Multiple-revolution spiral osteotomy for cranial reconstruction. Technical note

M. W. Tullous, M. N. Henry, P. T.H. Wang, D. G. Vollmer, A. E. Auber, P. A. Mancuso

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Various combinations of cranial remodeling techniques are used in an attempt to provide optimal cosmetic results and to reduce possible sequelae associated with craniosynostosis. One element of deformity that is difficult to correct directly is an overly flattened area such as that found in the parietal area in sagittal synostosis, unilaterally in lambdoid synostosis, or even in severe positional molding. The authors present a novel application for recontouring cranial bone, namely the multiple-revolution spiral osteotomy. The advantages of this technique include the avoidance of large areas of craniectomy and immediate correction of the cranial deformity. The surgical procedure, illustrative cases, early results, and apparent benefits of this technique are discussed.

Original languageEnglish (US)
Pages (from-to)671-676
Number of pages6
JournalJournal of neurosurgery
Issue number4
StatePublished - 2001
Externally publishedYes


  • Cranial defect
  • Craniosynostosis
  • Modeling technique
  • Spiral osteotomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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