Part 10

The =sacrum= (Os sacrum) is formed by the fusion of five vertebræ usually, and is conveniently described as a single bone. It is triangular in form and is wedged in between the ilia, with which it articulates very firmly on each side. Its long axis is gently curved, and slightly oblique, so that the posterior end is a little higher than the anterior. It presents two surfaces, two borders, a base, and an apex.

The =dorsal surface= presents centrally the five sacral spines, which are directed upward and backward, and have (with the exception of the first) tuberous summits which are sometimes bifid.

The first spine is relatively thin and narrow, and is not so high as the internal angle of the ilium. The second is the longest, and the height diminishes rapidly to the last. The bases of the spines are often fused in old subjects.

On either side of the spines is a groove, in which are the four =dorsal sacral foramina= (Foramina sacralia dorsalia); the dorsal branches of the sacral nerves emerge through them.

The =ventral= or =pelvic surface= (Facies pelvina) is concave in its length, wide in front, narrow behind. It is marked by four more or less distinct =transverse lines= (Linæ transversæ), which indicate the demarcation of the bodies of the vertebræ. At the ends of these lines are the =ventral sacral foramina= (Foramina sacralia ventralia), which are larger than the dorsal series and diminish in size from first to last; they transmit the ventral divisions of the sacral nerves.

The dorsal and ventral foramina communicate with the sacral canal and are together equivalent to the usual intervertebral foramina.

FIG. 19.—SACRUM OF HORSE, DORSO-LATERAL VIEW.

C, Body of first sacral vertebra; A, arch of first vertebra; Cs, sacral canal; P.s. 1–5, sacral spines; P.t., wings of sacrum; 1, 1′, surfaces for articulation with transverse processes of last lumbar vertebra; F.a., auricular surface; 2, 2′, articular processes; 3–6, dorsal sacral foramina; 7, interarcuate space; 8, lateral border; h, apex. (Struska, Anat. d. Haustiere.) ]

The =lateral borders= are rough, thick in front, thin behind.

The =base= (Basis ossis sacri) is directed forward, and is relatively very wide. It presents centrally the =body= of the first sacral segment, which is wide transversely, flattened dorso-ventrally, and has a rounded surface which articulates with the last lumbar vertebra through the medium of an intervertebral fibro-cartilage. The ventral margin projects slightly, forming the =promontory= (Promontorium). Above the body is the entrance to the sacral canal, flanked by a pair of =articular processes=, which project upward and forward from the arch, and have concave surfaces internally for articulation with those of the last lumbar vertebra. On each side of these is a smooth notch which is converted into a foramen by apposition with the last lumbar. The lateral parts of the base, the =wings= or =alæ= (Alæ sacrales), are strong prismatic masses with pointed ends, which result from the fusion of the first with part of the second transverse process. Each has in front a large, oval, slightly convex surface for articulation with the transverse process of the last lumbar. Posteriorly there is an elongated oval area which faces upward, backward, and outward. This is the =auricular surface= (Facies auricularis), which articulates with the ilium; it is slightly concave in its length, and somewhat rough and irregular. The rest of the dorsal surface of the wing is roughened for ligamentous attachment, while the ventral surface is smooth.

The =apex= (Apex ossis sacri) is the posterior aspect of the last sacral vertebra and is quite small. It presents the elliptical flattened surface of the body, above which is the triangular posterior opening of the sacral canal, surmounted by the last sacral spine. There is a pair of narrow notches between the arch and body, above which rudiments of articular processes may occur.

The name =sacral canal= (Canalis sacralis) is applied to that part of the vertebral canal which traverses the sacrum. Its anterior part is large and has the form of a triangle with the angles rounded off; its width is about twice its height. Traced backward it is seen to diminish in size rapidly, and the posterior opening is quite small and triangular.

The term =lateral part= (Pars lateralis) designates the portion external to the foramina, which results from the fusion of the transverse processes.

FIG. 20.—FIRST COCCYGEAL VERTEBRA OF HORSE, LEFT VIEW. (After Schmaltz, Atlas d. Anat. d. Pferdes.) ]

FIG. 21.—FIRST COCCYGEAL VERTEBRA OF HORSE, DORSAL VIEW. (After Schmaltz, Atlas d. Anat. d. Pferdes.) ]

=Development.=—The several sacral vertebræ ossify in the typical manner. Separate centers for costal elements in the lateral parts have not yet been found in the domesticated animals. Fusion begins in front, and is usually not complete behind till near adult age. The lateral parts unite before the bodies. It is rather curious that the epiphyseal plates of adjacent segments unite with each other before they fuse with the main portion of the bodies.

THE COCCYGEAL VERTEBRÆ

These (Vertebræ coccygeæ) vary considerably in number, but eighteen may be taken as an average. From first to last they become reduced in size and, with the exception of a few at the beginning of the series, consist of bodies only. The first three have bodies which are somewhat flattened dorso-ventrally, constricted in the middle, and have at the ends slightly convex, elliptical, articular surfaces. The ventral surface has a median groove for the coccygeal artery. The arch is small and triangular; it is formed of two flat plates which are prolonged to form a short spinous process with a thickened and often double summit. The anterior notches are absent. Functional articular processes are not present, but small rudiments of the anterior pair commonly occur. The transverse processes are relatively large plates which project horizontally outward. Further back the arch becomes incomplete, open above, and soon disappears; the transverse processes gradually fade out, and the vertebræ are reduced to cylindrical rods of diminishing size. The last one has a pointed end.

=Variations.=—The number is said by good observers to vary between fourteen and twenty-one. In old age the first is often fused with the sacrum, and sometimes with the second. The arch of the third may be open.

THE VERTEBRAL COLUMN AS A WHOLE

In the mid-dorsal line is the series of =spinous processes=, which are low ridges in the cervical region with the exception of the second and seventh, reach their maximum height at the fourth and fifth thoracic vertebræ, and diminish to the fifteenth or sixteenth thoracic. Behind this they are about equal in height as far as the last lumbar and first sacral, which are somewhat lower. The second sacral spine is about as high as the middle lumbar; behind this they diminish rather rapidly in height and fade out about the third coccygeal. Their =inclination= backward is most decided at the second thoracic, diminishes from the sixth or seventh to the fifteenth or sixteenth, which is vertical and is termed the =anticlinal= or =diaphragmatic vertebra.= Behind this they are inclined a little forward until the sacrum is reached; here there is an abrupt change to the backward inclination, so that a considerable interspinous angle is formed.

On either side of the spinous processes is a =vertebral groove= which contains the deep muscles of the spine. The floor of the groove is formed by the laminæ and articular processes. It is wide in the neck and narrows progressively in the back.

Viewed from the side, the column presents a series of curves. When the head and neck are in the ordinary neutral position, the anterior part of the cervical spine forms a gentle curve, concave ventrally. The posterior cervical and first thoracic vertebræ form a more pronounced curve in the opposite direction. At the junction of the cervical and thoracic regions there is a marked change of direction, forming a ventral projection or angle. At the second thoracic vertebra a gentle curve, concave ventrally, begins. This is continued to the lumbo-sacral junction, where there is a change of direction, and hence a promontory. The sacrum has a variable, but never very pronounced, ventral concave curvature, which is continued in a much accentuated form in the coccygeal region. It may be remarked that a line through the summits of the spines does not correspond to these curves formed by the bodies.

The =vertebral canal=, of course, corresponds in curvature to the bodies. Its =caliber= varies greatly at different points. The greatest diameter (ca. 5 cm.) is in the atlas, where it contains the dens of the axis in addition to the spinal cord, and provision must be made for extensive movement. It is very much smaller in the axis (ca. 2.5 cm. wide, 3 cm. high). It widens considerably at the junction of the cervical and thoracic regions to accommodate the cervical enlargement of the spinal cord. Beyond this it diminishes, and is smaller in the middle of the back than at any preceding point; this is correlated with the small size of the spinal cord and the very limited movement of the spine. At the middle of the lumbar region it again widens considerably to contain the lumbar enlargement of the spinal cord. The caliber diminishes very rapidly from the second sacral segment backward, and the canal ceases to be complete at the fourth coccygeal vertebra.

The =articular processes= are very large and wide apart in the neck, greatly reduced and much closer together in the back, larger and interlocking in the lumbar region.

The =transverse processes= are large and outstanding in the neck, where they form the outer boundary of a ventral groove occupied by the longus colli muscle. In the back they are short and stout, and are characterized by the facets for the tubercles of the ribs. On the first thoracic vertebra this facet is large, deeply concave, and situated almost directly outward from the cavity for the head of the rib; traced backward it becomes smaller and flatter, and gradually comes to lie behind the cavity for the head of the rib, with which it is fused on the last and often also on the next to the last thoracic vertebra. The processes in the lumbar region have a characteristic elongated plate-like form. In the sacral region they are fused to form the wings and lateral parts of the sacrum. In the coccygeal region they are at first of considerable size relatively, but undergo rapid reduction, and disappear at the fifth or sixth vertebra.

The cavities for the heads of the ribs diminish progressively in size and depth from first to last.

The =mammillary processes= are usually distinct on the fourteenth to the seventeenth thoracic vertebræ. In front of these they blend with the transverse, behind with the anterior articular processes.