Spondylolysis and lifestyle among prehistoric coastal groups from Brazil

Southern Brazilian prehistoric coastal series were examined for the presence of spondylolysis. All defects occurred at the pars interarticularis, most at L5 (51%), with the vast majority bilateral and complete (86.2%). Frequencies decreased from young adulthood (54.2%) through mid‐adulthood (33.3%) to older adulthood (12.5%), suggesting differential mortality among affected individuals. The high overall prevalence (29.6%) demonstrates that these groups experienced a strenuous lifestyle, with activities that required repetitive and vigorous movements of lumbar hyperextension and rotation. Archaeological data provide support to interpret this pattern. Throwing harpoons, rowing and wrestling fishing nets were likely the main activities associated with the defect among men. Continuous loading of weight, including plant resources, mollusks and nursing children, were probably the tasks associated with spondylolysis in women. Copyright © 2010 John Wiley & Sons, Ltd.     

Spondylolysis in Inuit skeletons from Arctic Canada

Inuit skeletons from archaeological sites in Arctic Canada were examined for the presence of spondylolysis. The largest series represent the Thule culture and historic Inuit from northwest Hudson Bay and Labrador, and Sadlermiut from Southampton Island. The condition was found in 90 individuals, with a total of 120 affected vertebrae producing 198 hemi‐arch defect sites. As in other studies, L5 is affected most frequently, followed by L4 and L3, but examples of L1, L2, L6, and S1 involvement are represented. Incomplete separations account for 20% (40) of the 198 defects, and 5% (10) occur at sites other than interarticularis. Affected males outnumber females at a ratio of 2.4 to 1. The condition was found to increase in frequency from adolescence to young adulthood, and then decrease to middle adulthood and decrease again to old adulthood, but the drop in frequency with age in the adult categories is significant only at the .20 level. Where comparisons could be made, the data obtained from the Canadian Inuit closely resemble those obtained from Alaskan Eskimos and Aleuts, especially their closest linguistic relatives, Inupiat speakers in northern Alaska. Copyright © 2002 John Wiley & Sons, Ltd.     

Prevalence rates of spondylolysis in British skeletal populations

As an activity‐related pathological lesion, spondylolysis and its prevalence rates are indicative of relative diachronic activity levels in different populations. In this paper we document the prevalence of spondylolytic defects in a series of time‐successive populations with special reference to the recording methods employed, and compare the findings with modern clinical studies. We identify epidemiological trends in expression of the condition through 1500 years in a series of skeletonised human remains from England. This includes a 5th–6th‐century settlement, a 15th‐century mass grave, a 14th to 17th‐century rural parish, a medieval Dominican friary, a medieval leper hospital and an 18th to 19th‐century crypt collection. These skeletal populations sample human groups experiencing considerable social change from an agrarian, non‐centralised early medieval period through the development of the medieval state to the earliest phases of industrialisation in England. A detailed study of all lumbar vertebrae in one of the assemblages highlights discrepancies between clinical prevalence rates for spondylolysis established through radiography, and those resulting from direct osteological analysis of the lumbar region of the vertebral column. Current prevalence rates cited in the osteological as well as the clinical literature are greatly dependent upon the recording methods employed, and the effects of several methods for osteological remains are considered in this treatment. For the populations reported on here, prevalence rates vary from considerably less than 1% to as much as 12%, depending on the method selected. A standardised recording method for spondylolytic lesions is suggested to facilitate accurate prevalence reporting and comparison of activity levels between different populations. Copyright © 2005 John Wiley & Sons, Ltd.     

Some types of vertebral pathologies in the Argar Culture (Bronze Age,SE Spain)

A collection of 1825 vertebrae belonging to 105 individuals from several Argaric Culture sites (Bronze Age, SE of Spain) were studied. Several pathologies that could provide information about activity patterns were analysed, including spondylolysis, compression fractures and Schmorl's nodes. Spondylolysis appears exclusively in men. Compression fractures seem to be more related to age (osteoporosis) and are more frequent in women, but without statistical significance. Schmorl's nodes affect a large number of the individuals studied, with a slight predominance in men; there are no differences by age. The results obtained were compared with the available archaeological and anthropological information, which shows a clear division of activities by sex in the Argaric population. The validity of studying these pathologies as activity patterns is discussed. Copyright © 2008 John Wiley & Sons, Ltd.     

Analysis of ante mortem trauma in three modern skeletal populations

When archaeological skeletons are assessed, the prevalence (and patterns of bone involvement) of trauma is important. The number and pattern of fractures can be used to gain insight into the occurrence of interpersonal violence, workload and living conditions. However, the question remains as to how these results should be interpreted—such as what constitutes high or low levels of trauma? The aim of this study was to investigate the occurrence of trauma in a population of modern Greeks living in Crete, as well as South African (SA) whites and blacks in the Pretoria Bone and Raymond Dart collections. The sample comprised mostly of older individuals (n = 90–100 within a sex‐population group). Each skeleton was studied for healed trauma. For the vertebrae, only spondylolysis was assessed. In the Greek sample, it was found that 42% of the males and 46% of females had at least one fracture, with corresponding figures of 63 and 44% for SA whites and 83 and 69% for SA blacks. Radius, rib and femur fractures were most common in Greeks, with skull, radius and ribs most common in SA whites and skull, ulna and ribs in SA blacks. These prevalences of trauma are high, but the composition of the samples (mostly of lower socio‐economic origin) should be kept in mind. It may also be questioned whether these individuals reflect the society as a whole. It seems that the fractures in Greeks are mostly related to old age due to falls and accidents (radius and hip fractures), while the SA black sample reflects high prevalences of interpersonal violence (such as cranial vault and ulna fractures). The SA white sample follows a comparatively moderate pattern of trauma. These comparative figures may be useful when assessing trauma in other skeletal populations. Copyright © 2009 John Wiley & Sons, Ltd.     

Trauma and amputations in 19th century miners from Kimberley,South Africa

Trauma is the result of violent accidental or therapeutic events that cause physical or psychological injury. The frequencies and types of trauma within a population can give important information regarding their lifestyle as well as the quantity and quality of medical care available to them. The purpose of this study was to assess the incidence of trauma in the Gladstone sample population with regards to the presence of interpersonal violence a hazardous working environment strenuous working requirements and the availability of medical care. The individuals studied here were diamond miners from Kimberley dating to the late 19th century. A total of 107 well‐preserved skeletons were excavated from unmarked graves after accidental discovery. This sample included 86 males 15 females and 6 individuals of unknown sex. The majority of individuals (71%) were between 19 and 45 years of age. The remains were most likely those of migrant mine workers of low socioeconomic status who had passed away at the local hospitals. All bones were visually assessed for macroscopic indications of traumatic bone alterations and compared to standard palaeopathological texts and photographs. A total of 27% (n = 28) of the individuals in the sample presented with well‐healed healing or perimortem fractures. Fractures to the skull encompassed 49% (n = 20) of all the fractures that were observed. A total of six (6%) amputations were noted. Spondylolysis was observed in 7% (n = 7) of the individuals within the sample and longstanding subluxation was noted in two individuals. The high incidences of cranial fractures within this population are suggestive of high levels of interpersonal violence while long bone fractures spondylolysis and evidence of longstanding subluxations are indicative of the strenuous work requirements and the high‐risk environment to which these individuals were exposed. When considering the presence of well‐reduced fractures and healed amputations it seems that adequate medical care was available to at least some members of this community. Copyright © 2009 John Wiley & Sons Ltd. This article was published online on 17 February 2009. An error was subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected 3 November 2009.     

The Occurrence and Possible Aetiology of Spondylolysis in a Pre‐contact California Population

The occurrence of spondylolysis (neural arch separation at the pars interarticularis) is reported in a pre‐contact (720–550 Cal BP) Central California population, CA‐CCo‐647 (n = 46). Spondylolysis was examined within this population to assess differences in sex, age, and possible relationships with biological affinity. Furthermore, prevalence rates of spondylolysis were compared across various populations to discern the aetiology of the defect. Within CA‐CCo‐647, spondylolysis was found in 17.4% (8/46) of the population. All occurrences are complete, bilateral separations of the neural arch in the lower lumbar (L4 and L5). The defect is not seen in individuals below the age of 18, and there is no correlation between adult age and spondylolysis. Male individuals display the defect at a higher rate (30.8% ‐ 4/13) than female individuals (12.1% ‐ 4/33); however, this is not a statistically significant finding. There does seem to be a correlation between an individual's sex and the onset of the defect; male individuals display spondylolysis at a younger age than female individuals. This finding could represent differences in activity patterns among young male and female individuals. In a biological distance analysis using craniometric data, male and female individuals with spondylolysis clustered closely, suggesting a genetic component for the defect. Finally, significant differences were found in spondylolysis prevalence between various populations representing distinct geographic and temporal settings. Significant differences were found among Native pre‐contact samples and even between two comparable pre‐contact California skeletal samples. These populations all engaged in distinct activities and were likely composed of genetically distinct groups of individuals, which may account for the differences in spondylolysis prevalence. All of these findings, both within CA‐CCo‐647 and between the various samples, suggest that the aetiology of spondylolysis is likely an interaction of genes and activity. Copyright © 2012 John Wiley & Sons, Ltd.     

Patterns of trauma in a unique medieval parish cemetery

The church and cemetery of St Margaret Fyebridgegate, Norwich were in use from AD 1245 to 1468. The cemetery was used to bury both the parishioners and hanged felons. On excavation, 52 group burials of various sizes were encountered, some containing prone individuals. Four hundred and thirteen inhumations have been examined, of which one-third had evidence of episodes of trauma. Comparison is made of the types of trauma present with evidence from the sites of the Blackfriars, Ipswich and the Mary Rose. Evidence is presented for some possible activity-related trauma at two of the sites.     

Spondylolysis in a pre‐contact San Francisco Bay population: behavioural and anatomical sex differences

Spondylolysis refers to a separation of the spinal body from the arch. Researchers have documented that these fractures occur due to stresses related to activities involving the lower limb and back. Spondylolysis in sacral and lumbar vertebrae of 146 (66 males, 66 females, 14 indeterminates) California Amerinds were examined to determine whether sex differences were present. Sacral anatomy (i.e. sacralisation and lumbarisation, sacral base angles, and superior facet morphology) was analysed in relation to spondylolysis and sex, to explore whether sex differences could be better explained through activity patterns or anatomical variation. Spondylolysis afflicted 24 individuals (16.4%). Males had more than twice the rate of spondylolysis than did females (26% and 11%, respectively). Activity patterns, such as thrusting and throwing shafted obsidian points, could explain the sex differences. Males were most frequently buried with obsidian point artefacts, whereas females were buried with mortar and pestles. For sacral anatomy, only males had lumbarisation, and all other anatomical variation had no significant sex differences. Lumbarisation related to spondylolysis in males. In this study, sacral anatomical variation could not fully account for sex differences in spondylolysis; activity patterns provided a better explanation. Nonetheless, anatomical variation may predispose males to spondylolysis, or spondylolysis may affect sacral anatomy. Copyright © 2008 John Wiley & Sons, Ltd.     

Unilateral spondylolysis

Of 54 vertebrae with spondylolysis, five were found with a unilateral lesion. The unilateral lesion was sometimes associated with hypoplasia of the ipsilateral lamina or by differences in the size and position of the facet joints and by posterior wedging on the affected side. Radiologically there may be sclerosis in the pedicle on the normal side. In one case a healed fracture was noted on the apparently normal side indicating that the lesion originally had been bilateral.