Surgical management of sagittal synostosis. A quantitative evaluation of two techniques.

This article reports a retrospective quantitative (cephalic index) evaluation of the effect that two different operations for treatment of scaphocephaly secondary to sagittal synostosis have on cranial shape. Combining our results with those of others, the trend is clear: if the objective of surgical intervention for isolated nonsyndromal sagittal synostosis is normalization of the calcarial width to length ratio, a more extensive procedure than simple or extended craniectomy is required.