Ischial spineThe ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects.StructureThe pudendal nerve travels close to the ischial spine.Clinical significanceThe ischial spine can serve as a landmark in pudendal anesthesia, as the pudendal nerve lies close to the ischial spine.Additional images