Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Digital post-mortem to evaluate sacral anatomy: Situations for a minimal invasive method to the spinal canal by the hiatus sacralis.

Related Articles

Digital post-mortem to evaluate sacral anatomy: Situations for a minimal invasive method to the spinal canal by the hiatus sacralis.

Surg Neurol Int. 2017;eight:290

Authors: Bodmer A, Ross S, Raabe A, Beck J, Ulrich CT, Schucht P

Summary
Background: Regardless of a number of benefits of minimally invasive strategies in spinal surgical procedure, the at the moment used approaches could result in postoperative ache and spinal instability. As a pure orifice, the hiatus sacralis presents a nontransmuscular various entry level for endoscopic approaches. On this examine, we collected knowledge concerning the complicated anatomical circumstances of the sacral canal as a foundation for the event of a sacral endoscope.
Strategies: We retrospectively evaluated 192 postmortem human cadaveric specimens with computed tomography (CT). The anatomical circumstances of the sacrum and lumbar backbone had been analyzed, together with evaluation of the lateral and anteroposterior diameters, measurement of the cross-sectional space of the sacral canal on the lumbosacral transition, hiatus sacralis, and the narrowest level of the sacral canal.
Outcomes: The narrowest anteroposterior diameter was >2.three mm in 95% of the circumstances; the width was >13 mm in 95% of the circumstances. The narrowest level was positioned on the hiatus in 72% of the circumstances. The angle of sacral kyphosis was lower than 30° and fewer than 50° in lumbar lordosis in 95% of the circumstances. A size shorter than 288 mm was measured in 95% of the circumstances. Anatomical circumstances in female and male sacra had been comparable.
Conclusions: The slender anteroposterior diameter is the important thing limiting characteristic for utilizing the canalis sacralis as a pure entry level into the spinal canal. Sacroscopy would require endoscopes with a flattened form, with parallel association of devices and adaptability to accommodate the various dorsal and ventral curvatures.

PMID: 29285406 [PubMed]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Cervical Epidural

I was really impressed by the diagnosis and treatment that I received. My condition has been considerably improved. John W. You May Also Like:Patient suffering

Read More »