International Journal of Anatomy and Research



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Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 1 | Page No. 1859-1863

Date of Publication: 31-01-2016

DOI: http://dx.doi.org/10.16965/ijar.2015.352


ANATOMICAL VARIATIONS OF SACRUM AND ITS CLINICAL SIGNIFICANCE

A.K.Manicka Vasuki *1, K.Kalyana Sundaram 2, M.Nirmaladevi 3, M.Jamuna 4, Deborah Joy Hebzibah 5, T.K.Aleyemma Fenn 6.

*1,5 Assistant Professor, Department Of Anatomy, PSG Institute of Medical Sciences And Research, Coimbatore, Tamil Nadu, India.
2 Associate Professor, Department of Anesthesiology, Coimbatore Medical College, Coimbatore, Tamil Nadu, India.
3 Associate Professor, Department of Anatomy, PSG Institute of Medical Sciences And Research, Coimbatore, Tamil Nadu, India.
4 Professor & HOD, Department of Anatomy, PSG Institute of Medical Sciences And Research, Coimbatore, Tamil Nadu, India.
5 Former Professor & HOD, Department of Anatomy, PSG Institute of Medical Sciences And Research, Coimbatore, Tamil Nadu, India.

Address: Dr. A.K.Manicka Vasuki, Assistant Professor, Department Of Anatomy, PSG Institute of Medical Sciences and Research, Coimbatore-641004, Tamil Nadu, India.
E-Mail: vasukikalyan01@gmail.com

Abstract

Background and Aims: Sacrum is formed by the fusion of five sacral vertebrae and forms the lower part of Vertebral column. Anatomical variations, Morphology and Morphometry of Sacral hiatus are important clinically as well as surgically.
Materials and Methods: This study was carried out on 75 dry human sacra of unknown sex to know Anatomical variations of sacrum. Results: Anatomical variations-failure of formation of superior articular process and lamina of left first sacral vertebra, incomplete development and fusion of second sacral vertebra, multiple foraminas on either side of spinous process above the sacral hiatus, multiple foraminas in the dorsal surface of base of the sacrum behind the auricular surface, incomplete median crest, Sacralisation of fifth lumbar vertebrae were identified.
Conclusions: The knowledge of anatomical variations of Sacrum and variations of sacral hiatus are clinically important for caudal epidural block in Pediatric, Obstetric, Orthopedic, Urologic and Surgical practice.    
KEY WORDS: Sacrum, Lamina, Median crest, Sacralisation of lumbar vertebrae, Caudal epidural block.

References

  1. Standring S. The Back. In: Gray’s Anatomy’s Sacrum.40th ed.Edinburg,UK: Churchill Livingstone 2008:724.    
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  5. Puja Chauhan, Sumita Kalra, Arare osseous growth on sacrum, I.J.A.V,2010;3:218-19.
  6. Vanitha, Taqdees Fatima, H.S.Kadlimatti, Complete dorsal wall agesis of sacrum: A case report, I.J.Dental &Medical Sciences 2014;13(4);80-81.
  7. Kubavat Dharati, Nagar et al, A study of Sacralisation of fifth lumbar vertebra in Gujarat, N.J.Medical Research 2012;2(2):211-13.
  8. A.K.Datta, Essentials of Human Embryology, 6th ed.2010;97,278-79.   

 

A.K.Manicka Vasuki, K.Kalyana Sundaram, M.Nirmaladevi, M.Jamuna, Deborah Joy Hebzibah, T.K.Aleyemma Fenn. ANATOMICAL VARIATIONS OF SACRUM AND ITS CLINICAL SIGNIFICANCE. Int J Anat Res 2016;4(1):1859-1863. DOI: 10.16965/ijar.2015.352

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