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The sacrum has a base, an apex, and three surfaces – a pelvic, dorsal and a lateral surface. The base of the sacrum, which is broad and expanded, is directed upward and forward. On either side of the base is a large projection known as an ala of sacrum and these alae (wings) articulate with the sacroiliac joints.
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 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.
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 .
The sacrum is curved upon itself and placed very obliquely, its base projecting forward and forming the prominent sacrovertebral angle when articulated with the last lumbar vertebra. It is also known as the "lumbosacral angle".
Lumbarization of sacral vertebra 1, seen as 6 vertebrae that do not connect to ribs. Lumbarization is an anomaly in the spine. It is defined by the nonfusion of the first and second segments of the sacrum. The lumbar spine subsequently appears to have six vertebrae or segments, not five. This sixth lumbar vertebra is known as a transitional ...
The lumbosacral ligament or lateral lumbosacral ligament is a ligament that helps to stabilise the lumbosacral joint.The ligament's medial attachment is at (the inferior border of) transverse process of lumbar vertebra L5; its lateral attachment is at the ala of sacrum.