Sánchez-Aparcero Beatriz, Alemán Inmaculada, Botella Miguel C
Laboratory of Anthropology, Department of Legal Medicine, Toxicology and Physical Anthropology, University of Granada, 18016, Granada, Spain.
Laboratory of Anthropology, Department of Legal Medicine, Toxicology and Physical Anthropology, University of Granada, 18016, Granada, Spain.
Int J Paleopathol. 2018 Sep;22:158-162. doi: 10.1016/j.ijpp.2018.02.002. Epub 2018 Feb 16.
Traumatic injuries are commonly reported in paleopathology. However, fractures of the odontoid process in past populations are uncommon and therefore such injuries may be easily overlooked. This paper describes alterations of the first and second cervical vertebrae, the atlas and axis, of a male individual of advanced age from the medieval necropolis of Maro (Málaga, Spain). These alterations were observed through macroscopic evaluation and radiological analysis. This individual's skeleton is well-preserved, with degenerative changes present in the appendicular skeleton and the rest of the vertebrae. Our differential diagnosis included aplasia of the dens, bifid dens, dens duplicated, ossiculum terminale persistens, os odontoideum, and odontoid process fractures. We concluded that the most likely condition was a broken odontoid process fused with the anterior arch of the atlas, a pseudarthrosis demonstrating that the individual survived this fracture. This study is one of the first reports of an odontoid process fracture in ancient contexts.
创伤性损伤在古病理学中常有报道。然而，过去人群中齿突骨折并不常见，因此这类损伤可能很容易被忽视。本文描述了来自西班牙马拉加省马罗中世纪墓地的一位老年男性个体的第一和第二颈椎（寰椎和枢椎）的病变情况。这些病变通过宏观评估和放射学分析得以观察。该个体的骨骼保存完好，附属骨骼和其余椎骨存在退行性变化迹象。我们的鉴别诊断包括齿突发育不全、齿突裂、齿突重复、永存终末小骨、齿突骨和齿突骨折。我们得出的结论是，最有可能的情况是齿突骨折并与寰椎前弓融合，这是一种假关节，表明该个体在这次骨折后存活了下来。本研究是古代背景下齿突骨折的首批报告之一。
