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The sacrum (pl.: sacra or sacrums [1]), in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1–S5) between ages 18 and 30. [ 2 ] The sacrum situates at the upper, back part of the pelvic cavity , between the two wings of the pelvis .
It stretches from median sacral crest [3] and the free margin of the sacral hiatus [1] to the dorsal surface of the coccyx. [1] The lateral sacrococcygeal ligaments run from the lower lateral angles of the sacrum to the transverse processes of the first coccygeal vertebra to complete the foramina for the last sacral nerve. [1]
The deep dorsal sacrococcygeal ligament (ligamentum sacrococcygeum posterius profundum) is a continuation of the posterior longitudinal ligament. [1] A flat band arising inside the sacral canal, posteriorly at the orifice of the fifth sacral segment, it descends to the dorsal surface of the coccyx under its longer fellow described below.
The sacral nerves are the five pairs of spinal nerves which exit the sacrum at the lower end of the vertebral column. The roots of these nerves begin inside the vertebral column at the level of the L1 vertebra, where the cauda equina begins, and then descend into the sacrum. [4] [5]
The trochlear nerve; The trigeminal nerve; The abducens nerve; The facial nerve; The vestibulocochlear nerve; The glossopharyngeal nerve; The vagus nerve; The accessory nerve; The hypoglossal nerve; The spinal nerves. The posterior divisions; The anterior divisions; The thoracic nerves; The lumbosacral plexus; The sacral and coccygeal nerves ...
The anterior sacrococcygeal ligament or ventral sacrococcygeal ligament consists of a few irregular fibers, which descend from the anterior surface of the sacrum to the front of the coccyx, blending with the periosteum. [1]
The sacrospinous ligament (small or anterior sacrosciatic ligament) is a thin, triangular ligament in the human pelvis.The base of the ligament is attached to the outer edge of the sacrum and coccyx, and the tip of the ligament attaches to the spine of the ischium, a bony protuberance on the human pelvis.
The posterior division of the coccygeal nerve does not divide into a medial and a lateral branch, but receives a communicating branch from the last sacral; it is distributed to the skin over the back of the coccyx. [1]
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