gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

Long-term results of the surgical correction of craniosynostosis in children

Meeting Abstract

  • Eva Dorette Roeder-Geyer - Diakonie-Klinikum Jung-Stilling, Siegen, Deutschland
  • Ricarda Buchal - DRK Kinderklinik, Siegen, Deutschland
  • Holger Petri - DRK Kinderklinik, Siegen, Deutschland
  • Veit Braun - Diakonie-Klinikum Jung-Stilling, Siegen, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMi.27.04

doi: 10.3205/17dgnc555, urn:nbn:de:0183-17dgnc5556

Published: June 9, 2017

© 2017 Roeder-Geyer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Objective: 27 consecutive operated children for craniosynostosis were primarily included in this study. 7 children were lost for follow up due to different reasons. The remaining children were operated on in 2010-2012. The aim of the study was to ascertain whether these children develop in the same way as children without craniosynostosis in respect of physical motor functions, hand movement, cognitive and language skills and in their social-emotive behaviour. Furthermore, parental satisfaction with the surgical outcome was assessed.

Methods: At time of surgery the age ranged from 6 to 24 M, (average 9.9 M). The follow up time ranged from 38 to 69 M (average 50.4 M). The children were examined using the development test ET6-6 R 2013, which allows an assessment of all the above-mentioned factors. It was standardized in 2011/12 in 5 German regions basing on the results of 1.053 children. The test was carried out by an independent pediatrician. Parental satisfaction with the results of surgery regarding head shape, wound healing, development and medical after-care was assessed by a questionnaire using a scale of 1 (unsatisfactory) to 5 (very satisfactory). The parents were also asked if, retrospectively, they would have their child operated on.

Results: Overall 19/20 operated children had better results than the control group with an average of 71.7 %, compared to the average in the control group of 50%. Only one child was slightly worse with 47.8%. In detail, in social-emotive development our children reached 60.3 %, in symbol drawing 68.9 %, in physical motor function 69.4 %, hand movement 72.0 %, language skill 76.9 % and in the cognitive section 82.5 %. The questionnaire on parental satisfaction yielded the following results: satisfaction with surgery gained 4.7 points; shape of head 4.4 pts; wound healing 4.4 pts; positive .development 4.9 pts; satisfaction with medical after-care 4.7 pts. The average of the results reached 4.6 on a scale of 5 pts. The question whether parents would retrospectively have their child operated on was answered positively with 91.3 %.

Conclusion: All except one of our surgically treated children showed better developmental results than normal children in the control group, subsequently, the parental satisfaction was good as well. Thus, the indication for surgery in the case of craniosynostosis can definitely be positively rated.