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8.5.6: Sacrum and Coccyx

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    53929
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    Sacrum and Coccyx

    Skeleton with the sacrum highlighted in red

    Above: The sacrum is shown in red. It is located in the posterior of the pelvic girdle and is the second-to-most inferior bone of the vertebral column (coccyx is the most inferior bone of the vertebral column).

     

    The sacrum is part of both the vertebral column and the pelvic girdle. The sacrum articulates with the body of the L5 vertebra above it and articulates to the inferior articular processes and facets of L5 with the superior articular processes and facets of the sacrum. The sacrum also articulates with two coxal bones (hip bones) lateral to it at the auricular surfaces. In young people, the sacrum is actually five sacral vertebrae, but in late adolescence/early adulthood these sacral vertebrae fuse together to form one bone, the sacrum. This fusion is not complete until somewhere between the 18th and 30th year of life.

    Diagram of the sacrum and coccyx

    Above: The sacrum and coccyx from (A) anterior, (B) anterolateral, and (C) posterior views.

     

    The coccyx is a vestigial tailbone (vestigial = remnant of a structure that used to have a function). Coccyx is the evolutionary remnant of ancestral species to humans that did have tails. It no longer serves as a functional tail, but some muscles, tendons, and ligaments do attach to it, making it useful. It forms from the fusion of usually three vertebrae, but a small proportion of the population have four or even five vertebrae in their coccyx.

     

    Attributions (All Vertebral Column Sections)

     

    Updated 2025.


    This page titled 8.5.6: Sacrum and Coccyx is shared under a not declared license and was authored, remixed, and/or curated by Rosanna Hartline.

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