Morphometric Analysis of the Sacral Canal and Hiatus Using Multidetector Computed Tomography for Interventional Procedures

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dc.contributor.authorKilicaslan, Alper
dc.contributor.authorKeskin, Fatih
dc.contributor.authorBabaoglu, Ozan
dc.contributor.authorGok, Funda
dc.contributor.authorErdi, Mehmet Fatih
dc.contributor.authorKaya, Bulent
dc.contributor.authorOzbiner, Huseyin
dc.date.accessioned2024-02-23T14:41:01Z
dc.date.available2024-02-23T14:41:01Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractAIM:The sacral canal has been frequently used asa passagefor minimally invasive diagnostic and therapeutic procedures for spinal diseases. The aim of the present study was to investigate morphometric analyses of the sacral canal, hiatus, and surrounding structures according to different age groups and gender by using themultidetector computed tomography method. MATERIAL and METHODS: Multiplanar-reconstructed images from 300 adult (150 females and 150 males, between 20 and 80 years old) were divided into three groups according to age and retrospectively examined. Various anatomic measurements of the sacral hiatus, surrounding structures, and sacral canal were performed. Sacral curvature angle and lumbosacral lordotic angle were noted. RESULTS: Bony anatomic abnormalities such as absent hiatus (0.3%), complete agenesis (1%), and bony septum (2.6%) were detected in some cases. The anteroposterior (AP) diameter of the hiatus was less than 2 mm in 5% of cases. In all groups, the mean values of the hiatus AP diameter and area, and the shortest distance of the sacral canal AP diameter were shorter in the 60-80 years age group when compared with those in 20-39 years age group (p=0.01). The shortest sacral canal AP diameter was commonly located at the S2 and S3 levels in 59.2% and 33.9% of cases, respectively. The levels of maximum curvature were at S3 and S2 in 63.3% and 26.7% of cases, respectively. Median sacral curvature angles and lumbosacral lordotic angles were measured as 164 degrees and 134 degrees, respectively. CONCLUSION: Sacral structures have morphometric variations. Understanding of the detailed anatomy may improve the reliability of interventional procedures.en_US
dc.identifier.doi10.5137/1019-5149.JTN.10942-14.0
dc.identifier.endpage573en_US
dc.identifier.issn1019-5149
dc.identifier.issue4en_US
dc.identifier.pmid26242333en_US
dc.identifier.scopus2-s2.0-84938345458en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage566en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.10942-14.0
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16658
dc.identifier.volume25en_US
dc.identifier.wosWOS:000360324600009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSacral Hiatusen_US
dc.subjectSacral Canalen_US
dc.subjectMultidetector Computed Tomographyen_US
dc.subjectInterventional Proceduresen_US
dc.titleMorphometric Analysis of the Sacral Canal and Hiatus Using Multidetector Computed Tomography for Interventional Proceduresen_US
dc.typeArticleen_US

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