Je viens d'étendre le CanvasRenderingContext2D en ajoutant deux fonctions: mlFillText et mlStrokeText.
Vous pouvez trouver la dernière version dans GitHub :
Avec ces fonctions, vous pouvez remplir / tracer du texte miltiline dans une boîte. Vous pouvez aligner le texte verticalement et horizontalement. (Il prend en compte les \ n et peut également justifier le texte).
Les prototypes sont: 
function mlFillText (texte, x, y, w, h, vAlign, hAlign, lineheight); function mlStrokeText (texte, x, y, w, h, vAlign, hAlign, lineheight);
Où vAlign peut être: "top", "center" ou "button" Et hAlign peut être: "left", "center", "right" ou "justify"
Vous pouvez tester la lib ici: http://jsfiddle.net/4WRZj/1/

Voici le code de la bibliothèque:
// Library: mltext.js
// Desciption: Extends the CanvasRenderingContext2D that adds two functions: mlFillText and mlStrokeText.
//
// The prototypes are: 
//
// function mlFillText(text,x,y,w,h,vAlign,hAlign,lineheight);
// function mlStrokeText(text,x,y,w,h,vAlign,hAlign,lineheight);
// 
// Where vAlign can be: "top", "center" or "button"
// And hAlign can be: "left", "center", "right" or "justify"
// Author: Jordi Baylina. (baylina at uniclau.com)
// License: GPL
// Date: 2013-02-21
function mlFunction(text, x, y, w, h, hAlign, vAlign, lineheight, fn) {
    text = text.replace(/[\n]/g, " \n ");
    text = text.replace(/\r/g, "");
    var words = text.split(/[ ]+/);
    var sp = this.measureText(' ').width;
    var lines = [];
    var actualline = 0;
    var actualsize = 0;
    var wo;
    lines[actualline] = {};
    lines[actualline].Words = [];
    i = 0;
    while (i < words.length) {
        var word = words[i];
        if (word == "\n") {
            lines[actualline].EndParagraph = true;
            actualline++;
            actualsize = 0;
            lines[actualline] = {};
            lines[actualline].Words = [];
            i++;
        } else {
            wo = {};
            wo.l = this.measureText(word).width;
            if (actualsize === 0) {
                while (wo.l > w) {
                    word = word.slice(0, word.length - 1);
                    wo.l = this.measureText(word).width;
                }
                if (word === "") return; // I can't fill a single character
                wo.word = word;
                lines[actualline].Words.push(wo);
                actualsize = wo.l;
                if (word != words[i]) {
                    words[i] = words[i].slice(word.length, words[i].length);
                } else {
                    i++;
                }
            } else {
                if (actualsize + sp + wo.l > w) {
                    lines[actualline].EndParagraph = false;
                    actualline++;
                    actualsize = 0;
                    lines[actualline] = {};
                    lines[actualline].Words = [];
                } else {
                    wo.word = word;
                    lines[actualline].Words.push(wo);
                    actualsize += sp + wo.l;
                    i++;
                }
            }
        }
    }
    if (actualsize === 0) lines[actualline].pop();
    lines[actualline].EndParagraph = true;
    var totalH = lineheight * lines.length;
    while (totalH > h) {
        lines.pop();
        totalH = lineheight * lines.length;
    }
    var yy;
    if (vAlign == "bottom") {
        yy = y + h - totalH + lineheight;
    } else if (vAlign == "center") {
        yy = y + h / 2 - totalH / 2 + lineheight;
    } else {
        yy = y + lineheight;
    }
    var oldTextAlign = this.textAlign;
    this.textAlign = "left";
    for (var li in lines) {
        var totallen = 0;
        var xx, usp;
        for (wo in lines[li].Words) totallen += lines[li].Words[wo].l;
        if (hAlign == "center") {
            usp = sp;
            xx = x + w / 2 - (totallen + sp * (lines[li].Words.length - 1)) / 2;
        } else if ((hAlign == "justify") && (!lines[li].EndParagraph)) {
            xx = x;
            usp = (w - totallen) / (lines[li].Words.length - 1);
        } else if (hAlign == "right") {
            xx = x + w - (totallen + sp * (lines[li].Words.length - 1));
            usp = sp;
        } else { // left
            xx = x;
            usp = sp;
        }
        for (wo in lines[li].Words) {
            if (fn == "fillText") {
                this.fillText(lines[li].Words[wo].word, xx, yy);
            } else if (fn == "strokeText") {
                this.strokeText(lines[li].Words[wo].word, xx, yy);
            }
            xx += lines[li].Words[wo].l + usp;
        }
        yy += lineheight;
    }
    this.textAlign = oldTextAlign;
}
(function mlInit() {
    CanvasRenderingContext2D.prototype.mlFunction = mlFunction;
    CanvasRenderingContext2D.prototype.mlFillText = function (text, x, y, w, h, vAlign, hAlign, lineheight) {
        this.mlFunction(text, x, y, w, h, hAlign, vAlign, lineheight, "fillText");
    };
    CanvasRenderingContext2D.prototype.mlStrokeText = function (text, x, y, w, h, vAlign, hAlign, lineheight) {
        this.mlFunction(text, x, y, w, h, hAlign, vAlign, lineheight, "strokeText");
    };
})();
Et voici l'exemple d'utilisation:
var c = document.getElementById("myCanvas");
var ctx = c.getContext("2d");
var T = "This is a very long line line with a CR at the end.\n This is the second line.\nAnd this is the last line.";
var lh = 12;
ctx.lineWidth = 1;
ctx.mlFillText(T, 10, 10, 100, 100, 'top', 'left', lh);
ctx.strokeRect(10, 10, 100, 100);
ctx.mlFillText(T, 110, 10, 100, 100, 'top', 'center', lh);
ctx.strokeRect(110, 10, 100, 100);
ctx.mlFillText(T, 210, 10, 100, 100, 'top', 'right', lh);
ctx.strokeRect(210, 10, 100, 100);
ctx.mlFillText(T, 310, 10, 100, 100, 'top', 'justify', lh);
ctx.strokeRect(310, 10, 100, 100);
ctx.mlFillText(T, 10, 110, 100, 100, 'center', 'left', lh);
ctx.strokeRect(10, 110, 100, 100);
ctx.mlFillText(T, 110, 110, 100, 100, 'center', 'center', lh);
ctx.strokeRect(110, 110, 100, 100);
ctx.mlFillText(T, 210, 110, 100, 100, 'center', 'right', lh);
ctx.strokeRect(210, 110, 100, 100);
ctx.mlFillText(T, 310, 110, 100, 100, 'center', 'justify', lh);
ctx.strokeRect(310, 110, 100, 100);
ctx.mlFillText(T, 10, 210, 100, 100, 'bottom', 'left', lh);
ctx.strokeRect(10, 210, 100, 100);
ctx.mlFillText(T, 110, 210, 100, 100, 'bottom', 'center', lh);
ctx.strokeRect(110, 210, 100, 100);
ctx.mlFillText(T, 210, 210, 100, 100, 'bottom', 'right', lh);
ctx.strokeRect(210, 210, 100, 100);
ctx.mlFillText(T, 310, 210, 100, 100, 'bottom', 'justify', lh);
ctx.strokeRect(310, 210, 100, 100);
ctx.mlStrokeText("Yo can also use mlStrokeText!", 0 , 310 , 420, 30, 'center', 'center', lh);