Morphometry of sacral hiatus and its clinical relevance in caudal epidural block

Kamal, Ahm Mostafa; Ara, Shamim; Ashraf-Uz-Zaman, Md; Khatun, Khadeza; Islam, Mohammad Shaiful

doi:10.3329/jdmc.v23i1.22690

Cited by 7 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to successfully access the caudal epidural gap, it is necessary to understand the anatomical anatomy of the SH [6,21,22]. Making SH explicit by palpating the sacral cornu and inserting a needle into the sacrococcygeal membrane is the major method of intervention to the caudal epidural p [2,13,14,20]. According to clinical investigations, 82% of patients with CEB applications reported having backaches the day after the application [7,16].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding dural activity, the gap between the apex of the Sacral hiatus and the margin of the dural sac is approximately 4.5 cm (11,12). The components going through the Sacral hiatus are the coccygeal nerve, filum terminale, the S5 spinal nerve, and fibro-fatty tissue (10,(13)(14)(15)(16). Doctors must be familiar with the anatomy of the Sacral hiatus and sacral bone in order to perform an effective CEB procedure.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sacral hiatus anatomical variations and clinical relevance in caudal epidural block

Solan

Muni

Das

2022

ijhs

View full text Add to dashboard Cite

Objective: For the management of perioperative pain control during procedures like genitourinary surgery and labor pain instances when the sacral epidural space technique is utilized for the application of analgesia, caudal epidural anesthesia (CEB) is frequently used. CEB is an anesthetic that is injected through the sacral hiatus (SH) into the sacral canal. Anatomical features of sacral hiatus that are in-depth are needed for the best possible access to the sacral epidural area. By employing the sacral bone as a point of reference to failure parameters for evaluating caudal epidural anesthesia and refining the success factors in practice, this study intends to explore the anatomical structures and variations of the Sacral hiatus. Material and methods: 85 sacral bones had their alignment points measured precisely morphometrically. Virtual calipers were used to take the readings were used to evaluate those utilizing photogrammetric techniques. Results: Inverted U was the most frequent sacral hiatus form reported (33.32%), although bifida and 6.8% 3.44% of cases frequently missing sacral hiatus were also seen. The mean Sacral hiatus length was 28.67.0 mm, the mean intracorneal distance was 13.472.68 mm, and the mean gap between the apex of the Sacral hiatus and S2 sacral foramen was 34.677.08 mm.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sacral hiatus anatomical variations and clinical relevance in caudal epidural block

Solan

Muni

Das

2022

ijhs

View full text Add to dashboard Cite

show abstract

“…The dumbbell shape was 11.5% in the current study, which was in the same line as Sema et al (11.40%) [ 59 ]. One earlier study from Bangladesh reported dumbbell shape of 13.3% [ 29 ]. The bifid shape in our study was 5.0%, but other studies reported lower numbers (1.5%) [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…Vasuki et al, Lees et al, and Bagheri et al revealed similar findings [ 26 - 28 ]. Kamal et al reported two additional shapes such as rough and elongated [ 29 ]. There is no exact importance of the different forms of sacral hiatus.…”

Section: Introductionmentioning

confidence: 99%

A Semi-quantitative Evaluation of Out-to-Out Agenesis of Posterior Wall in a Dry Human Sacrum in Bangladesh

Naznin¹,

Haq²,

Sumi³

et al. 2022

Cureus

View full text Add to dashboard Cite

Background: Each vertebra is formed by combining the distal portion of one somite and the cranial half of its proximate part. HOX genes regulate the patterning of the shapes of the non-identical spinal column. In the sacral area, anatomical dissimilarity is on account of the distinct shape of the sacral hiatus and the outright non-subsistence of the posticous embankment of the sacral neural tube, which is a consequence of the non-fulfillment of bonding of lamina of all sacral vertebrae. After that, the meninges and the spinal nerve are unprotected and undiagnosable without an X-ray examination. Therefore, it is difficult to detect the reasons for caudal block failure, low back pain, etc. The current research aimed to improve the proficiency of anatomical and developmental errors of the dorsal wall of the sacrum. Methods: This study was conducted on 60 dried adult sacra of unknown sexes from the stock wing of Anatomy, Sylhet MAG Osmani Medical College, Bangladesh, from 2017 to 2018. The undefined gender of the sacrum was identified. Results: Out of 60 sacra, 30 (50.0%) were found to be that of males and 30 (50.0%) of females. Among the study samples, only three (5%) samples presented a complete absence of the sacrum's dorsal wall and and incidence among males was higher than females. Conclusion: This type of sacral aberration has paramount clinical importance. Thereby avoiding caudal epidural block-connected sufferings and backbone operative procedures. The expertise regarding the anatomical variation of sacral hiatus is necessary to reduce the failure rate during caudal epidural anesthesia, helps orthopedic surgeons diagnose the cause of low back pain or in surgical situations, and helps pediatricians deal with congenital anomalies such as meningocele and myelomeningocele.

show abstract

“…Clinically, caudal anaesthesia is employed for providing post-operative analgesia after genitourinary, lower abdomen and lower limb operations. In absence of knowledge of coccygeal sacralisation, there may be nerve block failure or inadequate analgesia after surgical procedures 15,31,32 . In addition, the coccyx is mobile and during childbirth it is pushed posteriorly, increasing the anteroposterior diameter of the exit of the pelvis, thus facilitating childbirth.…”

Section: Sarmento Jp Et Al a Study Of The Incidence Of Coccygeal And Lumbar Sacralisation And Its Clinical Significancementioning

confidence: 99%

A Study of the Incidence of Coccygeal and Lumbar Sacralisation and its Clinical Significance

Sarmento¹,

Lima²,

Correia³

et al. 2021

JMS

View full text Add to dashboard Cite

Morphometry of sacral hiatus and its clinical relevance in caudal epidural block

Cited by 7 publications

References 3 publications

Sacral hiatus anatomical variations and clinical relevance in caudal epidural block

Sacral hiatus anatomical variations and clinical relevance in caudal epidural block

A Semi-quantitative Evaluation of Out-to-Out Agenesis of Posterior Wall in a Dry Human Sacrum in Bangladesh

A Study of the Incidence of Coccygeal and Lumbar Sacralisation and its Clinical Significance

Contact Info

Product

Resources

About