{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:01:37Z","timestamp":1780736497589,"version":"3.54.1"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Sagittal synostosis is the most common type of craniosynostosis, resulting in deformity with distinctive morphological characteristics. These include occipital narrowing, parietal narrowing, anteriorly shifted vertex with parietal depression, and exaggerated frontal bossing. The traditional cephalic index affords limited reliability in quantifying initial severity and correction. The purpose of this study was to conceptualize and evaluate a set of novel metrics based on optical surface scanning (OSS) technology used for cranial remolding orthosis (CRO) treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The 25 most recent infants to receive CRO treatment for sagittal synostosis at a single center were reviewed retrospectively. All treated patients underwent the endoscope-assisted craniectomy technique without barrel staving. OSS representations of each patient\u2019s head were acquired perioperatively and at cessation of CRO treatment. A novel set of metrics were developed, comprising the occipital contour angle to assess severity of occipital narrowing; the vertex proportionality index to assess the anterior vertex relative to the depressed posterior anatomy; the parietal-temporal index to assess proximal cranial narrowing; and the sellion-frontal index as a measure of frontal bossing. The pre- and posttreatment results for all indices were compared against each other and against a control group of 33 nonsynostotic infants with grossly normal head shapes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Initial treatment group means for all 4 indices demonstrated significant variance against both the final treatment group means and the control group means. No statistically significant differences were observed in the group means for occipital contour angle, parietal-temporal index, and sellion-frontal index between the posttreatment and control cohorts, which was suggestive of mean correction to normative levels for these morphological considerations. Despite an appreciable mean correction of parietal depression in the final treatment group, the mean vertex proportionality index values remained statistically different from the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Sagittal synostosis is characterized by several characteristic deviations from normocephaly. These are effectively improved by endoscope-assisted craniectomy with CRO intervention. Importantly, head shape abnormalities differ between patients, and the individual subject can present normatively for some deformational categories. Therefore, a multimetric approach is essential to quantify initial presentation and subsequent outcome. The introduction of novel OSS-enabled craniometry may facilitate more patient-centric management of this complex deformity. Specifically, features with the greatest deviation from normative standards can be identified, enabling creation of discrete treatment plans with respect to the focus and length of postoperative helmeting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2024.10.focus24466","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T01:12:53Z","timestamp":1735693973000},"page":"E8","source":"Crossref","is-referenced-by-count":4,"title":["Comprehensive craniometry for sagittal synostosis"],"prefix":"10.3171","volume":"58","author":[{"given":"Jason A.","family":"Ramsey","sequence":"first","affiliation":[{"name":"Hanger Clinic, Nashville, Tennessee;"},{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip M.","family":"Stevens","sequence":"additional","affiliation":[{"name":"Hanger Institute for Clinical Research and Education, Austin, Texas;"},{"name":"Departments of Physical Medicine and Rehabilitation and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Coats","sequence":"additional","affiliation":[{"name":"Mechanical Engineering, University of Utah, Salt Lake City, Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Dixon","sequence":"additional","affiliation":[{"name":"Mechanical Engineering, University of Utah, Salt Lake City, Utah; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara C.","family":"Chaker","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Bonfield","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Golinko","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;"},{"name":"Division of Pediatric Plastic Surgery, Cleft and Craniofacial Program, Monroe Carell Jr. Children\u2019s Hospital at Vanderbilt, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Plast Reconstr Surg","first-page":"170e","article-title":"Cranial sutures: a brief review","volume":"121","author":"Slater BJ","year":"2008","unstructured":"Slater BJ, Lenton KA, Kwan MD, Gupta DM, Wan DC, Longaker MT. Cranial sutures: a brief review. Plast Reconstr Surg. 2008;121(4):170e\u2013178e."},{"issue":"4","key":"b2","series-title":"Plast Reconstr Surg","first-page":"1300","article-title":"Complete correction of severe scaphocephaly: the Melbourne method of total vault remodeling","volume":"121","author":"Greensmith AL","year":"2008","unstructured":"Greensmith AL, Holmes AD, Lo P, Maxiner W, Heggie AA, Meara JG. Complete correction of severe scaphocephaly: the Melbourne method of total vault remodeling. Plast Reconstr Surg. 2008;121(4):1300\u20131310."},{"issue":"4","key":"b3","series-title":"J Pediatr Health Care","first-page":"242","article-title":"Evidence-based care of the child with deformational plagiocephaly, Part I: assessment and diagnosis","volume":"26","author":"Looman WS","year":"2012","unstructured":"Looman WS, Flannery AB. Evidence-based care of the child with deformational plagiocephaly, Part I: assessment and diagnosis. J Pediatr Health Care. 2012;26(4):242\u2013253."},{"issue":"1","key":"b4","series-title":"Plast Reconstr Surg","first-page":"138","article-title":"An appraisal of the cephalic index in sagittal craniosynostosis, and the unseen third dimension","volume":"140","author":"Fearon JA","year":"2017","unstructured":"Fearon JA, Ditthakasem K, Herbert M, Kolar J. An appraisal of the cephalic index in sagittal craniosynostosis, and the unseen third dimension. Plast Reconstr Surg. 2017;140(1):138\u2013145."},{"issue":"6","key":"b5","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Incorporation of a biparietal narrowing metric to improve the ability of machine learning models to detect sagittal craniosynostosis with 2D photographs","volume":"54","author":"Anderson MG","year":"2023","unstructured":"Anderson MG, Jungbauer D, Leclair NK,  Incorporation of a biparietal narrowing metric to improve the ability of machine learning models to detect sagittal craniosynostosis with 2D photographs. Neurosurg Focus. 2023;54(6):E9."},{"issue":"1-2","key":"b6","series-title":"Radiol Med (Torino)","first-page":"10","article-title":"Optimization and diagnostic accuracy of computerized tomography with tridimensional spiral technique in the study of craniostenosis. Article in Italian","volume":"96","author":"Tartaro A","year":"1998","unstructured":"Tartaro A, Larici AR, Antonucci D, Merlino B, Colosimo C, Bonomo L. Optimization and diagnostic accuracy of computerized tomography with tridimensional spiral technique in the study of craniostenosis. Article in Italian. Radiol Med (Torino). 1998;96(1-2):10\u201317."},{"issue":"3","key":"b7","series-title":"Plast Reconstr Surg","first-page":"541","article-title":"Comparison of traditional versus normative cephalic index in patients with sagittal synostosis: measure of scaphocephaly and postoperative outcome","volume":"136","author":"Dvoracek LA","year":"2015","unstructured":"Dvoracek LA, Skolnick GB, Nguyen DC,  Comparison of traditional versus normative cephalic index in patients with sagittal synostosis: measure of scaphocephaly and postoperative outcome. Plast Reconstr Surg. 2015;136(3):541\u2013548."},{"issue":"6","key":"b8","series-title":"Pediatr Neurosurg","first-page":"383","article-title":"A new measure of posterior morphology in sagittal craniosynostosis: the occipital bullet index","volume":"58","author":"Bins GP","year":"2023","unstructured":"Bins GP, Cull D, Layton RG. A new measure of posterior morphology in sagittal craniosynostosis: the occipital bullet index. Pediatr Neurosurg. 2023;58(6):383\u2013391."},{"issue":"3","key":"b9","series-title":"FACE","first-page":"396","article-title":"Measure of frontal morphology in sagittal craniosynostosis: the frontal bossing index","volume":"3","author":"Bins GP","year":"2022","unstructured":"Bins GP, Cull D, Layton RG. Measure of frontal morphology in sagittal craniosynostosis: the frontal bossing index. FACE. 2022;3(3):396\u2013402."},{"issue":"12","key":"b10","series-title":"Childs Nerv Syst","first-page":"1411","article-title":"Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques","volume":"23","author":"Jimenez DF","year":"2007","unstructured":"Jimenez DF, Barone CM. Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst. 2007;23(12):1411\u20131419."},{"issue":"1","key":"b11","series-title":"J Neurosurg Pediatr","first-page":"86","article-title":"Less is more: does the addition of barrel staves improve results in endoscopic strip craniectomy for sagittal craniosynostosis?","volume":"20","author":"Wood BC","year":"2017","unstructured":"Wood BC, Ahn ES, Wang JY,  Less is more: does the addition of barrel staves improve results in endoscopic strip craniectomy for sagittal craniosynostosis? J Neurosurg Pediatr. 2017;20(1):86\u201390."},{"issue":"5","key":"b12","series-title":"Clin Anat","first-page":"352","article-title":"Relative position of porion and tragus in orthodontic patients","volume":"8","author":"Ferrario VF","year":"1995","unstructured":"Ferrario VF, Sforza C, Anderbegani A, Poggio CE, Dalloca LL. Relative position of porion and tragus in orthodontic patients. Clin Anat. 1995;8(5):352\u2013358."},{"issue":"4","key":"b13","series-title":"Cleft Palate Craniofac J","first-page":"394","article-title":"Orthotic management of deformational plagiocephaly: consensus clinical standards of care","volume":"53","author":"Lin RS","year":"2016","unstructured":"Lin RS, Stevens PM, Wininger M, Castiglione CL. Orthotic management of deformational plagiocephaly: consensus clinical standards of care. Cleft Palate Craniofac J. 2016;53(4):394\u2013403."},{"issue":"2","key":"b14","series-title":"J Craniofac Surg","first-page":"279","article-title":"Classification system for sagittal craniosynostosis","volume":"20","author":"David L","year":"2009","unstructured":"David L, Glazier S, Pyle J, Thompson J, Argenta L. Classification system for sagittal craniosynostosis. J Craniofac Surg. 2009;20(2):279\u2013282."},{"issue":"1","key":"b15","series-title":"J Craniofac Surg","first-page":"192","article-title":"The many faces of sagittal synostosis: a novel classification and approach to diagnosis","volume":"33","author":"Diab J","year":"2022","unstructured":"Diab J, Flapper W, Grave B,  The many faces of sagittal synostosis: a novel classification and approach to diagnosis. J Craniofac Surg. 2022;33(1):192\u2013197."},{"issue":"5","key":"b16","series-title":"Plast Reconstr Surg","first-page":"1546","article-title":"Identifying reproducible patterns of calvarial dysmorphology in nonsyndromic sagittal craniosynostosis may affect operative intervention and outcomes assessment","volume":"119","author":"Schmelzer RE","year":"2007","unstructured":"Schmelzer RE, Perlyn CA, Kane AA, Pilgram TK, Govier D, Marsh JL. Identifying reproducible patterns of calvarial dysmorphology in nonsyndromic sagittal craniosynostosis may affect operative intervention and outcomes assessment. Plast Reconstr Surg. 2007;119(5):1546\u20131552."},{"issue":"5","key":"b17","series-title":"J Craniofac Surg","first-page":"1727","article-title":"Quantifying orthotic correction of trigonocephaly using optical surface scanning","volume":"32","author":"Ramsey JA","year":"2021","unstructured":"Ramsey JA, Stevens PM, Wurdeman SR, Bonfield CM. Quantifying orthotic correction of trigonocephaly using optical surface scanning. J Craniofac Surg. 2021;32(5):1727\u20131733."},{"issue":"2","key":"b18","series-title":"J Craniofac Surg","first-page":"573","article-title":"Assessing long-term outcomes of open and endoscopic sagittal synostosis reconstruction using three-dimensional photography","volume":"25","author":"Le MB","year":"2014","unstructured":"Le MB, Patel K, Skolnick G. Assessing long-term outcomes of open and endoscopic sagittal synostosis reconstruction using three-dimensional photography. J Craniofac Surg. 2014;25(2):573\u2013576."},{"issue":"7","key":"b19","series-title":"Cleft Palate Craniofac J","first-page":"944","article-title":"Comparing cephalic index and midsagittal vector analysis in assessing morphology in sagittal synostosis: a CT-based morphometric analysis","volume":"56","author":"Hong BY","year":"2019","unstructured":"Hong BY, Ho ES, Zellner E, Phillips JH, Forrest CR. Comparing cephalic index and midsagittal vector analysis in assessing morphology in sagittal synostosis: a CT-based morphometric analysis. Cleft Palate Craniofac J. 2019;56(7):944\u2013952."},{"issue":"2","key":"b20","series-title":"Plast Reconstr Surg","first-page":"572","article-title":"Management of isolated sagittal synostosis in the absence of scaphocephaly: a series of eight cases","volume":"126","author":"Morritt DG","year":"2010","unstructured":"Morritt DG, Yeh FJ, Wall SA, Richards PG, Jayamohan J, Johnson D. Management of isolated sagittal synostosis in the absence of scaphocephaly: a series of eight cases. Plast Reconstr Surg. 2010;126(2):572\u2013580."},{"issue":"3","key":"b21","series-title":"J Neurosurg Pediatr","first-page":"309","article-title":"Progressive postnatal pansynostosis: an insidious and pernicious form of craniosynostosis","volume":"16","author":"Wood BC","year":"2015","unstructured":"Wood BC, Oh AK, Keating RF. Progressive postnatal pansynostosis: an insidious and pernicious form of craniosynostosis. J Neurosurg Pediatr. 2015;16(3):309\u2013316."},{"issue":"4","key":"b1","series-title":"Plast Reconstr Surg","first-page":"170e","article-title":"Cranial sutures: a brief review","volume":"121","author":"Slater BJ","year":"2008","unstructured":"Slater BJ, Lenton KA, Kwan MD, Gupta DM, Wan DC, Longaker MT. Cranial sutures: a brief review. Plast Reconstr Surg. 2008;121(4):170e\u2013178e."},{"issue":"4","key":"b2","series-title":"Plast Reconstr Surg","first-page":"1300","article-title":"Complete correction of severe scaphocephaly: the Melbourne method of total vault remodeling","volume":"121","author":"Greensmith AL","year":"2008","unstructured":"Greensmith AL, Holmes AD, Lo P, Maxiner W, Heggie AA, Meara JG. Complete correction of severe scaphocephaly: the Melbourne method of total vault remodeling. Plast Reconstr Surg. 2008;121(4):1300\u20131310."},{"issue":"4","key":"b3","series-title":"J Pediatr Health Care","first-page":"242","article-title":"Evidence-based care of the child with deformational plagiocephaly, Part I: assessment and diagnosis","volume":"26","author":"Looman WS","year":"2012","unstructured":"Looman WS, Flannery AB. Evidence-based care of the child with deformational plagiocephaly, Part I: assessment and diagnosis. J Pediatr Health Care. 2012;26(4):242\u2013253."},{"issue":"1","key":"b4","series-title":"Plast Reconstr Surg","first-page":"138","article-title":"An appraisal of the cephalic index in sagittal craniosynostosis, and the unseen third dimension","volume":"140","author":"Fearon JA","year":"2017","unstructured":"Fearon JA, Ditthakasem K, Herbert M, Kolar J. An appraisal of the cephalic index in sagittal craniosynostosis, and the unseen third dimension. Plast Reconstr Surg. 2017;140(1):138\u2013145."},{"issue":"6","key":"b5","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Incorporation of a biparietal narrowing metric to improve the ability of machine learning models to detect sagittal craniosynostosis with 2D photographs","volume":"54","author":"Anderson MG","year":"2023","unstructured":"Anderson MG, Jungbauer D, Leclair NK,  Incorporation of a biparietal narrowing metric to improve the ability of machine learning models to detect sagittal craniosynostosis with 2D photographs. Neurosurg Focus. 2023;54(6):E9."},{"issue":"1-2","key":"b6","series-title":"Radiol Med (Torino)","first-page":"10","article-title":"Optimization and diagnostic accuracy of computerized tomography with tridimensional spiral technique in the study of craniostenosis. Article in Italian","volume":"96","author":"Tartaro A","year":"1998","unstructured":"Tartaro A, Larici AR, Antonucci D, Merlino B, Colosimo C, Bonomo L. Optimization and diagnostic accuracy of computerized tomography with tridimensional spiral technique in the study of craniostenosis. Article in Italian. Radiol Med (Torino). 1998;96(1-2):10\u201317."},{"issue":"3","key":"b7","series-title":"Plast Reconstr Surg","first-page":"541","article-title":"Comparison of traditional versus normative cephalic index in patients with sagittal synostosis: measure of scaphocephaly and postoperative outcome","volume":"136","author":"Dvoracek LA","year":"2015","unstructured":"Dvoracek LA, Skolnick GB, Nguyen DC,  Comparison of traditional versus normative cephalic index in patients with sagittal synostosis: measure of scaphocephaly and postoperative outcome. Plast Reconstr Surg. 2015;136(3):541\u2013548."},{"issue":"6","key":"b8","series-title":"Pediatr Neurosurg","first-page":"383","article-title":"A new measure of posterior morphology in sagittal craniosynostosis: the occipital bullet index","volume":"58","author":"Bins GP","year":"2023","unstructured":"Bins GP, Cull D, Layton RG. A new measure of posterior morphology in sagittal craniosynostosis: the occipital bullet index. Pediatr Neurosurg. 2023;58(6):383\u2013391."},{"issue":"3","key":"b9","series-title":"FACE","first-page":"396","article-title":"Measure of frontal morphology in sagittal craniosynostosis: the frontal bossing index","volume":"3","author":"Bins GP","year":"2022","unstructured":"Bins GP, Cull D, Layton RG. Measure of frontal morphology in sagittal craniosynostosis: the frontal bossing index. FACE. 2022;3(3):396\u2013402."},{"issue":"12","key":"b10","series-title":"Childs Nerv Syst","first-page":"1411","article-title":"Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques","volume":"23","author":"Jimenez DF","year":"2007","unstructured":"Jimenez DF, Barone CM. Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst. 2007;23(12):1411\u20131419."},{"issue":"1","key":"b11","series-title":"J Neurosurg Pediatr","first-page":"86","article-title":"Less is more: does the addition of barrel staves improve results in endoscopic strip craniectomy for sagittal craniosynostosis?","volume":"20","author":"Wood BC","year":"2017","unstructured":"Wood BC, Ahn ES, Wang JY,  Less is more: does the addition of barrel staves improve results in endoscopic strip craniectomy for sagittal craniosynostosis? J Neurosurg Pediatr. 2017;20(1):86\u201390."},{"issue":"5","key":"b12","series-title":"Clin Anat","first-page":"352","article-title":"Relative position of porion and tragus in orthodontic patients","volume":"8","author":"Ferrario VF","year":"1995","unstructured":"Ferrario VF, Sforza C, Anderbegani A, Poggio CE, Dalloca LL. Relative position of porion and tragus in orthodontic patients. Clin Anat. 1995;8(5):352\u2013358."},{"issue":"4","key":"b13","series-title":"Cleft Palate Craniofac J","first-page":"394","article-title":"Orthotic management of deformational plagiocephaly: consensus clinical standards of care","volume":"53","author":"Lin RS","year":"2016","unstructured":"Lin RS, Stevens PM, Wininger M, Castiglione CL. Orthotic management of deformational plagiocephaly: consensus clinical standards of care. Cleft Palate Craniofac J. 2016;53(4):394\u2013403."},{"issue":"2","key":"b14","series-title":"J Craniofac Surg","first-page":"279","article-title":"Classification system for sagittal craniosynostosis","volume":"20","author":"David L","year":"2009","unstructured":"David L, Glazier S, Pyle J, Thompson J, Argenta L. Classification system for sagittal craniosynostosis. J Craniofac Surg. 2009;20(2):279\u2013282."},{"issue":"1","key":"b15","series-title":"J Craniofac Surg","first-page":"192","article-title":"The many faces of sagittal synostosis: a novel classification and approach to diagnosis","volume":"33","author":"Diab J","year":"2022","unstructured":"Diab J, Flapper W, Grave B,  The many faces of sagittal synostosis: a novel classification and approach to diagnosis. J Craniofac Surg. 2022;33(1):192\u2013197."},{"issue":"5","key":"b16","series-title":"Plast Reconstr Surg","first-page":"1546","article-title":"Identifying reproducible patterns of calvarial dysmorphology in nonsyndromic sagittal craniosynostosis may affect operative intervention and outcomes assessment","volume":"119","author":"Schmelzer RE","year":"2007","unstructured":"Schmelzer RE, Perlyn CA, Kane AA, Pilgram TK, Govier D, Marsh JL. Identifying reproducible patterns of calvarial dysmorphology in nonsyndromic sagittal craniosynostosis may affect operative intervention and outcomes assessment. Plast Reconstr Surg. 2007;119(5):1546\u20131552."},{"issue":"5","key":"b17","series-title":"J Craniofac Surg","first-page":"1727","article-title":"Quantifying orthotic correction of trigonocephaly using optical surface scanning","volume":"32","author":"Ramsey JA","year":"2021","unstructured":"Ramsey JA, Stevens PM, Wurdeman SR, Bonfield CM. Quantifying orthotic correction of trigonocephaly using optical surface scanning. J Craniofac Surg. 2021;32(5):1727\u20131733."},{"issue":"2","key":"b18","series-title":"J Craniofac Surg","first-page":"573","article-title":"Assessing long-term outcomes of open and endoscopic sagittal synostosis reconstruction using three-dimensional photography","volume":"25","author":"Le MB","year":"2014","unstructured":"Le MB, Patel K, Skolnick G. Assessing long-term outcomes of open and endoscopic sagittal synostosis reconstruction using three-dimensional photography. J Craniofac Surg. 2014;25(2):573\u2013576."},{"issue":"7","key":"b19","series-title":"Cleft Palate Craniofac J","first-page":"944","article-title":"Comparing cephalic index and midsagittal vector analysis in assessing morphology in sagittal synostosis: a CT-based morphometric analysis","volume":"56","author":"Hong BY","year":"2019","unstructured":"Hong BY, Ho ES, Zellner E, Phillips JH, Forrest CR. Comparing cephalic index and midsagittal vector analysis in assessing morphology in sagittal synostosis: a CT-based morphometric analysis. Cleft Palate Craniofac J. 2019;56(7):944\u2013952."},{"issue":"2","key":"b20","series-title":"Plast Reconstr Surg","first-page":"572","article-title":"Management of isolated sagittal synostosis in the absence of scaphocephaly: a series of eight cases","volume":"126","author":"Morritt DG","year":"2010","unstructured":"Morritt DG, Yeh FJ, Wall SA, Richards PG, Jayamohan J, Johnson D. Management of isolated sagittal synostosis in the absence of scaphocephaly: a series of eight cases. Plast Reconstr Surg. 2010;126(2):572\u2013580."},{"issue":"3","key":"b21","series-title":"J Neurosurg Pediatr","first-page":"309","article-title":"Progressive postnatal pansynostosis: an insidious and pernicious form of craniosynostosis","volume":"16","author":"Wood BC","year":"2015","unstructured":"Wood BC, Oh AK, Keating RF. Progressive postnatal pansynostosis: an insidious and pernicious form of craniosynostosis. 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