{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:33:46Z","timestamp":1787067226296,"version":"build-2736575974"},"reference-count":22,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,2]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Premature closure of the sagittal suture is the most common form of craniosynostosis, but this condition occasionally goes unrecognized until the child is too old to undergo procedures that depend upon continued calvarial growth for success. As the entire calvaria is affected and thus misshapen by sagittal synostosis, late correction involves total calvarial reconstruction. The extensive nature of this undertaking has precluded its utilization despite the presence of significant deformities. Adapting the techniques and experience gained from craniofacial surgery, the authors performed total calvarial reconstruction on nine children with sagittal synostosis and subsequent scaphocephaly diagnosed after the age of 1 year. In each case the goals of shortening the anteroposterior length, widening the biparietal diameter, and reducing frontal and occipital deformities were met. Morbidity consisted of acute blood loss, postoperative hyponatremia, and in one case a residual skull defect. The rationale for this procedure and the techniques utilized are discussed.<\/jats:p>","DOI":"10.3171\/jns.1993.78.2.0199","type":"journal-article","created":{"date-parts":[[2009,5,27]],"date-time":"2009-05-27T11:36:01Z","timestamp":1243424161000},"page":"199-204","source":"Crossref","is-referenced-by-count":46,"title":["Total calvarial reconstruction for sagittal synostosis in older infants and children"],"prefix":"10.3171","volume":"78","author":[{"given":"Roger J.","family":"Hudgins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando D.","family":"Burstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Boydston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"329","article-title":"Operative normalization of skull shape in sagittal synostosis.","volume":"17","author":"Albright","year":"1985"},{"key":"b2","series-title":"J Neurosurg","first-page":"229","article-title":"Craniosynostosis. A survey of 204 cases.","volume":"22","author":"Anderson","year":"1965"},{"key":"b3","series-title":"Acta Pediatr Scand","first-page":"47","article-title":"Craniosynostosis. Review of the literature and indications for surgerv.","volume":"57","author":"Andersson","year":"1968"},{"key":"b4","series-title":"Dev Med Child Neurol","first-page":"183","article-title":"Scaphocephaly: aesthetic and psychosocial considerations.","volume":"23","author":"Barritt","year":"1981"},{"key":"b5","series-title":"J Neurosurg","first-page":"630","article-title":"Treatment of craniosynostosis.","volume":"30","author":"Davis","year":"1964"},{"key":"b6","series-title":"Childs Brain","first-page":"309","article-title":"Total vertex craniectomy for the treatment of scaphocephaly.","volume":"9","author":"Epstein","year":"1982"},{"key":"b7","series-title":"J Neurosurg","first-page":"48","article-title":"Craniosynostosis.","volume":"43","author":"Foltz","year":"1975"},{"key":"b8","series-title":"Neurosurgery","first-page":"196","article-title":"Treatment of scaphocephaly with sagittal craniectomy and biparietal morcellation.","volume":"23","author":"Greene","year":"1988"},{"key":"b9","series-title":"Neurosurgery","first-page":"539","article-title":"Radical osteoclastic craniectomy in sagittal synostosis.","volume":"27","author":"Hassler","year":"1990"},{"key":"b10","series-title":"J Neurosurg","first-page":"705","article-title":"Immediate correction of sagittal synostosis.","volume":"49","author":"Jane","year":"1978"},{"key":"b11","series-title":"Childs Nerv Syst","first-page":"223","article-title":"Sagittal synostosis \u2014 its clinical significance and the results of three different methods of craniectomy.","volume":"4","author":"Kaiser","year":"1988"},{"key":"b12","series-title":"Childs Nerv Syst","first-page":"50","article-title":"Keyhole craniectomy for correction of sagittal synostosis.","volume":"5","author":"McDermott","year":"1981"},{"key":"b13","series-title":"Am J Dis Child","first-page":"55","article-title":"Late moulding of the scaphocephalic skull.","volume":"99","author":"Mullan","year":"1960"},{"key":"b14","series-title":"Neurosurgery","first-page":"345","article-title":"Surgical treatment of sagittal synostosis.","volume":"18","author":"Olds","year":"1986"},{"key":"b15","series-title":"Neurosurgery","first-page":"212","article-title":"Modified prone position for cranial remodeling procedures in children with craniofacial dysmorphism: a technical note.","volume":"16","author":"Park","year":"1985"},{"key":"b16","series-title":"Scientific Foundations and Surgical Treatment of Craniosynostosis.","first-page":"117","article-title":"Surgical treatment of craniosynostosis","author":"Persing","year":"1989"},{"key":"b17","series-title":"J Neurosurg","first-page":"370","article-title":"Intracranial pressure in craniostenosis.","volume":"57","author":"Renier","year":"1982"},{"key":"b18","series-title":"Pediatrics","first-page":"829","article-title":"Craniosynostosis: a review of 519 surgical patients.","volume":"41","author":"Shillito","year":"1968"},{"key":"b19","series-title":"Surg Neurol","first-page":"153","article-title":"Management of scaphocephaly.","volume":"7","author":"Stein","year":"1977"},{"key":"b20","series-title":"J Neurosurg","first-page":"390","article-title":"Sagittal synostectomy. Technical note.","volume":"44","author":"Venes","year":"1976"},{"key":"b21","series-title":"Verh Phys Med Ges Wurtzburg","first-page":"286","article-title":"Uber den Cretinusmus, namentlich in franken und uber pathologische Schadelformen.","volume":"2","author":"Virchow","year":"1851\/1852"},{"key":"b22","series-title":"J Neurosurg","first-page":"557","article-title":"Variants of sagittal synostosis: strategies for surgical correction.","volume":"61","author":"Vollmer","year":"1984"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/2\/article-p199.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/2\/article-p199.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/2\/article-p199.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T17:38:14Z","timestamp":1679247494000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/2\/article-p199.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,2]]},"references-count":22,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1993.78.2.0199","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1993,2]]}}}