Overview

A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. It's usually just above the crease between the buttocks. Most sacral dimples are harmless and don't need treatment.

A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft of hair, skin tag, lump or discolored area. In these instances, your child's health care provider may recommend an imaging test. If a spinal problem is found, treatment depends on the underlying cause.

Symptoms

A sacral dimple is an indentation or pit in the skin on the lower back. It's usually located just above the crease between the buttocks.

Causes

There are no known causes for a sacral dimple. It is a congenital condition, meaning it's present at birth.

Complications

Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include:

  • Spina bifida. A very mild form of this condition, called spina bifida occulta, occurs when the spine doesn't close properly around the spinal cord, but the cord remains within the spinal canal. In most cases, spina bifida occulta causes no symptoms and doesn't need treatment.
  • Tethered cord syndrome. The spinal cord normally hangs freely within the spinal canal. Tethered cord syndrome is a disorder that occurs when tissue attached to the spinal cord limits its movements. Signs and symptoms may include weakness or numbness in the legs and bladder or bowel incontinence.

The risks of these spinal problems increase if the sacral dimple is accompanied by a nearby tuft of hair, skin tag or lump, and certain types of skin discoloration

Oct. 07, 2022
  1. Paller AS, et al. Cutaneous disorders of the newborn. In: Paller and Mancini — Hurwitz Clinical Pediatric Dermatology: A Textbook of Skin Disorders of Childhood and Adolescence. 6th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed Aug. 30, 2022.
  2. Cohen BA. Neonatal dimpling. In: Pediatric Dermatology. 5th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed Aug. 30, 2022.
  3. Sacral dimple — normal. Pediatric Patient Education. https://publications.aap.org/patiented. Accessed Aug. 31, 2022.
  4. Holcomb GW, et al., eds. Neurosurgical conditions. In: Holcomb and Ashcraft's Pediatric Surgery. 7th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Aug. 31, 2022.
  5. AskMayoExpert. Spina bifida. Mayo Clinic; 2021.
  6. Andreas A, et al., eds. Current status of paediatric imaging. In: Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Aug. 31, 2022.

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