CASE REPORT Pan-Suture Synostosis After Posterior Vault Distraction

Posterior vault remodeling by distraction osteogenesis is a relatively new technique used for initial correction of turribrachycephaly in children with bicoronal craniosynostosis. We present a new potential complication from this procedure; a case of pan-suture synostosis subsequent to posterior vau...

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Bibliographic Details
Published in:Eplasty 2013, Vol.13, p.e52-e52
Main Authors: Chu, Katrina F, Sullivan, Stephen R, Taylor, Helena O
Format: Article
Language:English
Online Access:Get full text
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Summary:Posterior vault remodeling by distraction osteogenesis is a relatively new technique used for initial correction of turribrachycephaly in children with bicoronal craniosynostosis. We present a new potential complication from this procedure; a case of pan-suture synostosis subsequent to posterior vault distraction. We report an infant girl who presented with bicoronal synostosis in the setting of Saethre-Chotzen syndrome. She underwent posterior vault distraction and was distracted a total of 34 millimeters, with successful osteogenesis at the site. One year postoperatively, the patient was found to have incidental, asymptomatic pan-suture synostosis on computed tomography. To our knowledge, this is the first reported case of delayed craniosynostosis after posterior vault distraction in the literature. The possible pathogenesis and significance of this case are discussed with a review of the current literature.
ISSN:1937-5719
1937-5719