Premature closure of the sutures, craniosynostosis, can lead to severe complications when untreated. Spring-assisted cranioplasty has some advantages compared to calvarial vault remodelling e.g. less blood loss and reduced operative time. In this review, we describe the novel treatment of nonsyndromic sagittal synostosis with spring-assisted cranioplasty and compare it to cranial vault remodelling, which has been the standard treatment for many years.