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Indian Journal of Clinical Anatomy and Physiology


Dorsal sacral agenesis: A study on dry sacrum bones


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Author Details : Amol A Shinde, Purushottam Rao Manvikar, Vaishaly K. Bharambe

Volume : 5, Issue : 2, Year : 2018

Article Page : 157-160


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Abstract

Introduction: Sacral hiatus is the route for caudal epidural block. Dorsal agenesis of sacrum is a known cause for failure of caudal epidural anaesthesia.
Material and Methods: 300 dry sacral bones were studied for complete dorsal agenesis, partial dorsal agenesis, elongated sacral hiatus and absent hiatus.
Observations and Results: Complete dorsal agenesis was noted in 1.3% bones, elongated sacral hiatus in 3% sacrum and 0.67% bones showed absent sacral hiatus.
Conclusion: Variations in the dorsal sacral wall can lead to difficulty in administering caudal blocks. Knowledge of incidence of dorsal agenesis, elongated hiatus and absent hiatus will help anaesthetists to plan for a safer approach.

Keywords: Spina bifida, dorsal sacral agenesis, sacral hiatus, caudal epidural block, elongated sacral hiatus and absent sacral hiatus.

Doi : 10.18231/2394-2126.2018.0036

How to cite : Shinde A A, Manvikar P R, Bharambe V K, Dorsal sacral agenesis: A study on dry sacrum bones. Indian J Clin Anat Physiol 2018;5(2):157-160

Copyright © 2018 by author(s) and Indian J Clin Anat Physiol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)