I presume that you are talking about the McDonnell Douglas DC-10 and the follow on MD-11 variant. I wouldn't exactly say that the engine is mounted "up on the tail". The engine is mounted on top of the aft fuselage and then the vertical stabilizer is mounted on top of the engine nacelle. As far as the engine producing a pitching moment (due to off centerline thrust in the vertical plane), the engine is canted slightly tail down to counteract off axis thrust. Notice that the DC-10 and MD-11 both also have engines hung beneath both wings. The yawing moment created by having wing mounted engines is actually a much more serious issue because the loss of an engine on either side requires throttling back the good engine and cranking in lots of rudder trim to keep the plane flying straight ahead.
Everything in aircraft design involves a multitude of performance trade-offs. Every configuration has advantages and disadvantages. Designing a woodturning lathe also involves performance trade-offs although slightly less complex than aircraft design.

(just keeping this focused on woodturning)
Here's a Boeing 727. It has three engines ... one on each side of the aft fuselage and the third is in the center of the fuselage. The air inlet for the center engine is mounted in front of the vertical stabilizer. All of this necessitated going with a T tail configuration.
Here is another view where you can see that the two side mounted engines have the exhaust canted slightly towards the centerline.
There's speculation about what the potential Boeing 797 will look like.