Multicenter comparison of head shape outcomes for three minimally invasive strip craniectomy techniques for sagittal craniosynostosis
Abstract
OBJECTIVE: A literature gap exists comparing whole head shape outcome following correction of sagittal craniosynostosis. The objective of this multicenter study was to provide an analysis of long-term results following three different endoscopic strip craniectomy techniques for correction of sagittal craniosynostosis: 1) spring-assisted strip craniectomy, 2) wide-strip craniectomy with biparietal and bitemporal barrel-stave wedge osteotomies plus helmet orthosis, and 3) narrow-strip craniectomy plus orthosis without barrel staves. METHODS: Pre- and postoperative 3D stereophotogrammetric images were collected from patients who underwent craniosynostosis surgery. Procedures were divided among institutions as follows: spring-assisted strip craniectomies were performed at Atrium Health Wake Forest Baptist Hospital; narrow-strip craniectomies were performed at St. Louis Children’s Hospital by one craniofacial surgeon; and wide-vertex craniectomies were performed at St. Louis Children’s Hospital prior to 2010, and then continued at Children’s Medical Center Dallas. Pre- and postoperative 3D whole-head composite images were generated for each procedure to visually represent outcomes at final follow-up and compared with age-matched normal controls. RESULTS: Patients in the spring-assisted strip craniectomy group showed normalization of frontal bossing and skull height compared with age-matched controls, whereas patients undergoing wide-strip craniectomy showed greater correction of occipital protrusion. Patients in the narrow-strip craniectomy cohort had intermediate results between these outcomes. Nested aggregate head shapes showed good correction of head shapes from all techniques. CONCLUSIONS: This large, retrospective, multicenter study illustrated whole head shape outcomes from three different craniectomy procedures. Although each procedure showed some differences in loci of primary correction, all three surgical methods demonstrated good correction of primary scaphocephalic deformity.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Due to high revision rates, caused for example by renewed ossification, new procedures became necessary.
“Due to high revision rates, caused for example, by renewed ossification, new procedures became necessary [73].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [73]
Cites
Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis
Jimenez, D. F., & Barone, C. M. (1998) · Journal of Neurosurgery · doi:10.3171/jns.1998.88.1.0077 · Cited by 364 · see citing works
Wong, J. Y., Oh, A. K., Ohta, E., Hunt, A. T., Rogers, G. F., Mulliken, J. B., & Deutsch, C. K. (2008) · The Cleft Palate-Craniofacial Journal · doi:10.1597/06-175 · Cited by 358 · see citing works
Jimenez, D. F., Barone, C. M., Cartwright, C. C., & Baker, L. (2002) · PEDIATRICS · doi:10.1542/peds.110.1.97 · Cited by 302 · see citing works
Aung, S. C., Ngim, R. C., & Lee, S. T. (1995) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(95)90043-8 · Cited by 251 · see citing works
Jimenez, D. F., Barone, C. M., McGee, M. E., Cartwright, C. C., & Baker, C. L. (2004) · Journal of Neurosurgery: Pediatrics · doi:10.3171/ped.2004.100.5.0407 · Cited by 185 · see citing works
Shah, M. N., Kane, A. A., Petersen, J. D., Woo, A. S., Naidoo, S. D., & Smyth, M. D. (2011) · Journal of Neurosurgery: Pediatrics · doi:10.3171/2011.5.peds1128 · Cited by 183 · see citing works
Self-citationThe management of sagittal synostosis using endoscopic suturectomy and postoperative helmet therapy
Ridgway, E. B., Berry-Candelario, J., Grondin, R. T., Rogers, G. F., & Proctor, M. R. (2011) · Journal of Neurosurgery Pediatrics · doi:10.3171/2011.3.peds10418 · Cited by 141 · see citing works
Outcome analysis of our first 75 spring-assisted surgeries for scaphocephaly
David, L. R., Plikaitis, C. M., Couture, D., Glazier, S. S., & Argenta, L. C. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181c3469d · Cited by 136 · see citing works
Self-citationThe evolution of surgical management for craniosynostosis
Mehta, V. A., Bettegowda, C., Jallo, G. I., & Ahn, E. S. (2010) · Neurosurgical FOCUS · doi:10.3171/2010.9.focus10204 · Cited by 126 · see citing works
A review of the management of single-suture craniosynostosis, past, present, and future
Proctor, M. R., & Meara, J. G. (2019) · Journal of Neurosurgery Pediatrics · doi:10.3171/2019.7.peds18585 · Cited by 126 · see citing works
Spring-Assisted Cranioplasty vs Pi-Plasty for Sagittal Synostosis-A Long Term Follow-Up Study
Windh, P., Davis, C., Sanger, C., Sahlin, P., & Lauritzen, C. G. K. (2008) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e31815c94c8 · Cited by 106 · see citing works
Vogel, T. W. A., Woo, A. S., Kane, A. A., Patel, K. B., Naidoo, S. D., & Smyth, M. D. (2014) · Journal of Neurosurgery Pediatrics · doi:10.3171/2013.12.peds13320 · Cited by 103 · see citing works
Self-citationSPRING-MEDIATED CRANIOPLASTY COMPARED WITH THE MODIFIED PI-PLASTY FOR SAGITTAL SYNOSTOSIS
Guimãraes-Ferreira, J., Gewalli, F., David, L. R., Olsson, R. J., Friede, H., & Lauritzen, C. G. K. (2003) · Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery · doi:10.1080/02844310310001823 · Cited by 98 · see citing works
Self-citationTechnical validation of the Di3D stereophotogrammetry surface imaging system
Winder, R. J., Darvann, T. A., McKnight, W. R., Magee, J., & Ramsay-Baggs, P. (2007) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2007.09.005 · Cited by 95 · see citing works
Spring-Mediated Cranial Reshaping For Craniosynostosis
David, L. R., Proffer, P., Hurst, W. J., Glazier, S. S., & Argenta, L. C. (2004) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200409000-00021 · Cited by 93 · see citing works
Self-citationTaylor, J. A., & Maugans, T. (2011) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e31821c0f10 · Cited by 88 · see citing works
Jimenez, D. F., & Barone, C. M. (2000) · Neurosurgical FOCUS · doi:10.3171/foc.2000.9.3.3 · Cited by 86 · see citing works
An Appraisal of the Cephalic Index in Sagittal Craniosynostosis, and the Unseen Third Dimension
Fearon, J. A., Ditthakasem, K., Herbert, M., & Kolar, J. (2017) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000003422 · Cited by 83 · see citing works
Arko, L., Swanson, J. W., Fierst, T. M., Henn, R. E., Chang, D., Storm, P. B., Bartlett, S. P., Taylor, J. A., & Heuer, G. G. (2015) · Neurosurgical FOCUS · doi:10.3171/2015.3.focus153 · Cited by 67 · see citing works
Nord, F., Ferjencik, R. K., Seifert, B., Lanzer, M., Gander, T., Matthews, F., Rücker, M., & Lübbers, H. (2015) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2015.08.017 · Cited by 65 · see citing works
Long-Term Outcomes of Spring-Assisted Surgery for Sagittal Craniosynostosis
Runyan, C. M., Gabrick, K. S., Park, J. G., Massary, D. A., Hemal, K., Owens, E. S., Thompson, J. T., Couture, D. E., & David, L. R. (2020) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000007168 · Cited by 56 · see citing works
Self-citationOne hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care
Nguyen, D. C., Farber, S. J., Skolnick, G. B., Naidoo, S. D., Smyth, M. D., Kane, A. A., Patel, K. B., & Woo, A. S. (2017) · Journal of Neurosurgery Pediatrics · doi:10.3171/2017.5.peds16674 · Cited by 53 · see citing works
Self-citationThree-dimensional surface scanners compared with standard anthropometric measurements for head shape
Beaumont, C. A. A., Knoops, P. G. M., Borghi, A., Jeelani, O., Koudstaal, M. J., Schievano, S., Dunaway, D., & Rodríguez-Flórez, N. (2017) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2017.03.003 · Cited by 46 · see citing works
Dlouhy, B. J., Nguyen, D. C., Patel, K. B., Hoben, G. M., Skolnick, G. B., Naidoo, S. D., Woo, A. S., & Smyth, M. D. (2016) · Journal of Neurosurgery Pediatrics · doi:10.3171/2016.6.peds1623 · Cited by 42 · see citing works
Self-citationQuantifying Normal Craniofacial Form and Baseline Craniofacial Asymmetry in the Pediatric Population
Cho, M., Hallac, R. R., Ramesh, J., Seaward, J. R., Hermann, N. V., Darvann, T. A., Lipira, A. B., & Kane, A. A. (2018) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000004114 · Cited by 40 · see citing works
Self-citationDesign and care of helmets in postoperative craniosynostosis patients: our personal approach
Jimenez, D. F., Barone, C. M., & McGee, M. E. (2004) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2004.03.010 · Cited by 32 · see citing works
Chou, P., Hallac, R. R., Patel, S., Cho, M., Stewart, N. M., Smartt, J. M., Seaward, J. R., Kane, A. A., & Derderian, C. A. (2017) · Journal of Neurosurgery Pediatrics · doi:10.3171/2017.1.peds16660 · Cited by 29 · see citing works
Self-citationReview of Past Reports and Current Concepts of Surgical Management for Craniosynostosis
Kyutoku, S., & Inagaki, T. (2017) · Neurologia medico-chirurgica · doi:10.2176/nmc.ra.2017-0006 · Cited by 29 · see citing works
Differential management of scaphocephaly
Tatum, S. A., Jones, L. R., Cho, M., & Sandu, R. (2012) · The Laryngoscope · doi:10.1002/lary.22463 · Cited by 25 · see citing works
Regression of cephalic index following endoscopic repair of sagittal synostosis
Pickersgill, N. A., Skolnick, G. B., Naidoo, S. D., Smyth, M. D., & Patel, K. B. (2018) · Journal of Neurosurgery Pediatrics · doi:10.3171/2018.7.peds18195 · Cited by 24 · see citing works
Self-citationSkolnick, G. B., Yu, J. L., Patel, K. B., David, L. R., Couture, D. E., Smyth, M. D., & Woo, A. S. (2020) · The Cleft Palate-Craniofacial Journal · doi:10.1177/1055665620966521 · Cited by 20 · see citing works
Self-citationHarrison, L. M., Mathew, D. P., Cole, N. A., Sachdeva, S., Hallac, R. R., & Derderian, C. A. (2023) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000010277 · Cited by 7 · see citing works
Self-citationRamamurthi, A., Hallac, R. R., Chou, P., Kenyon, L., & Derderian, C. A. (2021) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000007642 · Cited by 6 · see citing works
Self-citationAinuz, B. Y., Hallac, R. R., & Kane, A. A. (2021) · Annals of Human Biology · doi:10.1080/03014460.2021.2012257 · Cited by 6 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
3D Analysis of the Cranial and Facial Shape in Craniosynostosis Patients: A Systematic Review
Kurniawan, M. S. I. C., Tio, P. A. E., Abdel Alim, T., Roshchupkin, G., Dirven, C. M. F., Pleumeekers, M. M., Mathijssen, I. M. J., & van Veelen, M.-L. C. (2024) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000010071 · Cited by 16 · see citing works
Prezelski, K., Blondin, M. S., Matsumoto, K. W., David, L. R., Runyan, C. M., Patel, K. B., Kane, A. A., & Hallac, R. R. (2024) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000011685 · Cited by 6 · see citing works
Self-citationAnesthesia for Endoscopic Strip Craniectomy Repair: A Single‐Center Retrospective Cohort Study
Achaibar, K., Graham, H., Kakad, S., Wloch, K., Jeelani, O., James, G., Silva, A. H. D., Ong, J., Eccles, S., Dunaway, D. J., et al. (2025) · Pediatric Anesthesia · doi:10.1111/pan.70008 · Cited by 4 · see citing works
Lutz, K., Röhrig, A., Hourani, J. A., Kunze, S. C., Forkosh, J., Wermelinger, J., & Messing‐Jünger, M. (2024) · Neurosurgical Review · doi:10.1007/s10143-024-02406-z · Cited by 4 · see citing works
Endoscopic Techniques in Sagittal Synostosis Correction: A Systematic Review and Meta-Analysis
da Costa, M., Pinheiro, V. M. A., Borges, P., & Cavalheiro, S. (2024) · Neurosurgery · doi:10.1227/neu.0000000000003294 · Cited by 3 · see citing works
Optimal timing of endoscopic sagittal suturectomy
O’Brien, P. F., Teti, S. A., Dewar, C. D., Stabingas, K., Rana, M. S., Magge, S. N., Donoho, D. A., Syed, H. R., Oluigbo, C. O., Myseros, J. S., et al. (2025) · Journal of Neurosurgery Pediatrics · doi:10.3171/2024.11.peds24272 · Cited by 3 · see citing works
Hermann, J., Raak, C. K., Ostermann, T., & Scharbrodt, W. (2025) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-025-03978-9 · Cited by 2 · see citing works
“Due to high revision rates, caused for example, by renewed ossification, new procedures became necessary [73].”
Li, H., Shen, J., Tang, M., Wan, S., & Zhang, S. (2025) · Frontiers in Pediatrics · doi:10.3389/fped.2025.1658654 · Cited by 2 · see citing works
Putra, M. I. A., Mirnasari Amirsyah, X., Budiman, B., Amirah, S., Al‐Gunaid, S. T., & Iqhrammullah, M. (2024) · Surgeries · doi:10.3390/surgeries5040078 · Cited by 2 · see citing works
Cleff, B., Rizvi, I., Wang, E. B., Swiekatowski, K. R., Basta, A. V., Đỗ, T. H., Haydon, H., Celestino, N., Greives, M. R., & Sobol, D. L. (2026) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000012547 · Cited by 1 · see citing works
Self-citationElkhill, C., Cruz-Guerrero, I. A., Khechoyan, D. Y., Nguyen, P. D., French, B. M., & Porras, A. R. (2026) · IEEE International Symposium on Biomedical Imaging (ISBI) · doi:10.1109/isbi61048.2026.11515451
A Head of the Curve: Investigating Helmet Therapy Compliance in Patients With Craniosynostosis
Lyn, R. V., Basta, A., Williams, C., Do, T., Rizvi, I., Greives, M. R., & Sobol, D. L. (2026) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000013111
Self-citationGonzales, J. J., Wire, N. L., Griffin, S. P., Cole, S. H., Lee, E. Y., & Ching, J. A. (2026) · Seminars in Plastic Surgery · doi:10.1055/a-2937-9202
- Authors
- Rizvi, I., Hallac, R. R., Geisler, E. L., Perez, J. K., Ainuz, B. Y., Pressler, M. P., Jackson, S. A., Skolnick, G. B., Smyth, M. D., Seaward, J. R., Derderian, C. A., David, L. R., Runyan, C. M., Patel, K. B., & Kane, A. A.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- The University of Texas Medical Branch at Galveston (US)
- Washington University in St. Louis (US)
- Johns Hopkins University (US)
- Wake Forest University Health Sciences (US)
- ORCID
- Venue
- Journal of Neurosurgery: Pediatrics
- Published
- 2023-09-01
- Volume
- 32
- Issue
- 3
- Pages
- 277-284
- ISSN
- 1933-0707 (ISSN-L)
- 1933-0715
- OpenAlex
- W4381087967
- Cited by
- 13
- References
- 34
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neurosurgery Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- sagittal craniosynostosis, strip craniectomy, scaphocephaly, frontal bossing, stereophotogrammetry
- MeSH terms
- Child, Craniosynostoses, Craniotomy, Humans, Infant, Osteotomy, Retrospective Studies, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
