Sacral insufficiency fracture resulting from a metastatic tumor or an osteoporotic fracture causes severe low back pain and radiating pain mass effect on neural foramen and chemical irritants. Percutaneous sacroplasty is one of the effective treatment modalities for sacral insufficiency fracture and its pain. Because of the structural complexity of the sacrum, obtaining an epidurogram of the S1...

BACKGROUND In unaided caudal epidural block (CEB), incorrect needle insertion has been reported to occur in 15% to 38% of attempts. OBJECTIVE To statistically analyze the anatomical variables affecting difficult CEB using ultrasonographic measurement. METHODS Preprocedural ultrasonography was performed and the following measurements were obtained in 146 patients: the distance from the skin ...

Successful caudal epidural block (CEB) for various gynaecological and orthopaedic procedures requires an elaborate knowledge of anatomical profile of sacral hiatus. Varied morphology of sacral hiatus is likely to influence the success rate of CEB. Scanty literature is available on the morphometry of sacral hiatus in North Indian subjects. Therefore, sacral hiatus of 60 North Indian human sacra ...

Endoscopy of the lumbar sub-arachnoidal space is named thecaloscopy, which has been used for diagnostic and therapeutic purposes. The understanding of the anatomic dimensions of this region is useful for the atraumatic use of flexible endoscopes. Furthermore, by using MRI the determination of anatomic values of the sacral spinal canal is possible without the use of cadaver measurements. MRI of ...

Address for Correspondence: Dr. Arpan Dubey, Assistant Professor, Department of Anatomy, Bundelkhand Medical College, Sagar, Madhya Pradesh, India. E-Mail: [email protected] Aim: The objective of present study is to determine the significance of sacral index in sex determination and to compare the findings with different races. Material and Methods: 60 adult sacra (30 male &30 female) wer...

Low transverse sacral fractures are rare, with only two published reports regarding their surgery. The complication associated with surgery for sacral fractures is the prominence of implants. In addition, screw fixation below S3 is impractical. We performed posterior sacral fixation using S2 alar iliac (S2AI) screws and sacral sublaminar wires for low transverse sacral fractures. Case 1 was 65-...

AIM To investigate feasibility and outcome of abdominal-sacral resection for treatment of locally recurrent rectal adenocarcinoma. METHODS A population of patients who underwent an abdominal-sacral resection for posterior recurrent adenocarcinoma of the rectum at the National Cancer Institute of Milano, between 2005 and 2013, is considered. Retrospectively collected data includes patient char...

Sacrum is formed by the fusion of five sacral vertebrae and forms the lower part of vertebral column. The opening present at the lower end of sacral canal is known as sacral hiatus. Anatomical variations in morphology and morphometry of sacral hiatus are important clinically as well as surgically. 159 dry clean human Sacra were taken from Department of Anatomy, Sri Guru Ram Das Institute of Med...

Sacral nerve stimulation through the retrograde approach has been used for peroneal or irritable bowel syndrome through the retrograde approach. However, several reasons, lead could not be advanced down ward. In this case, anterograde sacral nerve stimulation through the sacral hiatus could be used. The aim of this report is to present of technique of sacral nerve root stimulation through the s...