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10.06.2024 | Research

Efficacy and safety of sagittal synostosis surgery in older (> 12 months) patients: a systematic review and meta-analysis

verfasst von: Felipe Gutierrez-Pineda, Brodus A. Franklin, Anuraag Punukollu, Gustavo Giraldo Garcia, Oscar Eduardo Moreno Duque, Haiber Arias Renteria, Juan Felipe Pelaez Perez, Ignacio Alberto Gonzalez

Erschienen in: Child's Nervous System | Ausgabe 9/2024

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Abstract

Purpose

Sagittal synostosis is the most common isolated craniosynostosis. Surgical treatment of this synostosis has been extensively described in the global literature, with promising outcomes when it is performed in the first 12 months of life. However, in some cases, patients older than 12 months arrive at the craniofacial center with this synostosis. A comprehensive study on efficacy and perioperative outcomes has yet to be fully explored in this population. This systematic review and meta-analysis aimed to assess the available evidence of surgical outcomes for the treatment of sagittal synostosis among older patients to analyze the efficacy and safety of synostosis surgery in this unique population.

Methods

PubMed, Embase, and Scopus were searched for studies published from inception to March 2024 reporting surgical outcomes of synostosis surgery in older patients (> 12 months) with isolated sagittal synostosis. The main outcome was the reoperation rate, with secondary endpoints including transfusion rates, aesthetic outcomes, and surgical complications.

Results

Nine studies were included in the final analysis. The pooled proportion of the reoperation rate was 1%. The rate of excellent aesthetic results was 95%. The need for transfusion associated with the procedures was 86%, and finally, surgical complications attained a pooled ratio of 2%, indicating minimal morbidity associated with the surgical repair.

Conclusion

Sagittal synostosis surgery is a safe and effective procedure to perform in older patients; this meta-analysis suggests that open surgery confers a significant rate of excellent aesthetic results with a low reoperation rate and minimal complications associated with the intervention. Future research with direct comparisons among different techniques will validate the findings of this study, which will all contribute to the rigor of synostosis management.

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Titel: Efficacy and safety of sagittal synostosis surgery in older (> 12 months) patients: a systematic review and meta-analysis
verfasst von: Felipe Gutierrez-Pineda
Brodus A. Franklin
Anuraag Punukollu
Gustavo Giraldo Garcia
Oscar Eduardo Moreno Duque
Haiber Arias Renteria
Juan Felipe Pelaez Perez
Ignacio Alberto Gonzalez
Publikationsdatum: 10.06.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Child's Nervous System / Ausgabe 9/2024
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-024-06472-y

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Efficacy and safety of sagittal synostosis surgery in older (> 12 months) patients: a systematic review and meta-analysis