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Sacral dimples are the most common cutaneous anomalies
in
newborns. While usually benign anatomical variants, some
dimples are indicative of occult spinal dysraphism, such as a
tethered cord, dermal sinus tract, or lipomyelomeningocele,
that, if undiagnosed, may cause irreversible neurological,
orthopedic, and urological deficits. Distinguishing benign
from high-risk dimples is essential for timely intervention.
This review summarizes the embryological origins, diagnostic
criteria, imaging approaches, and management strategies
for sacral dimples
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