Carcinoid tumors are commonly found in the gastrointestinal tract and are rarely seen in the presacral/sacrococcygeal region. Moreover, such tumors at these sites are usually silent without associated carcinoid syndrome even if the tumor has metastasized. These tumors may arise in tailgut cysts or teratomas thereby suggesting their congenital origin.

Introduction. Branches of sacral plexus play an important role in the motor and sensory innervation of the lower limb. Various variations observed during the spinal operations have motivated us to start the study aimed on determination of the sacral plexus formation from its exit of particular roots from sacral foramina up to their formation into terminal branches. Material and method. One hund...

Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1-S...

OBJECTIVE To report our experience with endopelvic causes for sacral radiculopathies and sciatica. DESIGN Prospective cohort study. SETTING Tertiary referral advanced laparoscopic gynecology and neuropelveologic unit. PATIENT(S) Two hundred thirteen women who underwent laparoscopic management of sacral radiculopathy (sciatica, pudendal, gluteal pain) of unknown genesis in the period betwe...

In this report, we present two cases of 9-year-old children with spina bifida occulta (SBO) of the sacrum, who were diagnosed with sacral fatigue fractures. In both patients, MRI showed a linear signal void and high signal in sacral ala on the short tau inversion recovery sequence. Sacral SBO at the same level of the sacral fracture was observed in each patient on computed tomography images. Th...

BACKGROUND U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-year-old man. METHOD Decompression of the sacral roots combined with internal re...

* Corresponding author Seyed Taher Esfahani, MD Department of Pediatric Nephrology Children Medical Center Dr. Gharib St., Azadi Ave. Tehran, IRAN Tel: +9821-66929234 Fax: +9821-66930024 E-mail: esfahanisedtaher@ yahoo.com Introduction: The association of sacral anomalies with fecal incontinence and lower urinary tract dysfunction is known. The sacral ratio is proposed as a tool for evaluation ...

Sacral chordomas represent more than 50% of all sacral tumors. These slow-growing, malignant lesions present insidiously and are often large and intimately involved with sacral neurovascular and pelvic structures. En bloc resection is the only well-established predictor of progression-free survival. Optimal surgical management requires a complex multi-disciplinary approach. Here, we describe tw...

BACKGROUND AND OBJECTIVES Different techniques may be used to control cancer pain. This report aimed at describing some therapeutic measures used to treat a patient with a severe and bad responsive pain. CASE REPORT A 70-year-old male patient a sacral chordoma of very difficult therapeutic. He referred major tumor-associated pain. Several techniques used to treat pain of this patient and resu...