Skip to main content

A Post-mortem Evaluation of the Degree of Mobility in an Individual with Severe Kyphoscoliosis Using Direct Digital Radiography (DR) and Multi-Detector Computed Tomography (MDCT)

  • Chapter
  • First Online:
New Developments in the Bioarchaeology of Care

Abstract

Since 2010, the Bioanthropology Research Institute at Quinnipiac University, in collaboration with the Inforce Foundation, Cranfield Forensic Institute at Cranfield University and the Centre for Human Bioarchaeology, Museum of London, has established a temporary field radiographic facility under St Bride’s Church, Fleet Street, London, in order to conduct a radiographic survey of the skeletal remains of 227 individuals from the eighteenth and nineteenth centuries interred in the crypt and retained in the church. The collection constitutes a unique assemblage of skeletal remains covering a date range of 1676–1852/1853, with biographical data and detailed parish records. One of the skeletons demonstrated not only severe kyphoscoliosis, but also an uncharacteristic robustness of the femora and humeri for such a severe spinal deformity. Based on initial radiographs, it was determined the remains were stable enough to be transported to St Bartholomew’s Hospital for additional examination using multi-detector computed tomography to better visualize the internal structure of the skeleton. This chapter considers the different diagnoses derived from the radiographic studies and the analysis in attempting to establish the individual’s degree of mobility and impairment, placed in conjunction with the social conditions for the parish at this time.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aufderheide, A. C., & Rodríguez-Martín, C. (1998). The Cambridge encyclopedia of human paleopathology. Cambridge: Cambridge University Press.

    Google Scholar 

  • Barnes, E. (1994). Developmental defects of the axial skeleton in paleopathology. Boulder, CO: University Press of Colorado.

    Google Scholar 

  • Bass, W.M. (1987). Human osteology. A laboratory and field manual, 3rd edition. USA: Missouri Archaeological Society, Inc.

    Google Scholar 

  • Bernofsky, K. S. (2010). Respiratory health in the past: A bioarchaeological study of chronic maxillary sinusitis and rib periostitis from the Iron Age to the Post Medieval Period in Southern England. Doctoral thesis, Durham University.

    Google Scholar 

  • Bick, E. M. (1948). Source book of orthopaedics (2nd ed.). Baltimore: The Williams and Wilkins Company.

    Google Scholar 

  • Borsay, A. (2004). Disability and social policy in Britain since 1750. A history of exclusion. Basingstoke: Palgrave Macmillan.

    Google Scholar 

  • Brickley, M., & Miles, A. (1999). The cross bones burial ground, Redcross Way Southwark London. Archaeological Excavations (1991–1998) for the London Underground Limited Jubilee Line Extension Project. Museum of London Archaeology Service, Monograph 3

    Google Scholar 

  • Brooks, S. T., & Suchey, J. M. (1990). Skeletal age determination based on the os pubis: A comparison of the Ascadi-Nemeskeri and Suchey-Brooks methods. Human Evolution, 5, 227–238.

    Article  Google Scholar 

  • Brothwell, D. R. (1981). Digging up bones (3rd ed.). London: BM (NH) and OUP.

    Google Scholar 

  • Cobb, J. R. (1948). American Academy of Orthopaedic Surgery, 5, 261–275.

    Google Scholar 

  • Conlogue, G., Viner, M., Farmer, M., Gulliver, D., Bekvalac, J., & Eggleton, K. (2011). Tales from the Crypt: Preliminary findings of a Digital Radiographic Study of Skeletal Remains Under St Bride’s Church in London, England. 38th Annual North American Paleopathology Association Meeting. Minneapolis, Minnesota.

    Google Scholar 

  • Cunningham, A., & French, R. (1990). The medical enlightenment of the 18th century. Cambridge: Cambridge Press.

    Google Scholar 

  • DiBari, M., Melisenda, C., Matteuzzi, D., Zacchei, S., Pozzi, C., Bellia, V., et al. (2004). Thoracic kyphosis and ventilatory dysfunction in unselected older persons: An epidemiological study in Dicomano, Italy. Journal of the American Geriatrics Society, 52(6), 909–915.

    Article  Google Scholar 

  • Ferembach, D., Schwidetzky, I., & Stoukal, M. (1980). Recommendations for age and sex diagnoses of skeletons. Journal of Human Evolution, 9, 517–549.

    Article  Google Scholar 

  • Fischer, F. E. (1885). Geschite und Behandling der seitlichen Rukratsverkrummung (skoliose). Strassburg.

    Google Scholar 

  • Henderson, M., Miles, A., & Walker, D., with Brian Connell and Robin Wroe-Brown. (2013). ‘He being dead yet speaketh’ Excavations at three post-medieval burial grounds in Tower Hamlets, east London, 2004–2010. Museum of London Archaeology, Monograph 64.

    Google Scholar 

  • Inglis, L. (2013). Georgian London into the streets. Penguin Books.

    Google Scholar 

  • Iscan, M. Y., Loth, S. R., & Wright, R. K. (1984). Age estimation from the rib by phase analysis: White males. Journal of Forensic Sciences, 29, 1094–1104.

    Google Scholar 

  • Iscan, M. Y., Loth, S. R., & Wright, R. K. (1985). Age estimation from the rib by phase analysis: White females. Journal of Forensic Sciences, 30, 853–863.

    Article  Google Scholar 

  • Keats, T. E., et al. (1966). Radiology, 87, 904.

    Article  Google Scholar 

  • Knüsel, C. J., & Bowman, J. E. (1996). A possible case of neurofibromatosis in an archaeological skeleton. International Journal of Osteoarchaeology, 6, 202–210.

    Article  Google Scholar 

  • Lovejoy, C. O., Meindl, R. S., Pryzbeck, T. R., & Mensforth, R. P. (1985). Chronological metamorphosis of the auricular surface of the ilium: A new method for the determination of adult skeletal age at death. American Journal of Physical Anthropology, 68, 15–28.

    Article  Google Scholar 

  • McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2010). Pathophysiology, the biologic basis for disease in adults and humans (6th ed., pp. 310–311). Mosby/Elsevier. ISBN: 978-0-323-06584-9.

    Google Scholar 

  • Miles, A., & Conheeney, J. (1990). A Post-medieval population from London: Excavations in the St Bride’s Lower Churchyard (pp. 75–82). MoLAS Studies Series. Farringdon Street City of London, EC4.

    Google Scholar 

  • Miles, A., Powers, N., Wroe-Brown, R., with Don Walker. (2008). St Marylebone church and burial ground in the 18th to 19th centuries: Excavations at St Marylebone school, 1992 and 2004–2006. Museum of London Archaeology Service, Monograph 46.

    Google Scholar 

  • Molleson, T., & Cox, M. with Waldron H. A., and Whittaker, D. K. (1993). The Spitalfields Project. The anthropology: The Middling Sort (vol. 2). CBA Research Report 86, Council for British Archaeology.

    Google Scholar 

  • Ortner, D. J. (2003). Identification of pathological conditions in human skeletal remains (2nd ed.). London: Academic.

    Google Scholar 

  • Reeve, J., & Adams, M. (1993). The Spitalfields Project. The archaeology: Across the Styx (vol. 1). CBA Research Report 85, Council for British Archaeology.

    Google Scholar 

  • Scheuer, J. L., & Bowman, J. E. (1995). Correlation of documentary and skeletal evidence in the St. Bride’s crypt population. In S. R. Saunders & A. Herring (Eds.), Grave reflections: Portraying the past through cemetery studies (pp. 49–70). Toronto: Canadian Scholar’s Press.

    Google Scholar 

  • Tilley, L., & Cameron, T. (2014). Introducing the Index of Care: A web-based application supporting archaeological research into health-related care. International Journal of Paleopathology, 6, 5–9.

    Article  Google Scholar 

  • Tsirikos, A., Saifuddin, A., & Noordeen, M. H. (2005). Spinal deformity in neurofibromatosis type-1: Diagnosis and treatment. European Spine Journal, 14(5), 427–439.

    Article  Google Scholar 

  • Turner, D. M. (2012). Disability in eighteenth-century England: Imaging physical impairment. Routledge studies in modern British history; 8.

    Google Scholar 

  • White, J. (2013). London in the 18th century a great and monstrous thing. Vintage Books.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerald Conlogue M.H.S., R.T.(R.)(M.R.)(C.T.) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Conlogue, G. et al. (2017). A Post-mortem Evaluation of the Degree of Mobility in an Individual with Severe Kyphoscoliosis Using Direct Digital Radiography (DR) and Multi-Detector Computed Tomography (MDCT). In: Tilley, L., Schrenk, A. (eds) New Developments in the Bioarchaeology of Care. Bioarchaeology and Social Theory. Springer, Cham. https://doi.org/10.1007/978-3-319-39901-0_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39901-0_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39900-3

  • Online ISBN: 978-3-319-39901-0

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics