Sacrum
Os sacrum
The sacrum forms the posterior wall of the pelvis. The sacral promontory projects anteriorly at the lumbosacral junction. Four pairs of sacral foramina transmit sacral nerves. The sacral canal is the inferior continuation of the vertebral canal.
Function
A large triangular bone formed by the fusion of five sacral vertebrae. Transmits the weight of the upper body to the pelvis and lower limbs through the sacroiliac joints. Protects the pelvic organs posteriorly.
Clinical Significance
Sacral fractures occur in high-energy trauma and insufficiency fractures in osteoporosis. Sacroiliac joint dysfunction is a common cause of low back pain. The sacral hiatus is used for caudal epidural anesthesia.
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Related Structures
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