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RESULTS: Cranial vault distraction (CVDO) was performed on 7 subjects (41.2%), and mandibular distraction (MDO) on 10 subjects (58.8%). Across the entire cohort, the maximum force per activation was 27.023.5 N, and the elastic force (the rise in force over a single activation) was 10.714.1 N. Maximum force (CVDO:52.920.2 N vs. MDO: 12.98.5 N; p<0.0001), and elastic force (CVDO: 22.015.6 N vs. MDO: 4.58.2 N; p<0.0001) were significantly higher in the CVDO sub-group than in the MDO cohort. On multivariate regression analysis, statistically significant associations were seen between maximum activation force and the following independent variables: active DO day number (beta-coefficient: 1.1; P<0.001), DO rate (mm/day) (beta-coefficient: 8.9; P=0.016), CVDO (relative to MDO) (beta-coefficient: 41.4; P<0.001), and device failure (beta-coefficient: 10.3; P=0.004).

Abstract: Optimizing Reconstruction in Craniosynostosis: A 12-Year Review of 162 Non-Syndromic Patients