A Study of 285 Cases of Cranial Vault Suture Closure in Chinese Adults

Overview

Journal Surg Radiol Anat

Specialties Anatomy & Histology
General Surgery
Radiology

Date 2022 Jan 25

PMID 35076751

Authors

Junhua Li

Zujiang Chen

Weixing Zhong

Han Yang

Yikai Li

Affiliations

Soon will be listed here.

Abstract

Purpose: To examine the presence and characteristics of cranial vault suture closure in Chinese adults and to explore whether craniosacral therapy (CST) manipulation is rational from the anatomical perspective.

Methods: Anthropological non-metric observation and craniometry were used to study 285 dry skull specimens of Chinese adults.

Results: A total of 91 specimens with closed extracranial sutures were observed, with an occurrence rate of 31.93%. Based on the mode of closure, there were 32 cases of single type closure, with sagittal suture closure predominating with 20 cases (21.98%); 59 cases of composite closure, with a partial closure of coronal suture + sagittal suture + lambdoid suture predominating with 26 cases (28.57%). In terms of the degree of closure, there were 13 cases (14.28%) of sagittal suture grade 0 closure and 78 cases (85.72%) of grade 1 - 4 closure; 34 cases (37.36%) of coronal suture grade 0 closure and 57 cases (62.64%) of grade 1 - 4 closure; 47 cases (51.65%) of lambdoid suture grade 0 closure and 44 cases (48.35%) of grade 1 - 4 closure. The segment and degree of coronal suture closure (46, 80.7%) and lambdoid suture (31, 70.45%) were mostly left-right symmetrical. The bone surfaces on either side of the cranial vault sutures are embedded in each other, forming a rough, complex and interlocking bone-suture-bone structure.

Conclusion: This study observed the closure of the cranial vault suture, summarized its characteristics, and explored the irrationality of the CST manipulation. The anatomical characteristics of the cranial suture dictate that manipulation cannot push the cranial suture at will.

Citing Articles

Rethinking the Origin of the Primary Respiratory Mechanism.

Bordoni B, Escher A Cureus. 2023; 15(10):e46527.

PMID: 37808591 PMC: 10552882. DOI: 10.7759/cureus.46527.

Potential Role of Protein Kinase FAM20C on the Brain in Raine Syndrome, an In Silico Analysis.

Palma-Lara I, Garcia Alonso-Themann P, Perez-Duran J, Godinez-Aguilar R, Bonilla-Delgado J, Gomez-Archila D Int J Mol Sci. 2023; 24(10).

PMID: 37240249 PMC: 10219294. DOI: 10.3390/ijms24108904.

References

Barbeito-Andres J, Bonfili N, Nogue J, Bernal V, Gonzalez P . Modeling the effect of brain growth on cranial bones using finite-element analysis and geometric morphometrics. Surg Radiol Anat. 2020; 42(7):741-748. DOI: 10.1007/s00276-020-02466-y. View

Castejon-Castejon M, Murcia-Gonzalez M, Martinez Gil J, Todri J, Suarez Rancel M, Lena O . Effectiveness of craniosacral therapy in the treatment of infantile colic. A randomized controlled trial. Complement Ther Med. 2019; 47:102164. DOI: 10.1016/j.ctim.2019.07.023. View

Cirpan S, Magden A, Gocmen Mas N, Edizer M, Aksu F, Yonguc G . The Morphological Grading and Comparison of Sutural Patency Among Cranial Sutures in Dry Human Skulls. J Craniofac Surg. 2017; 28(8):2155-2158. DOI: 10.1097/SCS.0000000000004011. View

Carrizzo A, Izzo C, Forte M, Sommella E, Di Pietro P, Venturini E . A Novel Promising Frontier for Human Health: The Beneficial Effects of Nutraceuticals in Cardiovascular Diseases. Int J Mol Sci. 2020; 21(22). PMC: 7698807. DOI: 10.3390/ijms21228706. View

Downey P, Barbano T, Kapur-Wadhwa R, Sciote J, Siegel M, Mooney M . Craniosacral therapy: the effects of cranial manipulation on intracranial pressure and cranial bone movement. J Orthop Sports Phys Ther. 2006; 36(11):845-53. DOI: 10.2519/jospt.2006.36.11.845. View

Fan F, Tu M, Li R, Dai X, Zhang K, Chen H . Age estimation by multidetector computed tomography of cranial sutures in Chinese male adults. Am J Phys Anthropol. 2020; 171(3):550-558. DOI: 10.1002/ajpa.23998. View

Flynn T, Cleland J, Schaible P . Craniosacral therapy and professional responsibility. J Orthop Sports Phys Ther. 2006; 36(11):834-6. DOI: 10.2519/jospt.2006.0112. View

Garvin H, Passalacqua N . Current practices by forensic anthropologists in adult skeletal age estimation. J Forensic Sci. 2011; 57(2):427-33. DOI: 10.1111/j.1556-4029.2011.01979.x. View

Haller H, Dobos G, Cramer H . The use and benefits of Craniosacral Therapy in primary health care: A prospective cohort study. Complement Ther Med. 2021; 58:102702. DOI: 10.1016/j.ctim.2021.102702. View

10.

Haller H, Lauche R, Sundberg T, Dobos G, Cramer H . Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2020; 21(1):1. PMC: 6937867. DOI: 10.1186/s12891-019-3017-y. View

11.

Harrison R, Page J . Multipractitioner Upledger CranioSacral Therapy: descriptive outcome study 2007-2008. J Altern Complement Med. 2011; 17(1):13-7. DOI: 10.1089/acm.2009.0644. View

12.

Jakel A, von Hauenschild P . A systematic review to evaluate the clinical benefits of craniosacral therapy. Complement Ther Med. 2012; 20(6):456-65. DOI: 10.1016/j.ctim.2012.07.009. View

13.

Mehl-Madrona L, Kligler B, Silverman S, Lynton H, Merrell W . The impact of acupuncture and craniosacral therapy interventions on clinical outcomes in adults with asthma. Explore (NY). 2007; 3(1):28-36. DOI: 10.1016/j.explore.2006.10.003. View

14.

Meindl R, Lovejoy C . Ectocranial suture closure: a revised method for the determination of skeletal age at death based on the lateral-anterior sutures. Am J Phys Anthropol. 1985; 68(1):57-66. DOI: 10.1002/ajpa.1330680106. View

15.

Nikolova S, Toneva D, Georgiev I, Lazarov N . Sagittal suture maturation: Morphological reorganization, relation to aging, and reliability as an age-at-death indicator. Am J Phys Anthropol. 2019; 169(1):78-92. DOI: 10.1002/ajpa.23810. View

16.

Nikolova S, Toneva D, Lazarov N . Squamous suture obliteration: frequency and investigation of the associated skull morphology. Anat Sci Int. 2020; 96(1):42-54. DOI: 10.1007/s12565-020-00555-x. View

17.

Ruengdit S, Troy Case D, Mahakkanukrauh P . Cranial suture closure as an age indicator: A review. Forensic Sci Int. 2020; 307:110111. DOI: 10.1016/j.forsciint.2019.110111. View

18.

Walter S, Eliasziw M, Donner A . Sample size and optimal designs for reliability studies. Stat Med. 1998; 17(1):101-10. DOI: 10.1002/(sici)1097-0258(19980115)17:1<101::aid-sim727>3.0.co;2-e. View