Journal Name:
- Indian Journal of Basic & Applied Medical Research
Abstract (2. Language):
Introduction: Single bony landmark may not help to detect the hiatus properly for caudal epidural block (CEB). The aim of the
study was to measure the different aspects of the sacral hiatus and to identify significant anatomical landmarks to locate it.
Methods: Different morphometric measurements were taken of one hundred sacra with a Vernier caliper. These measurements
may provide a guideline to locate the sacral hiatus.
Results: The average height and depth of the sacral hiatus were 3.592(mean)±0.3769(SD)cm and 0.723(mean)±0.0709(SD)cm
respectively. The distance between right and left posterior superior iliac spines (superolateral sacral crests) was
6.48(mean)±0.5232(SD)cm and the distances from the apex of the sacral hiatus & sacral apex to those points were
5.841(mean)±0.2705(SD)cm,5.837(mean)±0.2769(SD)cm,8.137(mean)±0.2806(SD)cm,8.141(mean)±0.2793(SD)cm respectively.
Conclusion: Two isosceles triangles were obtained by joining the right and left superolateral sacral crests with apex of
the hiatus and sacral apex. These triangles can be a bony landmark to detect the sacral hiatus easily. As the minimum
distance between S2 and apex of the sacral hiatus is 1cm, introduction of needle beyond that is not safe during CEB.
Key words: caudal epidural block, sacrum, sacral hiatus, sacral cornua.
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FULL TEXT (PDF):
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660-667