Sacrospinous ligament Sacrospinous ligament The sacrospinous ligament (small or anterior sacrosciatic ligament) is a thin, triangular ligament in the human pelvis. The base of the ligament is attached to the outer edge of the sacrum and coccyx, and the tip of the ligament attaches to the spine of the ischium, a bone in the human pelvis. Its fibres are intermingled with the sacrotuberous ligament. The sacrotuberous ligament passes behind the sacrospinous ligament. In its entire length it covers the equally triangular coccygeus muscle, to which its closely connected. The presence of the ligament in the greater sciatic notch creates an opening (foramen),
Sciatic nerve also innervates muscles. In particular: Pain caused by a compression or irritation of the sciatic nerve by a problem in the lower back is called sciatica. Common causes of sciatica include the following lower back and hip conditions: spinal disc herniation, degenerative disc disease, lumbar spinal stenosis, spondylolisthesis, and piriformis syndrome. Other acute causes of sciatica include coughing, muscular hypertension, and sneezing. Sciatic nerve injury occurs between 0.5% and 2.0% of the time during a hip replacement. Sciatic nerve palsy is a complication of total hip arthroplasty with an incidence of 0.2% to 2.8% of the time, or with an