The posterior sacrococcygeal ligament reinforces the dorsal sacrococcygeal joint, consisting of superficial (continuation of supraspinous) and deep (continuation of posterior longitudinal ligament) layers.
Resists excessive coccygeal flexion, maintains the posterior sacrococcygeal junction, and protects the sacral hiatus and caudal epidural space.
The posterior sacrococcygeal ligament is pierced or bypassed in caudal epidural injection β the sacrococcygeal membrane (continuation) is the landmark for caudal block needle placement. Its partial disruption occurs in coccyx fractures.
The posterior sacrococcygeal ligament/membrane is penetrated during caudal epidural injection, providing access to the caudal epidural space for pain management.
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