Morphometric analysis and clinical anatomy of sacrum and sacral hiatus in Turkish healthy adults

Yıl 2020, Cilt: 45 Sayı: 2, 672 - 679, 30.06.2020

Sema Özandaç Polat Ayşe Gül Kabakcı Fatma Yasemin Öksüzler Mahmut Öksüzler Ahmet Hilmi Yücel

https://doi.org/10.17826/cumj.651175

Cited By: 1

Öz

Purpose: This study is carried out to evaluate the anatomy and clinical significance of the sacrum which forms the posterior wall of pelvis and hiatus sacralis shapes.
Materials and Methods: One hundred twenty three (60 females and 63 males) of Turkish healthy subjects aged between 18 and 70 having brain CT with various reason in the Radiology Department in this retrospective study. The sacrum maximum length, sacrum maximum breadth, sacral index obtained from the ratio of the sacrum breadth to sacrum length multiplied by 100 were measured and calculated. Additionally, the hiatus sacralis shapes were evaluated and classify.
Results: Sacrum maximum length, 106.70±12.88mm; sacrum maximum width, 127.67±14.72mm; and sacral index 120.11±14.64 were calculated in females, respectively. The same parameters were 118.87±14.03mm, 126.45±12.77mm, and 108.48±16.50 in males, respectively. Also, the most frequent type of sacral hiatus were inverted U in females and inverted V in males, respectively. Moreover, there were a significant difference between sacrum length and sacral index and gender.
Conclusion: Knowing the anatomy of the sacrum, and sacral hiatus shapes and making of morphometric measurements of it, is of clinical importance in terms of preventing the complications and the surgical intervention which will practice to this area in the pathologies of the area by orthopaedic surgeons, obstretricians, paediatricians, anaesthecians and anatomists.

Anahtar Kelimeler

Sacrum index, sacral hiatus, gender and age related changes

Sağlıklı Türk yetişkinlerinde os sacrum’un ve hiatus sacralis’in klinik anatomisi ve morfometrik analizi

Öz

Amaç: Bu çalışma, pelvis arka duvarını oluşturan os sacrum’un anatomisini ve klinik önemini değerlendirmek ve hiatus sacralis şekillerini ortaya koymak için yapıldı.
Gereç ve Yöntem: Bu retrospektif çalışmaya yaşları 18 ile 70 arasında değişen ve çeşitli nedenlerle Radyoloji bölümünde Bilgisayarlı Tomografi çektiren yüz yirmi üç (60 kadın; 63 erkek) sağlıklı Türk popülasyonu dahil edildi. Os sacrum’un maksimum uzunluğu, os sacrum’un maksimum genişliği, os sacrum genişliğinin os sacrum maksimum uzunluğuna bölünüp 100 ile çarpılmasıyla elde edilen sakral indeks değeri ölçüldü. Ayrıca, hiatus sacralis şekilleri değerlendirilerek sınıflandırma yapıldı.
Bulgular: Kadınlarda sırasıyla os sacrum’un maksimum uzunluğu 106,70±12,88 mm os sacrum’un maksimum genişliği 127,67±14,72 mm, ve sakral indeks 120,11±14,64 olarak bulunurken, aynı parametreler sırasıyla erkeklerde 118,87±14,03 mm, 126,45±12,77 mm, ve 108,48±16,50 olarak ölçüldü. Ayrıca, en sık görülen hiatus sacralis şekli kadınlarda U şekilli hiatus sacralis iken erkeklerde V şekilli hiatus sacralis olarak belirlendi. Aynı zamanda, os sacrum uzunluğu ve sakral indeks değerleri ve cinsiyet arasında anlamlı farklılık bulundu.
Sonuç: Os sacrum’un anatomisinin bilinmesi ve morfometrik ölçümlerinin yapılması os sacrum’u ilgilendiren patolojilerde bu bölgeye uygulanacak girişimlerde ve oluşabilecek komplikasyonların önlenmesi açısından ortopedi uzmanı, kadın doğum uzmanı, pediatrist, anestezist ve anatomistler açısından kinik öneme sahiptir.

Anahtar Kelimeler

sacrum indeksi, hiatus sacralis, yaş ve cinsiyete bağlı değişkenler

Kaynakça

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