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ANATOMICAL STUDY OF SACRAL HIATUS FOR SUCCESSFUL CAUDAL EPIDURAL BLOCK

Journal Name:

  • International Journal of Medical Research & Health Sciences

Publication Year:

  • 2013
DOI: 
10.5958/j.2319-5886.2.3.086

Key Words:

Author Name
Abstract (2. Language): 
Background: Present study determined the landmarks for caudal epidural block (CEB) after morphometric measurements of the sacral hiatus on dry sacral bones. The CEB has been widely used procedure for the diagnosis and treatment of lumbar spinal disorders. Anatomical features of the sacral hiatus and the detailed knowledge about sacral hiatus. Materials & Methods: 116 sacral bones are used for the study. Anatomical measurements were measured by using vernier caliper accuracy to 0.1 mm. Results: Agenesis of sacral hiatus was detected in two sacral bones. Various shapes of sacral hiatus were observed which included inverted U (31%), inverted V (25.8%), irregular (20.6%), Elongated (17.2%) and dumbbell (5%). Apex of sacral hiatus was commonly found at the level of 4th sacral vertebra in 50.8%. The distance between the two supero lateral sacral crests and the distance between the apex of sacral hiatus and the right and left supero lateral crests were 69.5 (5.8) mm, 61.4 (11.2) mm, 57.4 (9.7) mm respectively, on average. The mean, mode, SD is calculated for all the measurements. Conclusion: The sacral hiatus has anatomic variations. Understanding of these variations may improve the reliability of CEB.
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FULL TEXT (PDF): 
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  • 3
496-500
  • Turkish

REFERENCES

References: 

1. Standring S (Ed). Gray’s Anatomy. The
Anatomical Basis of Clinical practice.
Philadlphia, Elsevier Churchill Livingstone
2005.
2. Senoglu N, Senoglu M, Oksuz H, Gumusalan
Y, Yuksel KZ, Zencirci Bet al., Landmarks
of the sacral hiatus for caudal epidural block:
an anatomical study. British journal of
Anaesthesia 2005; 95 (5): 692-95.
3. Patil Dhannajay S, Jadav Hrishikesh R,
Binodkumar, Mehta CD, Patel Vipul D.
Anatomical study of Sacral Hiatus for Caudal
Epidural Block. National Journal of Medical
Research. Sept 2012;2(3) 1-6
4. Peter L William et al. Gray’s anatomy 38th
edition. Churchill Livingston 2000;592-31,
673-74
5. Vinod kumar, Pandey SN, Bajpai RN, Jain
PN, Longia GS. Morphometrical study of
sacral hiatus. Journal of Anatomical Society
of India 1992;41 (1):7-13.
6. Trotter M, Letterman GS. Variations of the
female sacrum; their significance in
continuous caudal analgesia. Surg. Gynaecol.
Obstet. 1944;78(4):419 – 24.
7. Trotter M. Variations of the sacral canal;
Their significance in the administration of
caudal analgesia. Anesthesia and analgesia
1947; 26 (5); 192-202.
8. Sekiguchi M, Yabuki S, Saton K, Kikuchi S.
An anatomical study of the sacral hiatus: a
basis for successful caudal epidural bloc.
Clin. J. Pain. 2004;20(1): 51-54.
9. Nagar SK. A study of sacral hiatus in dry
human sacra. Journal of Anatomical Society
of India 2004;53(2) 18-21.
10. Stitz MY, Sommer HM. Accuracy of blind
versus fluoroscopically guided epidural
injection. Spine 1999;24(13): 1371-76.
11. Senoglu N, Senoglu M, Oksuzl H,
Gumusalan Y, Yuksel KZ, Zencirci B et al.,
Landmarks of the sacral hiatus for caudal
epidural block; an anatomical study. British
journal of Anaesthesia, September 2005;
53:1-4.
12. Anjali Aggarwal, Harjeet kaur, Yatindra K.
Batra, Aditya K., Subramanyam Rajeev and
Daisy Sahni, Anatomic Consideration of
Caudal Epidural Space: A cadaver study.
Clinical Anatomy.2009;22:730-37.

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