Variations in Sacral Hiatus : Important Reason of Failure Of Caudal Epidurals
- MBBS, MD. Medical officer, J&K health services.
- MBBS, MS, Assistant professor , department of orthopaedics, GMC ,Jammu.
- MBBS, D.Orth, Senior Resident , department of orthopaedics, GMC ,Jammu.
- MBBS,MD, Head of department, Department of Anatomy, GMC Jammu.
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Caudal epidurals are offered by clinicians for variety of conditions and are a very frequently used procedure with highly unpredictable results. Since it involves access to sacral hiatus, 50 dry human sacra were covered with clay and two experienced clinician attempted passage of spinal needle and it was found that the needle has missed the hiatus in 30 % of the instances. We studied the anatomical reasons and found that sacral hiatus to be highly inconsistent structure with no two hiatus to be alike in terms of length location of its base and width. Anatomic reasons for the failure and highly variable anatomical features need to be considered before undertaking such procedures.
[Simriti, Bias Dev, Vijay Vikas, Sunanda Raina (2015); Variations in Sacral Hiatus : Important Reason of Failure Of Caudal Epidurals Int. J. of Adv. Res. 3 (Oct). 957-958] (ISSN 2320-5407). www.journalijar.com
