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Abstract The spring-assisted cranioplasty and the pi-plasty are both safe procedures, which render good long-term results with significant objective changes towards a normalization of the skull morphology. However, the spring technique is less traumatic, requires minimal dural undermining and decreased blood loss . SMC technique were safe and effective in correcting the cranial index. In addition, this technique can be performed at a younger age than CVRs. SMC, therefore, has the potential to maximize the cognitive benefits of early intervention, with lower morbidity than the traditional CVR. |