Length of synostosis and segmented intracranial volume correlate with age in patients with non-syndromic sagittal synostosis.
Childs Nerv Syst
; 34(3): 511-515, 2018 03.
Article
em En
| MEDLINE
| ID: mdl-29067505
ABSTRACT
PURPOSE:
The aim of this study is to compare the length of synostosis and segmented intracranial volume (SIV) with age in children with non-syndromic sagittal synostosis.METHODS:
Thirty-three consecutive patients (22 boys) who had been operated by cranial vault remodeling because of sagittal synostosis were compared retrospectively from 3D-CT imaging data sets obtained from volumetric CT. The mean age of the patients at preoperative CT imaging was 0.49 (range 0.13-1.3) years and at 1-year postoperative imaging 1.8 (range 1.3-3) years. The mean interval between preoperative CT imaging and surgery was 0.25 (range 0-0.8) years. Pearson's correlation and Student's t test were used in the statistical analyses.RESULTS:
Length of sagittal synostosis correlated positively with age at preoperative CT (r = 0.688, p < 0.01). Children with total synostosis (n = 9) were significantly older (mean age 0.74 vs. 0.4 years, p < 0.01) than those with partial synostosis. Of partial synostoses, 9 were located anteriorly, 3 in the middle, and 12 posteriorly. The mean synostosis ratio (synostosis length/total sagittal suture length × 100) was 83%. Preoperative SIV correlated positively with age at preoperative CT (r = 0.788, p < 0.01), whereas the 1-year postoperative SIV did not correlate with age at operation. The older the child at the time of the operation, the less the percentage SIV increased.CONCLUSIONS:
Length of sagittal synostosis and SIV increased with age.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos de Cirurgia Plástica
/
Suturas Cranianas
/
Craniossinostoses
/
Imageamento Tridimensional
/
Tomografia Computadorizada de Feixe Cônico
Tipo de estudo:
Observational_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Revista:
Childs Nerv Syst
Assunto da revista:
NEUROLOGIA
/
PEDIATRIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Finlândia