I don't understand the term 'see the base' when wouldn't someone be able to see the base? Surely there can't be like an open hole in the back. I'm confused xx
Yes, there CAN be an open hole in the back. Large openings is called Spina Bifida, like a previous poster explained.
Dimples can be of various sizes and depths. You get those that's literally a mm in diametre, and those that's like 10cm in diametre! Some are like a tenth of a mm deep, others are a few mm's deep, and some are open all the way to the bones inside. Some is like a little pinprick that looks like someone stabbed the person with a needle. As you can imagine, those that's completely open (without a base of skin covering it) is a big meningitis risk.
Others dimples are more like the dimples some people has in their cheeks or chins. Some dimples are innocent (the majority fortunately), others point to tethered cord. Some are very very low (between the buttocks), others are high up on the back. Some looks like a "cigarette burn", while others have an accompanying red or brown birthmark, or have some longish hair growing out of it.
I agree with the previous poster that said all dimples must be checked with a sonar. Even if the far majority of them will turn out to be nothing, you don't want your baby to be the one whose dimple pointed at a tethered cord and it was ignored. Once a tethered cord is diagnosed, it's crucial to get it detetherd (surgically) asap, because leaving it will almost always lead to permanent nerve damage. My daughter's cord was only untethered at age 7, and she will have the damaged nerves for the rest of her life. The nerves leads to her bladder, bowels and feet. No dr can repair them for her. What function is lost, is lost forever. Untethering the cord just halts the process of damaged nerves.