Removal of cranial springs after spring-mediated cranioplasty.

Christopher L Kalmar,Scott P Bartlett,Benjamin C Kennedy,Jesse A Taylor,Shih-Shan Lang,Sameer Shakir,Jordan W Swanson,Phillip B Storm,Alexander M Tucker,Gregory G Heuer

doi:10.3171/2021.1.focvid20102

Abstract

Cranial spring hardware is generally removed 3 months after placement for spring-mediated cranioplasty. Spring removal is performed as an outpatient procedure under general anesthesia in approximately 15 minutes through the incision locations of the index procedure. Herein, the authors provide a multimedia demonstration of cranial spring hardware removal after spring-mediated cranioplasty for sagittal craniosynostosis.The video can be found here: https://vimeo.com/511179695

Highlights

Cranial springs are generally removed approximately 3 months after placement for sagittal craniosynostosis, which reflects several weeks of active expansion followed by about 2 months of consolidation.[1,2,3,4,5,6,7,8]
The patient is generally left in supine position
The previous scalp incisions are opened to the subgaleal plane, with care taken to protect the underlying cranial bone regenerate

Summary

Introduction

Cranial springs are generally removed approximately 3 months after placement for sagittal craniosynostosis, which reflects several weeks of active expansion followed by about 2 months of consolidation.[1,2,3,4,5,6,7,8]. Cranial springs are generally removed approximately 3 months after placement for sagittal craniosynostosis, which reflects several weeks of active expansion followed by about 2 months of consolidation.1–8 After general endotracheal anesthesia is induced, local anesthesia containing epinephrine is infused in the patient’s scalp incision.

Results

Conclusion