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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 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.
In the human body, the lateral sacrococcygeal ligament is a bilaterally paired ligament extending between the transverse process coccyx, and the inferolateral angle of the sacrum. [1] The ligament forms a foramen for [2] [1] an anterior ramus [1] of the fifth sacral nerve (S5). [2] [1] The ligament may become ossified. [1]
A coccyx with four vertebrae below the sacrum. The coccyx is formed of three, four or five rudimentary vertebrae.It articulates superiorly with the sacrum.In each of the first three segments may be traced a rudimentary body and articular and transverse processes; the last piece (sometimes the third) is a mere nodule of bone.
The lesser pelvis is bounded in front and below by the superior rami of the symphysis pubis; above and behind, by the sacrum and coccyx; and laterally, by a broad, smooth, quadrangular area of bone, corresponding to the inner surfaces of the body and superior ramus of the ischium, and the part of the ilium below the arcuate line. [1]
The number of vertebrae in a region can vary but overall the number remains the same. In a human spinal column, there are normally 33 vertebrae. [3] The upper 24 pre-sacral vertebrae are articulating and separated from each other by intervertebral discs, and the lower nine are fused in adults, five in the sacrum and four in the coccyx, or tailbone.
The axial skeleton (80 bones) is formed by the vertebral column (32–34 bones; the number of the vertebrae differs from human to human as the lower 2 parts, sacral and coccygeal bone may vary in length), a part of the rib cage (12 pairs of ribs and the sternum), and the skull (22 bones and 7 associated bones).
The sacrococcygeal membrane is a tough fibrous membrane about 10mm long which extends from the inferior tip of the sacrum to the body of the coccyx in humans. It covers the inferior limit of the epidural space [1] and is analogous to the ligamentum flavum found at other levels in the spine.