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Related Experiment Videos

Coccygeal pits.

B E Weprin1, W J Oakes

  • 1Children's Medical Center of Dallas, Dallas, Texas, USA.

Pediatrics
|May 9, 2000
PubMed
Summary
This summary is machine-generated.

Congenital dermal sinuses in the sacrococcygeal area are common but usually benign. Simple intergluteal dorsal dermal sinuses without other signs do not require further evaluation or treatment.

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Area of Science:

  • Neurosurgery
  • Dermatology
  • Pediatric Surgery

Background:

  • Congenital dermal sinuses are skin depressions linked to early fetal development.
  • These sinuses can occur along the craniospinal axis, including the sacrococcygeal region.
  • Intergluteal dorsal dermal sinuses, or pits, are found in 2-4% of children and may be prone to infection.

Purpose of the Study:

  • To review the literature and clinical cases of congenital dermal sinuses in the coccygeal region.
  • To clarify the association between intergluteal dorsal dermal sinuses and intraspinal anomalies.
  • To establish guidelines for the evaluation and management of these lesions.

Main Methods:

  • Conducted a literature review of English-language articles on coccygeal sinuses.

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  • Reviewed medical records of pediatric patients evaluated for dorsal dermal sinuses.
  • Specifically identified cases with intergluteal sinuses.

    • Main Results:

    • No children were identified with coccygeal sinuses lacking other cutaneous markers who had findings suggestive of intraspinal communication.
    • The study found no association between simple intergluteal dorsal dermal sinuses and significant spinal cord anomalies.

    Conclusions:

    • Intergluteal dorsal dermal sinuses are common and often seen by neurosurgeons.
    • Simple intergluteal dorsal dermal sinuses without additional cutaneous findings or symptoms do not warrant radiographic or surgical intervention.
    • Radiographic evaluation is recommended if other cutaneous markers or neurological symptoms are present.