Surgical management of raised ICP in craniosynostosis: experience-based selection of posterior vault expansion techniques.

ABSTRACT:

Objective

To evaluate outcomes of three posterior vault expansion (PVE) techniques in children with craniosynostosis and confirmed raised intracranial pressure (ICP) and propose a practical framework to guide surgical technique selection based on patient-specific characteristics.

Methods

We retrospectively analyzed 116 pediatric patients who underwent their first PVE for confirmed raised ICP between January 2018 and January 2024 at a tertiary craniofacial center. Patients underwent one of three surgical techniques: static remodeling (PVE-S), spring-assisted posterior vault expansion-classic (SAPVE-C), or spring-assisted posterior vault expansion-vertical vector (SAPVE-VV). Outcomes included functional improvement (fundoscopy, VEPs, symptoms, Chiari I), volumetric change in i

SUBMITTER: Saenz A 

PROVIDER: S-EPMC12491112 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature