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Sacral (pelvic) "rib" or coccygeal "duplication"?

A J Mares, J Bar-Ziv

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |September 1, 1981
    PubMed
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    A rare sacral rib anomaly, potentially a coccygeal duplication, is described in a young female. This finding, observed in four cases, may cause feto-pelvic disproportion and is associated with other skeletal anomalies.

    Area of Science:

    • Medical Science
    • Pediatric Case Study
    • Skeletal Anomalies

    Background:

    • Sacral rib is a rare congenital anomaly.
    • Understanding its embryological origin is crucial.

    Observation:

    • A case of a 4 1/2-year-old girl with a sacral (pelvic) rib is presented.
    • Three additional cases from literature are reviewed.
    • The anomaly is consistently right-sided and observed in females.

    Findings:

    • Histological, radiological, and embryological evidence support the sacral rib anomaly.
    • The anomaly may represent coccygeal duplication due to two jointed bony elements.
    • Associated mild skeletal anomalies were occasionally noted.

    Implications:

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    • Sacral rib may lead to feto-pelvic disproportion during childbirth.
    • Further research into the embryogenesis and clinical significance of this anomaly is warranted.