To fill this knowledge gap, Dr. Lukens and colleagues looked at the diagnostic yield and complication rates in 62 patients with surgically altered bowel anatomy who underwent DBE at Mayo Clinic in Florida between 2006 and 2011: 1  Eleven of the procedures were DBE-ERCPs.
The lateral masses are paired blocks of bone located lateral to the sacral foramina. The sacral ala is the wing-shaped bone found lateral to the S1 vertebral body. Histologic study of the sacral alae demonstrates decreased trabecular density (âalar voidsâ) within each of these structures (3).
The base projects forward as the sacral promontory internally, which is the uppermost portion of the sacrum. The central part is curved outward toward the posterior, allowing greater room for the pelvic cavity.The two lateral projections of the sacrum are called the alae (wings), and articulate with the ilium at the L-shaped sacroiliac joints.he floor of the groove is formed by the united laminae of the corresponding vertebrae. The laminae of the fifth sacral vertebra, and sometimes those of the fourth, do not meet at the back, resulting in a fissure known as the sacral hiatus in the posterior wall of the sacral canal.