Sagittal synostosis comprises a spectrum of deformities caused by prem
ature fusion of the sagittal suture. The treatment of sagittal synosto
sis is dependent on the age of the patient and the characteristics of
the presenting deformity. Immediate correction of the scaphocephalic d
eformity is the goal of operative treatment. The operative procedures
proposed involve whole-vault cranial reshaping, active shortening of t
he anteroposterior axis, and widening of the mediolateral dimension of
the skull leading to a more normal, ''rounded'' skull shape.