Caudal regression syndrome, or sacral agenesis (or hypoplasia of the sacrum), is a congenital disorder in which there is abnormal fetal development of the lower spine—the caudal partition of the spine. It occurs at a rate of approximately one per 25,000 live births. Caudal regression syndrome, or sacral agenesis (or hypoplasia of the sacrum), is a congenital disorder in which there is abnormal fetal development of the lower spine—the caudal partition of the spine. It occurs at a rate of approximately one per 25,000 live births. This condition exists in a variety of forms, ranging from partial absence of the tail bone regions of the spine to absence of the lower vertebrae, pelvis and parts of the thoracic and/or lumbar areas of the spine. In some cases where only a small part of the spine is absent, there may be no outward sign of the condition. In cases where more substantial areas of the spine are absent, there may be fused, webbed or smaller lower extremities and paralysis. Bowel and bladder control is usually affected.