Serious chronic disease of the cervical spine and trauma in a young female from the middle ages (Czech Republic).

The skeletal remains of the young female (20-24 years) from Grave JP/106, discovered in the Southern Suburb of the Breclav - Pohansko Stronghold (Early Middle Ages, 9th century-beginning of the 10th century, present day Czech Republic) display several noteworthy pathologies. The first is deformation of the mandible, which was most probably caused by a fracture of the ramus in combination with a subcondylar fracture. The spine of this young woman also exhibits a probable traumatic injury of the cervical spine in combination with a slowly growing structure situated inside the spinal canal, which caused deformation centered upon C7. The cervical and thoracic spine together with internal surfaces of several ribs exhibit infectious changes of advanced stage, in all likelihood of tuberculous origin, but osteomyelitis cannot be excluded. Histological analysis of the new bone formation in the ribs confirmed infectious origin, as does Micro CT of C5 and C6. Analyses conducted by two different departments with different methods (PCR amplification of 123 bp long section from IS6110 and Next Generation shotgun sequencing) failed to identify DNA of Mycobacterium tuberculosis from the first rib.

Regular graveyard in the stronghold versus settlement burials in the bailey. Comparison of Early Medieval populations from Pohansko (Czech Republic).

ABSTRACT: The aim of the study is to identify possible differences in the prevalence of biological stress markers (cribra orbitalia, linear enammel hypoplasia), dental caries, activity markers (Schmorl's nodes) and markers of violence (traumatic lesions) in populations from a typical graveyard around the first church (9th-10th century AD) in the stronghold and from settlement burials in the southern bailey (second half of the 9th - beginning of the 10th century AD) of Slavs from Pohansko (Czech Republic). Cribra orbitalia and enamel hypoplasia did not markedly differ in either population. On the other hand, co-occurrence of both markers was statistically different and distinction in higher age categories could indicate diverse living conditions. Lower cariousness in the population from the southern bailey was identified. The nature of postcranial traumatic lesions in both populations indicates rather their accidental origin. However, a higher incidence of cranial injuries points to more violent activities in the population from Pohansko compared to Mikulcice. A high number of healed face injuries in males from the southern bailey could indicate higher intragroup violence in this population.