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AXIAL SKELETON SKULL. VERTEBRAL COLUMN. STERNUM. RIBS. PARAAXIAL MESODERM It is longtudinal • columns on each side of the notochord. At the end of the 3rd • week, it is differentiated into: Somitomers (in the • head region). Somites (from the • occipital region downward). SOMITES They are differentiated into : Sclerotome • (ventromedial). It forms the vertebrae and ribs. Dermomyotome • (dorsolateral). It forms the muscles • and dermis of the skin. • • LATERAL PLATE MESODERM It is the Somatic mesodermal layer of the body wall It is responsible for the formation of : 1. Pectoral and Pelvic girdles. 2. Long bones of the limbs. MESENCHYME At the end of the 4th week, • the mesodermal cells form the polymorphous embryonic connective tissue (MESENCHYME). The mesenchymal cells can migrate to different locations and are able to differentiate into : Fibroblasts, Chondroblasts and Osteoblasts. NEURAL CREST CELLS In the head region they differentiate into mesenchyme that share in the formation of the bones of the face and skull. MODE OF OSSIFICATION (1) Membranous In some • bones,such as the flat bones of the skull , mesenchyme differentiate directly into bone. . • • MODE OF OSSIFICATION (2) Endochondral In most bones, • mesenchymal cells first give rise to hyaline cartilage models, which in turn ossify . • THE VERTEBRAL COLUMN 1) MESENCHYMAL (Precartilagenous) Stage In the 4th week, the mesenchymal cells from sclerotomes shift their position to be condensed around 1. Notochord ( the structure around which the vertebrae develop). MESENCHYMAL (Precartilagenous) Stage 2. Neural tube (primordium of spinal cord). 3. Body wall. SCLEROTOME Each sclerotome consists of loosely arranged cells cranially and densely packed cells caudally. Some densely packed cells move cranially opposite the center of the myotome, where they form the Intervertebral disc. CENTRUM It is the primordium of the body of the vertebra. It is formed from the remaining densely packed cells which fuse with the loosely arranged of the immediately caudal sclerotomes. It is an intersegmental structure. CENTRUM Nerves lie in close relation to the inter vertebral discs. Arteries lie on • each side of the vertebral body. The dorsal • intersegmental arteries become the intercostal arteries. • VERTEBRAL (NEURAL) ARCH It is formed from the mesenchymal cells around the neural tube. INTERVERTEBRAL DISC The notochord degenerates, between the vertebrae, it expands to form the Nucleus pulposus. Later this nucleus is surrounded by the Anulus fibrosus. These together constitute the intervertebral disc. THE CARTILAGENOUS STAGE It begins in the 6th week. Two chondrification • centers appear in each centrum . They fuse with each • other and with the centers of the vertebral arch. THE CARTILAGENOUS STAGE Spinous and • Transverse processes are formed from extensions of • Chondrification centers in the vertebral arch. A cartilagenous • vertebral column is formed. BONY VERTEBRAL COLUMN Ossification begins during the embryonic period. It ends at the age of 25 years. • • PRIMARY OSSIFICATION CENTERS They are Three in • number One for the centrum • (dorsal and ventral centers that fuse to form one) One in each half of the vertebral arch. Ossification is evident in the arch in the 8th week. • • PRIMARY OSSIFICATION CENTERS The bony halves of • the neural arch fuse with each other in the first (3- 5) years. The union starts first in the lumbar region then it progresses cranially. • NEUROCENTRALJOINTS They are cartilagenous • joints between the vertebral arch and the centrum. They permit growth of • the vertebral arches as the spinal cord expands. These articulations • disappear during the (3rd- 6th) years of age. SECONDARY OSSIFICATION CENTERS They are five in number. • They appear after puberty. They are : • One for the tip of the • spinous process. One for the tip of each • transverse process. Two Anular Epiphyses on the superior and inferior rami of the vertebral body. • • SECONDARY OSSIFICATION CENTERS All secondary centers unite with the rest of the vertebra around the age of 25 years. EXCEPTIONS • C1 (Atlas) • C2(Axis) • C7 • Lumbar,Sacrum and Coccyx. • • THEVETEBRAL BODY It is a composite of the anular epiphyses and the mass of bone between them. It includes : Centrum Parts of the vertebral arch Facets for the heads of the ribs. RIBS They are formed from mesenchymal costal processes of the thoracic vertebrae. They are united with the vertebrae at the CostoVertebral joints. They become cartilagenous and ossified before birth. SPINA BIFIDA It is failure of fusion of the two halves of the vertebral arch. SPINA BIFIDA It occurs more frequently in girls than boys. SPINA BIFIDA OCCULTA A minor, insignificant anomaly of the vertebral column that usually causes no clinical symptoms. The skin over the bifid arch is intact . SPINA BIFIDA OCCULTA There may be no external evidence of the vertebral defect. Sometimes the anomaly is indicated by a tuft of hair. The spinal cord and spinal nerves are usually normal. SPINA BIFIDA CYSTICA It is a severe type of spina bifida. The spinal cord and meninges are involved. Associated with neurologic symptoms.