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Degenerative spondylolisthesis in ancient and historic skeletons from New Mexico Pueblo sites
Author(s) -
Merbs Charles F.
Publication year - 2001
Publication title -
american journal of physical anthropology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 119
eISSN - 1096-8644
pISSN - 0002-9483
DOI - 10.1002/ajpa.1125
Subject(s) - medicine , osteoarthritis , spondylolisthesis , prehistory , anatomy , lumbar , geography , archaeology , pathology , alternative medicine
Abstract The objective of this study was to identify the presence of degenerative spondylolisthesis in adult Native American skeletons recovered from prehistoric and historic Pueblo sites in New Mexico. The vertebral columns of 491 individuals that were complete enough to allow the necessary observations produced 64 cases, with a total of 74 affected levels. The L5–S1 level was affected most frequently (78%), in contrast to clinical and anatomical studies where the L4–L5 level was usually affected (80%). Age and sex were found to be important factors, with the condition limited to middle and old adults, and occurring in females over males at a ratio of approximately 5:1. Olisthesis was shown to occur only in association with severe osteoarthritis of the zygapophysial joints, but severe osteoarthritis did not always result in olisthesis, particularly in males. Parallel or convergent inferior articular processes were found to increase in frequency in the presence of olisthesis, apparently resulting from degenerative remodeling that produced the olisthesis. The data also suggest that individuals with cranial border shifting in the column may be especially prone to olisthesis. Degenerative olisthesis was also observed in the cervical region. Am J Phys Anthropol 116:285–295, 2001. © 2001 Wiley‐Liss, Inc.