The scans and model showed that Richard III had a right-sided, spiral-shaped curve that peaked at thoracic vertebrae 8 and 9, approximately at his mid-back. The curve was well-balanced, meaning that Richard III's spine got back in line by the time it hit his pelvis. As a result, his hips were even, the researchers report today (May 29) in the journal The Lancet. Richard III would not have limped or had trouble breathing due to his condition, which are common side effects of severe scoliosis. [Images: New Dig at Richard III's Rediscovered Grave]
"Obviously, the skeleton was flattened out when it was in the ground," Appleby said in a statement. "We had a good idea of the sideways aspect of the curve, but we didn't know the precise nature of the spiral aspect of the condition."
Scoliosis can be caused by muscular imbalances that pull the spine out of alignment, but the rest of Richard III's skeleton showed no evidence of such problems, Appleby and her colleagues found. Nor were there any malformed hemivertebrae, which are wedge-shaped vertebrae that can cause the spine to twist and turn.
Instead, the researchers concluded, Richard III likely had adolescent-onset idiopathic scoliosis. Idiopathic means the cause is unknown, which is the case in the majority of people with scoliosis. The abnormal curve probably appeared in Richard after age 10.
The curve itself had a spiral appearance, and an angle that would be considered large today. Doctors use a measurement called the Cobb angle to gauge spine deformity. On an X-ray, they draw a line outward from the top of the highest vertebra on the curve and then do the same for the bottom of the lowest vertebra. They then measure the angle where the two lines meet. Richard III's Cobb angle was between 70 degrees and 90 degrees in life, the researchers determined.
Without scoliosis, Richard III would have stood about 5 feet, 8 inches (1.7 meters), average for a medieval European man. The curvature would have taken a few inches off his height, and it would have caused the shoulder imbalance that Rous described. Nevertheless, it would not have kept Richard III from being an active individual, Appleby said.
"The condition would have meant that his trunk was short in comparison to the length of his limbs and his right shoulder would have been slightly higher than the left," she said, "but this could have been disguised by custom-made armor and by having a good tailor."
Though scientists can't be sure whether or not Richard III underwent any treatment for his scoliosis, Mary Ann Lund of the University of Leicester said painful traction was widely available at the time. Not only would Richard have been able to afford traction, but also, Lund found, his doctors would have been well aware of the method, as the 11th-century polymath Avicenna described such traction in treatises on medicine and philosophy.
Original article on Live Science.
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