Study of Sacral Hiatus in Dry Human Sacrum in North Indian Population And Its Clinical Implication in Caudal Epidural Block
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Introduction: The sacrum is triangular bone formed by fusion of five sacral vertebrae and form postero superior wall of pelvic cavity. The opening at the caudal end of sacral canal is known as sacral hiatus, variations in sacral hiatus are important clinically as well as surgically. Aims and Objective: Aim is to do morphological analysis of sacral hiatus in dry human sacrum in North Indian population and objective is to assess its clinical implication in caudal epidural block (CEB). Materials and Methods: 31 complete and undamaged dry human sacrum of unknown sex collected from Department of Anatomy, SGT Medical College & Hospital Research Institute, Gurugram. Parameters such as Shape, level of apex, level of base sacral hiatus, length of sacral hiatus, transverse width of sacral hiatus, and depth of sacral hiatus at the level of apex were taken. Results: Inverted U shaped (41.5%) is most common shape, location of apex commonly found on 4th sacral vertebrae (70.96%), location of base is on 5th sacral vertebrae (90.32%). The sacral hiatus exhibits many variations in length, transverse width at base of cornua, anteroposterior depth at apex. Mean of length of sacral hiatus is 20.54, mean of transverse depth of sacral hiatus is 12.32 and mean of anteroposterior depth at apex is 4.61. Conclusion: Anatomical variation in the sacral hiatus and understanding of these variations may improve the success of caudal epidural block. These observations can provide a guideline for CEB.
Authors and Affiliations
Harvinder Singh, Amit Kumar Saxena, Prachi Saffar Aneja
Keywords
Related Articles
- EP ID EP547560
- DOI 10.21276/ijmrp.2017.3.5.034
- Views 94
- Downloads 0
The Pattern of Histopathology of Gall Bladder of Patients Undergoing Cholecystectomy
Background: Cholecystitis accounts for high mortality and morbidity, with most appropriate treatment being surgical removal of the gallbladder. There seems to be specific need for histopathology of gall bladder, as selec...
Lung Ultrasound in Diagnosis of Acute Respiratory Failure: BLUE Protocol Based Evaluation
Introduction: Acute respiratory failure is a distressing situation for the patient, demanding dynamic evaluation and interventions. Lung ultrasound is a bedside technique, very promising in this setting. Aims/Objectives:...
Need of Anti-Glaucoma Drug Following Nd-YAG Laser Capsulotomy
Objective: Study to evaluate the need of an intra-ocular pressure (IOP) lowering topical agent after Neodymium-Yttrium Aluminum Garnet (Nd-YAG) laser capsulotomy. Methods: 120 patients with mild to moderate posterior cap...
Syringocystadenoma Papilliferum of the External Auditory Canal in an Adult Female: A Case Report
We present a 50-year old lady with rare benign external auditory canal neoplasm which is syringocysadenoma papilliferum. All of clinical presentation, radiological findings and histopathological examination reveal syring...
Pharmaceutical Promotions Impact on Prescribing Behavior of Primary Health Care Physicians: Taif Experience, Saudi Arabia
Background: Identifying prescribing-associated factors is of paramount interest from health, as much as social and economic standpoints. Objectives: To assess drug companies’ influence on physician’s prescription pattern...