Anatomical Evaluation of the Sacral Hiatus Using Ultrasound Imaging: Factors That Inhibit Needle Insertion During Caudal Epidural Block Procedures

Caudal epidural blocks often fail due to the difficulty of appropriate needle insertion. This study aimed to evaluate the anatomy of the sacral hiatus using ultrasound imaging.

[1]  Chia-Shiang Lin,et al.  Caudal Epidural Block: An Updated Review of Anatomy and Techniques , 2017, BioMed research international.

[2]  Sang Chul Lee,et al.  Ultrasonographic Evaluation of Anatomic Variations in the Sacral Hiatus: Implications for Caudal Epidural Injections , 2016, Spine.

[3]  Sungkun Cho,et al.  Assessment of factors affecting the difficulty of caudal epidural injections in adults using ultrasound , 2014, Pain research & management.

[4]  M. S. Mustafa,et al.  Morphometric study of sacral hiatus in adult human Egyptian sacra: Their significance in caudal epidural anesthesia , 2012, Saudi journal of anaesthesia.

[5]  G. Barham,et al.  Caudal epidurals: the accuracy of blind needle placement and the value of a confirmatory epidurogram , 2010, European Spine Journal.

[6]  A. Aggarwal,et al.  Morphometry of sacral hiatus and its clinical relevance in caudal epidural block , 2009, Surgical and Radiologic Anatomy.

[7]  N. Şenoğlu,et al.  Landmarks of the sacral hiatus for caudal epidural block: an anatomical study. , 2005, British journal of anaesthesia.

[8]  Wen-Chung Tsai,et al.  Ultrasound Guidance in Caudal Epidural Needle Placement , 2004, Anesthesiology.

[9]  M. Sekiguchi,et al.  An Anatomic Study of the Sacral Hiatus: A Basis for Successful Caudal Epidural Block , 2004, The Clinical Journal of Pain.

[10]  H. M. Sommer,et al.  Accuracy of blind versus fluoroscopically guided caudal epidural injection. , 1999, Spine.

[11]  J. Weinstein,et al.  Epidural steroid injection: a procedure ideally performed with fluoroscopic control. , 1988, Radiology.

[12]  O. Koc,et al.  Morphometric Analysis of the Sacral Canal and Hiatus Using Multidetector Computed Tomography for Interventional Procedures. , 2015, Turkish neurosurgery.