Document Detail


Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography.
MedLine Citation:
PMID:  9530059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this paper is to provide a detailed radiologic description of the postnatal developmental anatomy of the sacrum and coccyx as revealed by MR imaging, helical CT, and conventional radiography. MATERIALS AND METHODS: One hundred ten imaging examinations of the sacrococcygeal spine were performed in patients who were newborn to 30 years old. Imaging included conventional radiography (n = 63), three-dimensional gradient-recalled echo MR imaging (n = 10), and helical CT with sagittal and angled coronal reformations (n = 37). A detailed analysis was performed of the ossification and fusion of the primary and secondary ossification centers. RESULTS: The sacrum and coccyx were noted to develop from 58 to 60 sacral ossification centers and eight coccygeal centers, respectively. These centers were noted to ossify and fuse in an organized temporal pattern from the fetal period to the age of 30. CONCLUSION: The sacrum and coccyx are formed by a complex process that fuses primary and secondary ossification centers. Because the maturation process can be asymmetric, an understanding of this process may prove useful for distinguishing physeal plates from fracture lines.
Authors:
D R Broome; L A Hayman; R C Herrick; R M Braverman; R B Glass; L M Fahr
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  170     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-04-16     Completed Date:  1998-04-16     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1061-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Baylor College of Medicine, Houston, TX 77030-3498, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Coccyx / anatomy & histology,  growth & development*,  radiography
Female
Humans
Infant
Infant, Newborn
Magnetic Resonance Imaging*
Male
Sacrum / anatomy & histology,  growth & development*,  radiography
Tomography, X-Ray Computed*

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