CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(04): 60-62
DOI: 10.1055/s-0040-1703615
Case Report

HIGH SACRAL HIATUS WITH NON FUSION OF LAMINA OF FIRST SACRAL VERTEBRAE: A CASE REPORT

K. Vishal
1   Department of Anatomy, K. S. Hegde Medical Academy, Mangalore, Karnataka. India
,
Vinay K. V.
,
Remya K.
,
Arunachalam Kumar
,
Shishir K.
› Institutsangaben

Abstract

Sacrum is a large triangular bone, forming postero-superior wall of the pelvic cavity. During the routine study of bones in the department of Anatomy, an unusual variation in the sacrum was noted. The bone showed high sacral hiatus i.e., at the level of 3rd sacral vertebrae and non-fusion of lamina of 1st sacral vertebrae This type of anomaly is very rare, which prompted us to report the case. The knowledge about this rare variation is important for orthopaedicians and anesthetists since the high sacral hiatus may lead to clinical procedural failures. It is also important for accurate diagnosis of patients with low back pain. Non-fusion of lamina of 1st sacral vertebrae may be associated with spina bifida occulta and may lead to painful condition of back.



Publikationsverlauf

Artikel online veröffentlicht:
29. April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Susan S et al., Gray's Anatomy. The Anatomical basis of clinical practice, 39th edn. 2005; pp.749-50, Churchill Livingstone, London.
  • 2 Das S, Paul S. Spina bifida with higher position of sacral hiatus: a case report with clinical implications. Bratisl Lek Listy 2007; 108:467-9.
  • 3 Letterman GS, Trotter M. Variations of male sacrum; their significance in caudal analgesia. Surg Gynaecol Obstet 1944; 78:551-5.
  • 4 Sekiguchi M, Yabuki S, Satoh K, Kikuchi S. An anatomic study of the sacral hiatus: a basis for successful caudal epidural block. The Clinical Journal of Pain 2004; 20:50-1.
  • 5 Mehmet S, Johongir MM, Ali D. Evaluation of Congenital Lumbosacral Malformations and Neurological Findings in Patients with Low Back Pain, Turkish Neurosurgery 2009; 19(2):145-8.
  • 6 Naveen NS, Muralimanju, Vishal K, Maligi AM. Craniorachischisis totalis. Journal of Neurosciences in Rural practice 2010; 1(1):54-5.
  • 7 Vishal K et al., Sacral hiatus in relation to low back pain in South Indian population. Bratisl Lek Listy 2009; 110(7):436-441.
  • 8 Brailsford JF. Deformities of lumbosacral region of spine. British Journal of Surgery. 1929; 16:562-627. Published online: December 6 2005 8: 16 AM. DOI: 10.1002/bjs.1800166405.
  • 9 Trotter M, Letterman GS, Gordon S. Variations of female sacrum. Their significance in continuous caudal anaesthesia. Surg Gyneac Obstet 1944; 78:419-24.
  • 10 Nagar SK. A study of sacral hiatus in dry human sacra. Journal of Anatomical Society of India 2004; 53:18-21.
  • 11 Kumar V, Pandey Sn, Bajpai RN, Jain PN, Longia GS. Morphometrical study of sacral hiatus. Journal of Anatomical Society of India 1992; 41:7-13.
  • 12 Anquin CE. Spina bifida occulta with engagement of the fifth lumbar spinous process. Journal of bone and joint surgery 1959; 41(B):486-90.