Introduction A recently published study in this journal reported an example of a vertically oriented foramen at the sacral ala as a ‘new’ finding [1]. The current study/review is based on a brief survey of previously published literature on the occurrence of such foramina in the neural arches of the lumbosacral vertebrae, with discussion of the accepted clinical and embryologic significance of ...

BACKGROUND Percutaneous sacro-iliac (SI) screw fixation represents a widely used technique in the management of unstable posterior pelvic ring injuries and sacral fractures. The misplacement of SI-screws under fluoroscopic guidance represents a critical complication for these patients. This study was designed to determine the prevalence of sacral dysmorphia and the radiographic anatomy of surgi...

Paragangliomas are extra-adrenal counterparts of pheochromocytomas and are found at various anatomical sites such as the retroperitoneum, mediastinum, jugular foramen and carotid bifurcation, the latter two fonns being coined as chemodectomas. The vertebral column, especially the llUllbar zone, is one of the rarest sites to be involved by paragangliomas. These lesions may have secretory fun...

background: dystocia is one of the important causes of maternal morbidity and mortality in low-income countries. this study wasaimed to determine the diagnostic accuracy of maternal anthropometric measurements as predictors for dystocia in nulliparous women. materials and methods: this prospective cohort study was conducted on 447 nulliparous women who referred to omolbaninhospital. several mat...

A percutaneous technique for visualizing sacral nerve roots is described. A fiberscope was inserted into the subarachnoid space through a sheath that was inserted via a percutaneous lumbar puncture. The sacral nerve roots were identified with endoscopic visualization and x-ray fluoroscopy localization of the endoscope. These images were compared with those obtained from a videoscope, which reve...

Sacral fracture commonly results from high-energy trauma. Most insufficiency fractures of the sacrum are seen in women after the age of 70. Fractures of the sacrum are rare and generally combined with a concomitant pelvic fracture. Transverse sacral fractures are even less frequent which constitute only 3-5% of all sacral fractures. This type of fractures provide a diagnostic challenge. We repo...

A 25-year-old woman had total thyroidectomy and iodine-131 ablation therapy for papillary thyroid carcinoma. Whole body imaging on the 7th day of therapeutic activity demonstrated radioiodine uptake in the remnant tissue and intense heterogeneous uptake at the sacral region prominently in the posterior image. Initial interpretation was suspicious for sacral metastasis. Technetium-99m-methylene ...

Fecal incontinence (FI), which can severely affect a person's quality of life, is a difficult problem to treat. For some patients, limited management options exist. Sacral nerve stimulation, also known as sacral neuromodulation, although long established for urinary incontinence, has gained acceptance in treating FI. One unique aspect is that the procedure is performed in two stages. During the...

Fistula formation after restorative proctocolectomy poses a challenge to the surgeon and sometimes can lead to the excision of the pouch. While pouch-vaginal fistulas are more common, pouch-sacral fistulas are a rare event and treatment is still controversial. The authors report a case of pouch-sacral fistula which was treated successfully with a novel approach comprising pouch revision, debrid...

OBJECTIVES To evaluate the clinical evolution of sacral stress fractures in relation to the scintigraphic pattern and the presence of additional pelvic fractures. METHODS This was a retrospective study of 14 patients with sacral fractures. RESULTS Six patients had additional pelvic fractures. Four bone scintigraphic patterns were found. The resolution of symptoms was longer in patients with...