Sacrum bodies are seen to be united at their circumferences by bone, wide intervals being left centrally, which, in the fresh state, are filled by the intervertebral discs. The dorsal surface of the sacrum is convex and narrower than the pelvic surface. In the middle line is the median sacral crest, surmounted by three or four tubercles—the rudimentary spinous processes of the upper three or four sacral vertebrae. On either side of the median sacral crest is a shallow sacral groove, which gives origin to the multifidus muscle. The floor of the groove is formed by the united laminae of the
Bone tumor known to occur occasionally, current paradigms tend to consider MFH a "wastebasket" diagnosis, and the current trend is toward using specialized studies (i.e. genetic and immunohistochemical tests) to classify these undifferentiated tumors into other tumor classes. Multiple myeloma is a hematologic cancer, originating in the bone marrow, which also frequently presents as one or more bone lesions. Germ cell tumors, including teratoma, often present and originate in the midline of the sacrum, coccyx, or both. These sacrococcygeal teratomas are often relatively amenable to treatment. Since, by definition, benign bone tumors do not metastasize, all secondary bone tumors are metastatic lesions