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Sacrum

life science Maturity 11-13 Next article →

The sacrum is a vital triangular bone located at the base of the human spine.

Gray95
Gray95

It sits in the upper, back portion of the pelvic cavity. This bone rests between the two wings of the pelvis. Its primary purpose is to provide support for the spine. It also creates a protected space for spinal nerves. The sacrum is concave, meaning it is curved upon itself. It is a complex structure that connects the spine to the hip bones.

This bone forms through a specific developmental process. It begins as several separate sacral vertebrae, typically numbered S1 through S5. Between the ages of 18 and 30, these individual vertebrae fuse into one solid bone.

Gray96
Gray96

In an embryo, the vertebral column develops from head to tail. This process involves somites, which are blocks of tissue. By approximately day 29 of embryonic development, the sacral somites appear. By day 30, the last three pairs form the coccyx, or tailbone.

The sacrum articulates, or connects, with four distinct bones. The top of the sacrum connects to the last lumbar vertebra, known as L5. The bottom of the sacrum connects to the coccyx via the sacral and coccygeal cornua. On each side, the sacrum meets the ilium of the hip bone. These connections occur at the sacroiliac joints. The two large projections on the sides of the sacrum are called the alae, or wings. These alae articulate with the ilium at the L-shaped sacroiliac joints.

The sacrum features three distinct surfaces shaped for the surrounding anatomy. The pelvic surface is concave from the top and curves slightly side to side. It has four transverse ridges marking where the original vertebrae once separated. At the ends of these ridges are four anterior sacral foramina. These holes allow sacral nerves and arteries to pass through.

Gray95
Gray95

The dorsal surface is the back side and is convex, or curved outward. It features a median sacral crest running down the middle. The lateral surface is the side of the bone. It includes an ear-shaped area called the auricular surface. This surface is covered with cartilage in immature states to fit the ilium.

Internal structures within the sacrum are equally important. The sacral canal is a continuation of the vertebral canal. It runs through most of the sacrum to house sacral nerves. This canal is triangular in form above the sacral hiatus. The sacral hiatus is a fissure in the posterior wall. This occurs because the laminae of the fifth sacral vertebra sometimes do not meet. The sacral promontory marks part of the border of the pelvic inlet. It forms a 30-degree sacrovertebral angle with the last lumbar vertebra.

Medical science recognizes several conditions related to this bone. Spina bifida is a congenital disorder caused by a defective embryonic neural tube. This results in an incomplete closure of the vertebral arch or the spinal canal. Another condition is caudal regression syndrome, also called sacral agenesis. This involves an abnormal underdevelopment of the lower spine during the seventh week of pregnancy. Additionally, the sacrum is a site for chordomas. These are sarcomas that grow from remnants of the embryonic notochord.

The sacrum is not unique to humans, as other vertebrates share similar structures. In dogs, the sacrum is formed by three fused vertebrae. A horse has a sacrum made of five fused vertebrae. Even rats have four pelvic vertebrae that fuse together. In upright vertebrates, the sacrum can move slightly along the sagittal plane. This movement is called nutation when the sacrum rotates upward and forward. The reverse motion is known as counter-nutation.

Sobo 1909 18
Sobo 1909 18
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