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OBSERVATION OF THE AXIAL SKELETON Dr. M.A. Aziz The human skeletal system is divided into the following: 1) Axial skeleton (skull, vertebral column, ribs, sternum) , and the 2) Appendicular skeleton (bones of the upper and lower limbs). Today we will study a part of the Axial Skeleton. With reference to the bones of the vertebral column provided in your bone boxes and on the articulated skeletons in the lab, study the column using the following protocol, a textbook, and your Atlas (i.e., see Netter, Plates 142-149, Grant's Atlas, Pgs. 200-231, and Rohen et. al., Pgs. 182-192). 1. What are the four main components of the axial skeleton? ____________________________________________________ 2. How many bones make up the vertebral column? ____________________________________________________ 3. Do you suspect that some of these bones are fused? _____________________________________________________
4. Including the fused bones, what is the TOTAL number of bony elements of the vertebral column? ____________________________________________________ 5. What is the advantage(s) of having this many distinct bones in the vertebral column? ____________________________________________________
6. Into how many regions can the vertebral column be assigned? ______________________________________________________ 7. How many vertebrae does each region have? ______________________________________________________ 8. The fundamental structure of each element called a vertebra is the same throughout the body. However, there is regional variation. What are the parts of a typical vertebra?
9. What are the diagnostic features of a typical cervical vertebra? ______________________________________________________ ______________________________________________________ ______________________________________________________
10. List the diagnostic features of a typical thoracic vertebra. ______________________________________________________ ______________________________________________________ ______________________________________________________ 11. What are the diagnostic features of a typical lumbar vertebra? ______________________________________________________ ______________________________________________________ ______________________________________________________ 12. What are the diagnostic features of a coccygeal vertebra? ______________________________________________________ ______________________________________________________ ______________________________________________________ 13. What is peculiar (atypical) about:
14. Which landmarks are visible as you view a typical vertebra? From:
15. List all the foramina found in a (typical) vertebra.
16. What are the contents of the vertebral canal?
17. List the contents of the transverse foramen.
18. List three components by which vertebrae connect/articulate with each other.
19. What is an intervertebral disc and how does it function?
20. What visible characteristics demonstrate the mechanical properties (and results) of weight bearing?
21. List the natural curvatures of the adult vertebral column.
22. What is kyphosis? In which region is it usually found?
23. What is lordosis? Where is it most likely to be found?
24. What is scoliosis? Where do you usually find it?
25. What is a spinal/lumbar puncture or "tap"?
26. Why is this test done, and what is extracted?
27. Which structure(s) is/are in significant danger during this procedure?
28. What precautions must be taken to avoid any problems?
29. Which parts of the vertebrae are absent in spina bifida?
30. What is a herniated disc?
31. What is its clinical significance?
32. At what vertebral level does the herniation most commonly occur and why?
33. List its common symptoms. Can you explain their anatomical basis?
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