Pediatric Neurosurgery

Original Paper

The Role of Age and Initial Deformation on Final Cranial Asymmetry in Infants with Plagiocephaly Treated with Helmet Therapy

Mackel C.E.a · Bonnar M.b · Keeny H.c · Lipa B.M.c · Hwang S.W.c

Author affiliations

aDepartment of Neurosurgery, Tufts Medical Center and Floating Hospital for Children, and bThe Orthotic and Prosthetic Center of Boston, Boston, MA, and cShriners Hospitals for Children - Philadelphia, Philadelphia, PA, USA

Keywords: PlagiocephalyOrthoticsHelmet

Related Articles for ""
Pediatr Neurosurg 2017;52:318-322
https://doi.org/10.1159/000479326

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 07, 2017
Accepted: July 07, 2017
Published online: August 30, 2017
Issue release date: September 2017

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 3

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: https://www.karger.com/PNE

Abstract

Background/Aims: To characterize the impact of cranial asymmetry and age at initiation of therapy on final cranial asymmetry in infants with deformational plagiocephaly treated with helmet orthotics. Methods: We conducted a single-center retrospective review of 45 pediatric patients <12 months of age with deformational plagiocephaly who underwent STARband cranial orthotic helmet treatment. Cranial asymmetry was measured using a 3-dimensional laser surface scanner and defined as a cranial vault asymmetry index (CVAI) >3.5%. Results: Twenty-one patients (47%) were <6 months of age at the start of helmet therapy. A greater initial CVAI or age at therapy initiation correlated with a greater final CVAI (univariate analysis, r = 0.53, p < 0.001; r = 0.42, p = 0.004). Subgroup analysis of 18 patients beginning therapy at 4-5 months of age and 20 patients beginning therapy at 6-8 months of age revealed that only a change in the initial CVAI was associated with a change in the final CVAI (r = 0.43, p = 0.007). Conclusion: In a comparison of patients who initiated helmet therapy at 4-5 and 6-8 months of age, only cranial asymmetry at the outset of therapy was correlated with final cranial asymmetry (r = 0.43, p = 0.007).

© 2017 S. Karger AG, Basel



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References

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 07, 2017
Accepted: July 07, 2017
Published online: August 30, 2017
Issue release date: September 2017

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 3

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: https://www.karger.com/PNE

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Article Details

2017, Vol.52, No. 5

September 2017

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Additional Information

This study was conducted at Tufts Medical Center and Floating Hospital for Children.
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