SAGITTAL SYNOSTOSIS - QUANTITATIVE ASSESSMENT OF PRESENTING DEFORMITY AND SURGICAL RESULTS BASED ON CT SCANS
SAGITTAL SYNOSTOSIS - QUANTITATIVE ASSESSMENT OF PRESENTING DEFORMITY AND SURGICAL RESULTS BASED ON CT SCANS
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DOI：
10.1097/00006534-199311000-00003
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发表时间：
1993-11-01
影响因子：
3.6
通讯作者：
ARMSTRONG, D
中科院分区：
文献类型：
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作者：
POSNICK, JC;LIN, KY;ARMSTRONG, D
我们回顾了9例未经治疗的孤立性非综合征性矢状骨缝早闭患者的经验。使用的方法，14个临床相关的测量，从术前和术后的CT扫描图像，这些患者，我们记录了他们提出的骨骼畸形和手术矫正的结果，至少1年后。显著的术前发现包括延长的颅穹窿长度，平均为正常的103%，颅穹窿宽度缩小，前部为正常的92%，后部为正常的86%。通过CT扫描测量记录的手术矫正结果包括颅骨长度正常化至100%，前部宽度正常化至101%，后部宽度改善（但矫正不足）至94%。CT扫描图像的定量测量证实了这些患者在缝线释放和重建前的临床观察结果，并证明可用于评估所获得的手术结果。
We reviewed our experience with nine consecutive patients with untreated isolated nonsyndromic sagittal synostosis. Using a method of 14 clinically relevant measurements taken from preoperative and postoperative CT scan images of these patients, we documented their presenting skeletal dysmorphology and the results of surgical correction at least 1 year after operation. Significant preoperative findings included an elongated cranial vault length that averaged 103 percent of normal and a narrowed cranial vault width both anteriorly at 92 percent and posteriorly at 86 percent of normal. Results of surgical correction, as documented by CT scan measurements, included normalization of the cranial length to 100 percent and of the anterior width to 101 percent of normal and improvement (but undercorrection) of the posterior width to 94 percent of normal. Quantitative measurement of CT scan images confirmed clinically observed findings in these patients before suture release and reconstruction and proved useful in assessing the surgical results achieved.