Correction of posterior sagittal craniosynostosis.

Craniosynostosis involving the posterior sagittal suture results in a characteristic skull deformity known as bathrocephaly. Surgical correction of this deformity using the reverse pi procedure has yielded inconsistent results. We present a new method for expanding the transverse posterior skull while simultaneously reducing the longitudinal dimension. An absorbable microplate-reinforced bone strut is used as a framework on which the remainder of the skull is reconfigured; its stability prevents relapse. The posterior skull squeeze is produced using absorbable mesh plates. Use of rigid fixation is limited to absorbable hardware in the growing craniofacial skeleton.