Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications

Objectives: The space available within the female pelvis is determined by the morphology of all bony components constituting the pelvic skeleton. Although several studies have investigated the impact of hip-bone structural variations in on parturition, the potential effects of commonly occurring lum...

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Main Author: Niladri Kumar Mahato
Format: Article
Language:English
Published: Oman Medical Specialty Board 2018-01-01
Series:Oman Medical Journal
Subjects:
Online Access:http://omjournal.org/articleDetails.aspx?coType=1&aId=2092
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author Niladri Kumar Mahato
author_facet Niladri Kumar Mahato
author_sort Niladri Kumar Mahato
collection DOAJ
description Objectives: The space available within the female pelvis is determined by the morphology of all bony components constituting the pelvic skeleton. Although several studies have investigated the impact of hip-bone structural variations in on parturition, the potential effects of commonly occurring lumbosacral transitional vertebrae (LSTV) variations have been underreported. This descriptive morphometric study reports dimensions of the female sacrum associated LSTV variations and suggests their probable mechanistic effects on normal labor. Methods: One hundred and twelve female osteological sacral specimens with LSTV were examined for the type of transitional anomaly. Position, height, and surface areas of the auricular surfaces, interauricular distances, sacral heights, S1 body width and upper surface areas, and articulating areas of S1 facets were measured and compared with data from non-transitional samples. Results: Female LSTV predominantly presented as accessory L5-S1 articulations (unilateral and bilateral) and degrees of lumbarization (separation of the first sacral segment). Since some of these alterations were found to be significantly associated with changes in sacral size, these features, in conjunction with cranial shift of the auricular surfaces, may be associated with overall in dorsal pelvic dimensions. Conclusions: Structural alterations identified in female LSTV sacrum may change dorsal pelvic dimensions and thus, the availability of dorsal pelvic space, potentially altering the biomechanics of normal labor.
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spelling doaj.art-c17bfa0da8d54daf803f268ede357bdc2022-12-22T01:45:22ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042018-01-01331222810.5001/omj.2018.05Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric ImplicationsNiladri Kumar Mahato0Ohio Musculoskeletal & Neurological Institute, Department of Biomedical Sciences, Ohio University, Ohio, USAObjectives: The space available within the female pelvis is determined by the morphology of all bony components constituting the pelvic skeleton. Although several studies have investigated the impact of hip-bone structural variations in on parturition, the potential effects of commonly occurring lumbosacral transitional vertebrae (LSTV) variations have been underreported. This descriptive morphometric study reports dimensions of the female sacrum associated LSTV variations and suggests their probable mechanistic effects on normal labor. Methods: One hundred and twelve female osteological sacral specimens with LSTV were examined for the type of transitional anomaly. Position, height, and surface areas of the auricular surfaces, interauricular distances, sacral heights, S1 body width and upper surface areas, and articulating areas of S1 facets were measured and compared with data from non-transitional samples. Results: Female LSTV predominantly presented as accessory L5-S1 articulations (unilateral and bilateral) and degrees of lumbarization (separation of the first sacral segment). Since some of these alterations were found to be significantly associated with changes in sacral size, these features, in conjunction with cranial shift of the auricular surfaces, may be associated with overall in dorsal pelvic dimensions. Conclusions: Structural alterations identified in female LSTV sacrum may change dorsal pelvic dimensions and thus, the availability of dorsal pelvic space, potentially altering the biomechanics of normal labor.http://omjournal.org/articleDetails.aspx?coType=1&aId=2092FacetsPelvisParturitionLumbosacral Vertebrae
spellingShingle Niladri Kumar Mahato
Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
Oman Medical Journal
Facets
Pelvis
Parturition
Lumbosacral Vertebrae
title Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
title_full Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
title_fullStr Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
title_full_unstemmed Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
title_short Transitional Female Sacrum: Dimensions, Alterations in Dorsal Pelvic Structure, and Potential Obstetric Implications
title_sort transitional female sacrum dimensions alterations in dorsal pelvic structure and potential obstetric implications
topic Facets
Pelvis
Parturition
Lumbosacral Vertebrae
url http://omjournal.org/articleDetails.aspx?coType=1&aId=2092
work_keys_str_mv AT niladrikumarmahato transitionalfemalesacrumdimensionsalterationsindorsalpelvicstructureandpotentialobstetricimplications