Fig. 1

Ultrasound image of the sacral canal. (A) Transversal ultrasound image of the sacral canal; (B) Longitudinal ultrasound image of the sacral canal; (C) ultrasound Doppler image. Measurement of the distance between the two band-like structures (depth of the sacral canal at the apex of the sacral hiatus [line a]), distance from the skin to the inferior margin of the sacrococcygeal ligament (line b), and distance between the bilateral cornua ( line c) and the dorsal sacrococcygeal ligament thickness (line d) were obtained. (C) Unidirectional flow on color Doppler shows ropivacaine injection into the sacral canal. SC: Sacral cornua; SL: sacrococcygeal ligament; S: Sacral base