IJAR.2020.173
Type of Article: Original Research
Volume 8; Issue 3.1 (July 2020)
Page No.: 7609-7616
DOI: https://dx.doi.org/10.16965/ijar.2020.173
HUMAN SACRAL HIATUS IN DRY BONES OF TELANGANA REGION & ITS CLINICAL SIGNIFICANCE DURING CAUDAL EPIDURAL ANESTHESIA – A MORPHOLOGICAL; MORPHOMETRICAL STUDY
Upendhar Reddy Pulluru 1, M. Venkateshwar Reddy *2.
1 Tutor, Department of Anatomy, Sri Venkata Sai Medical College, Mahabubnagar, Telangana, India.
*2 Professor, Department of Anatomy, Sri Venkata Sai Medical College, Mahabubnagar, Telangana, India.
Corresponding Author: Prof. Dr. M. Venkateshwar reddy, Professor of Anatomy, Sri Venkata Sai Medical College, Mahabubnagar, Telangana, India. E-Mail: dryemvee@gmail.com
ABSTRACT
It is a very important to know the anatomical variations of sacral hiatus, for a successful epidural caudal anesthesia. Eleven direct morphometric measurements were done on sacral vertebrae and hiatus of 150 adult dry human sacral bones of unknown age and gender. Morphological features shape, level apex and base of SH were noted. Most common shape of SH was inverted inverted ‘U’ in 90 (60%) sacrum. In 62 (41.3%) sacra apex was present at the level of S4. The level of base of sacral hiatus – in 122(81.3%) at S5 level. Different mean values of 150 sacral hiatus are following. Height of sacral hiatus is 20.62mm; Width of hiatus is 12.11mm; distance from SH apex to S2 level is 29.38mm; distance from base of SH base to S2 level is 51.08mm; distance between upper border of S1 & SH apex is 60.08mm; depth of SH at apex level is 5.12mm; distance between two posterior superolateral crest is 60.20mm; distance between right posterior superolateral crest and apex of SH is 56.90mm; distance between left postero superolateral crest and apex of SH is 59.10mm; distance between right posterior superolateral crest and apex is 85.99mm; distance between left postero superolateral crest and apex of SH is 86.90mm.
KEY WORDS: sacral hiatus (SH), sacral canal, caudal epidural block (CEB).
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