM, Pereira LM, .  Efficacy of tranexamic acid in pediatric craniosynostosis surgery: a double-blind, placebo-controlled trial. Anesthesiology. 2011;114(4):862\u2013871.10.1097\/ALN.0b013e318210fd8f21364458"},{"key":"b6","article-title":"SmartFlex Cranial Spring Distraction System: Surgical Technique Guide","author":"OsteoMed","unstructured":"OsteoMed. SmartFlex Cranial Spring Distraction System: Surgical Technique Guide. Part 030-1781, revision B. Accessed February 18, 2021.https:\/\/osteomed.com\/Literature\/030-1781%20Rev-B%20SmartFlex%20Surgical%20Technique%20Guide.pdf"},{"issue":"5","key":"b7","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"467","DOI":"10.3171\/2018.5.PEDS1846","article-title":"Analysis of clinical outcomes for treatment of sagittal craniosynostosis: a comparison of endoscopic suturectomy and cranial vault remodeling","volume":"22","author":"Isaac KV","year":"2018","unstructured":"Isaac KV, Meara JG, Proctor MR. Analysis of clinical outcomes for treatment of sagittal craniosynostosis: a comparison of endoscopic suturectomy and cranial vault remodeling. J Neurosurg Pediatr. 2018;22(5):467\u2013474.10.3171\/2018.5.PEDS184630074449"},{"issue":"5","key":"b8","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"410","DOI":"10.3171\/2017.5.PEDS16674","article-title":"One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care","volume":"20","author":"Nguyen DC","year":"2017","unstructured":"Nguyen DC, Farber SJ, Skolnick GB, .  One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care. J Neurosurg Pediatr. 2017;20(5):410\u2013418.10.3171\/2017.5.PEDS1667428841109"}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/4\/2\/article-pV8.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/4\/2\/article-pV8.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/4\/2\/article-pV8.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:07:58Z","timestamp":1782860878000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/4\/2\/article-pV8.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":16,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2021.1.focvid20103","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}