[7] Most sacral dimple cases are minor and do not relate to any underlying medical problem,[1][3][5] but some can result from disease, notably spina bifida.
Careful examinations should be conducted to identify any atypical features in order to appropriately manage and refer these cases in clinical practice.
Understanding the distinction between simple and atypical sacral dimples is crucial for pediatric practitioners because of the potential association with occult spinal dysraphism (OSD).
Given this increased risk, infants with atypical dimples require further evaluation through radiologic imaging and early referrals to neurosurgical specialists.
Prompt identification and appropriate management of atypical dimples can help ensure timely intervention and improved outcomes for infants with potential underlying spinal abnormalities.