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Regarding calculation of sacral ratio in ARM

admin
in Anorectal Malformations

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quote from "Pediatric Colorectal Conundrums: Case Studies: From Fundamental to Advanced (Pediatric Colorectal Surgery)" by Marc Levitt, Thomas Xu, Hussein Wissanji -

"while the AP view might misleadingly suggest an underdeveloped sacrum, the lateral view typically provides a more accurate representation. The pelvic tilt can distort the appearance of the sacrum and coccyx in the AP view, leading to a falsely low sacral ratio. The lateral view, however, allows for a more reliable calculation by minimizing distortions caused by patient positioning"

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