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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 forms joints with four other bones.
The internal surface of the ala is bounded above by the crest, below, by the arcuate line; in front and behind, by the anterior and posterior borders. It presents a large, smooth, concave surface, called the iliac fossa, which gives origin to the iliacus and is perforated at its inner part by a nutrient canal; and below this a smooth, rounded ...
The posterior border of the ala of sacrum, shorter than the anterior, also presents two projections separated by a notch, the posterior superior iliac spine and the posterior inferior iliac spine. The posterior superior iliac spine serves for the attachment of the oblique portion of the posterior sacroiliac ligaments and the multifidus.
The linea terminalis or innominate line consists of the pubic crest, pectineal line (pecten pubis), the arcuate line, the sacral ala, and the sacral promontory. [1]It is the pelvic brim, which is the edge of the pelvic inlet.
Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.
The arcuate line marks the border between the body (corpus) and the wing (ala) of the ilium, and, running inferior, anterior, and medial from the auricular surface to the area corresponding to the acetabulum, it also indicates where weight is transferred from the sacroiliac joint to the hip joint.
The sacroiliac joint or SI joint (SIJ) is the joint between the sacrum and the ilium bones of the pelvis, which are connected by strong ligaments. In humans, the sacrum supports the spine and is supported in turn by an ilium on each side. The joint is strong, supporting the entire weight of the upper body.
There are five sacral vertebrae (S1–S5) which are fused in maturity, into one large bone, the sacrum, with no intervertebral discs. [18] The sacrum with the ilium forms a sacroiliac joint on each side of the pelvis , which articulates with the hips .