"Rams coach Steve Spagnuolo cringed when considering the possibility that five of his 11 starters on offense could be watching from the sideline Sunday at the Edward Jones Dome.

"Well, when you list it like that ... " Spagnuolo said before reverting quickly to the company line.

"In this league, you've got to step in there and play," he said. "All teams have injuries. We just line up and

play the game."

Still, the Rams' odds of knocking off Seattle certainly would be enhanced if quarterback Marc Bulger (leg), guard Richie Incognito (foot), running back Steven Jackson (back spasms), fullback Mike Karney (neck) and tackle Jason Smith (concussion) were on the field for the noon kickoff.

Bulger and Smith definitely won't suit up. Kyle Boller takes over for Bulger with the first team. Adam Goldberg slides from right guard into Smith's spot at right tackle, with Mark Setterstrom expected to move in at right guard.

Setterstrom, who hasn't started a game since the third week of the 2007 season, had "a solid week" of practice with the first team, Spagnuolo reported.

Incognito, Jackson and Karney were listed as questionable on Friday's injury report. In NFL parlance, that means they have a 50-50 chance of playing.

Jackson, the NFL's second-leading rusher, missed a third consecutive day of practice, although he did some individual work with the trainers on the sideline. Spagnuolo said he hoped to reach a decision on Jackson's availability today but conceded he might wait until Sunday morning."