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The use of a resorbable plating system for treatment of craniosynostosis
S J Surpure1, K S Smith, S M Sullivan
1Department of Oral and Maxillofacial Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Insights
The Lactosorb resorbable plating system effectively treated craniosynostosis in 10 children, showing no complications or adverse outcomes. This study confirms resorbable plates are a viable alternative for craniofacial reconstruction.
Area of Science:
- Craniofacial Surgery
- Biomaterials in Medicine
- Pediatric Neurosurgery
Background:
- Craniosynostosis involves premature fusion of skull sutures, requiring surgical intervention.
- Traditional fixation methods for craniosynostosis repair carry risks of complications.
- Resorbable plating systems offer a potential alternative for bone fixation.
Purpose of the Study:
- To assess the efficacy of the Lactosorb resorbable plating system in treating craniosynostosis.
- To evaluate the safety and outcomes of using resorbable plates in pediatric craniofacial reconstruction.
Main Methods:
- Ten pediatric patients with craniosynostosis underwent surgery using the 1.5 Lactosorb plating system.
- Procedures ranged from single suture release to total calvarial reconstruction.
- Clinical and CT scan evaluations were performed postoperatively at 3, 6, and 9 months.
Main Results:
- No cases of neosynostosis, malposed bone segments, or restricted calvarial expansion were observed.
- The resorbable plating system demonstrated excellent outcomes without complications associated with traditional methods.
- All patients showed successful bone segment fixation and cranial vault remodeling.
Conclusions:
- Resorbable plating systems are a safe and effective alternative for craniosynostosis treatment.
- The Lactosorb system provides a viable fixation method, reducing the need for permanent hardware.
- This approach offers a promising solution for craniofacial dysostosis and related conditions.
Purpose:
The purpose of this study was to evaluate the effectiveness of a resorbable plating system (Lactosorb; Walter Lorenz Surgical, Inc, Jacksonville, FL) as a fixation method in the treatment of craniosynostosis.
Patients And Methods:
Ten children with 15 affected sutures underwent craniotomies ranging from release of 1 suture to total calvarial reconstruction. The 1.5 Lactosorb plating system was used as the method of fixation in all cases. Patients were evaluated clinically and with computed tomography scans before discharge postoperatively, and at the 3-, 6-, and 9-month intervals.
Results:
In all 10 cases there was no evidence of neosynostosis, malposed osseous segments, or restriction of growth or calvarial expansion. In addition, none of the complications seen with more traditional techniques were evident in these patients.
Conclusion:
Resorbable plating systems provide a viable alternative to the more traditional fixation techniques that have been used to treat craniosynostosis and craniofacial dysostosis.