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Abstract
The human fossil record is one of the most complete for any mammal. A basal ancestral species, Australopithecus afarensis, exhibits a
well-preserved postcranium that permits reconstruction of important events in the evolution of our locomotor skeleton. When compared with
those of living apes and modern humans, this species provides a number of insights into the origin and design of the modern human frame as
well as the selective agencies that have guided its evolution during the past three million years. Evolutionary aspects of the human spine and
pelvis are reviewed, including their impact on several clinically relevant aspects of human gait and posture.
2004 Elsevier B.V. All rights reserved.
Keywords: Primate locomotion; Scoliosis; Spondylolysis; Australopithecus; Hominid
1. Introduction
The human musculoskeletal system has been rigorously
examined for centuries, and human gait has been experimentally analyzed with an almost equal intensity [1]. Our knowledge has been amassed largely for its clinical implications,
and while an understanding of the mechanics of quiet human
walking is critical to endeavors such as implant design and
surgical intervention, it provides little information about the
manner in which natural selection molded our lower limb
during the last several million years. Bipedality is commonly
performed by a variety of primates and other mammals,
even some artiodactyls. Human ancestors, however, adopted
this odd gait as their exclusive form of locomotion, and so
extensively modified their postcranium that every transport
event, whether a simple stroll of a few yards or a desperate
flight to avoid an attacking predator, became restricted to
its use.
When and why did this transition take place? What has
been the sequence of anatomical changes during its fixation? What insights do they provide with respect to common human musculoskeletal disorders? These are questions
whose answers can supply important information to the
clinician, because the natural history of a structure affords a
unique perspective otherwise unavailable using only extant
2. Methods
Because connective tissue expression can be as enigmatic as the fossil record, specimens must be viewed as
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3. Evolutionary framework
The hominid fossil record is one of the most complete
for any extant mammal, and is the product of an intensive search for specimens, favorable taphonomic conditions (i.e., context of fossilization and recovery) in East,
South, and Central Africa, and target animals which were
Table 1
Analytical trait typesa
Type 1: A trait which differs in two taxa because its presence and/or expression are downstream consequences of differences in the positional
information of its cells and their resultant effects on local pattern formation. Type 1 traits are fixed by directional and/or stabilizing selection because
their primary functional features have a real effect on fitness, and result largely from a direct interaction between genes expressed during field
deployment and the functional biology of their adult product. For example, the superoinferior shortening of the ilium in hominids.
Type 2: A trait that is a collateral byproduct of other field changes. Type 2 traits differ in two taxa because of differences in pattern formation (as in
Type 1), but have no functional consequences. Unlike Types 4 and 5, they represent true field derived pleiotropy. Type 2A traits are those whose
primary antecedent shift was the product of natural selection. Type 2B traits are those whose parent changes were not under selection. They are
likely to result from minor fluctuations in morphogenetic fields, and differences in their expression among demes arise by stochastic processes, such
as genetic drift (for examples, see text).
Type 3: A trait that differs in two taxa because of modification of a systemic growth factor that affects multiple elements, such as an anabolic steroid.
For example, body size and its allometric effects. Allometric shifts probably usually reflect slight changes of systemic control factors during
development: e.g., small modulations of GH and/or its related factors can generate fully coordinated morphological change.
Type 4: A trait that differs between taxa because its presence/absence and/or grade are attributable exclusively to phenotypic effects of the interaction
of systematic assembly mechanisms [11] such as cartilage modeling and environmental stimuli. Such traits have no antecedent differences in
pattern formation, and therefore have no value in phyletic analysis. They are epigenetic and are not pleiotropic. However, they can provide significant
behavioral information, and are therefore of expository or evidentiary value in interpreting fossils. They result from habitual behaviors during
development. For example, the bicondylar angle of the femur.
Type 5: Traits arising by the same process as Type 4, but which have no reliable diagnostic value with respect to significant behavior. Such traits are not
consistently expressed within species and often show marked variation of expression within individuals and demes. For example, femoral anteversion.
a
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Fig. 1. Early hominid species that preserve some significant portion of the postcranium (only specimens with associated postcrania are illustrated). All
are roughly arranged according to approximate likely phylogenetic relationships. While a plethora of nomina are currently employed to reference these
species, further examination is likely to reveal that only two major phyletic lines emerged between 6 and 2 MYA. One of these led to several extinct
species of Australopithecus, while the other led to H. habilis and its eventual successor H. sapiens, via H. erectus (the latter is represented here only by
its earliest major specimen: KNM-WT15000) (L.B. Spurlock/M.A. Mcollum).
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Fig. 2. Relationship between thorax and spine in an Old World monkey (baboon: top), an African ape (gorilla: middle), and a modern human (bottom).
The architectural sketches to the left illustrate the special methods of presentation that have been used to render these transverse thoraxes/pelves sections;
viz., each has been drawn without any perspective-based size reduction (of increasingly distant elements) caused by parallax. For each specimen the
maximum point of horizontal projection of the thorax away from the vertebral column (dashed line) (T11 in the Old World monkey; T10 in the gorilla and
human) was determined with an anatomical line of sight (parallel to the vertebral column; column B). The thorax was then drawn a second time with
the line of sight being the true vertical (column A) (the position of the reference thoracic vertebrae is shown in column A, but not B). Thus if walking
upright using typical orthograde postures, the projections of the thorax in the Gorilla and OWM are most similar to their relationships in column (A)
Each specimen was drawn and metrically verified from a ligamentous thorax fixed in an orthograde posture typical of its taxon (baboon: sitting; gorilla:
climbing; human: quiet standing). Note the following: (1) the anatomical axis of the iliac crest is essentially anteroposterior in the OWM, but is distinctly
mediolateral in the two hominoids. (2) While the human and gorilla show invagination of the column into their (anteroposteriorly flattened) thoraxes (cf.
Fig. 6), the thorax still projects anteriorly in the gorilla, i.e., note the sagittal separation of T10 and S1 in the Gorilla but not the human. (3) As shown
4. Spine
4.1. The lumbar spine of hominoids
Some years ago, in an especially cogent discussion of the
epaxial region of higher primates, Benton made a distinction
between short-backed and long-backed forms [25]. The
short-backed group includes hominoids and several New
World monkeys, all of which exhibit a series of complex
modifications of their forelimb and axial skeletons. While
these vary substantially, all evince a forelimb that is used
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in the left column, the combination of lumbar shortening, greater superior projection of the iliac crest (so as to shorten its distance to the most caudal
rib), and the invagination of the column into the thoracic space together have resulted in a rigid pelvic-thoracic link in hominoids. (4) However, while the
gorillas thorax is well positioned for rigidity with respect to its pelvis, it causes very large bending moments relative to the hip joints in bipedal posture.
(5) In the human, lordosis (made possible by columnar elongation) has translated the column anteriorly so that it overlies the hip joints in erect stance
(superior compensation for lordosis now places T10 lies posterior to S1) (6) The relatively great mediolateral breadth of the human sacrum compared to
the other primates. Factors 5 and 6 are the key, and therefore probably the initial, adaptations to upright walking. These relationships were fully established
in A. afarensis, but its pelvis had not yet been remodeled to assure passage of large-brained fetuses (see text) (L.B. Spurlock/M.A. McCollum).
100
Fig. 3. Size relationship between superior zygapophyses of the L3 and sacrum: (A) chimpanzee; (B) gorilla; (C) AL-288-1; (D) human. The cartoon to
the left demonstrates that the L3 in each specimen has been rotated 180 . Note that the transverse distance separating the joint facets in the African apes
is greater in L3 than in the sacrum, whereas the reverse arrangement is present in the two hominids. The latter is probably the consequence of a growth
gradient effect established by overall broadening of the sacrum (cf. Figs. 5 and 11).
Fig. 4. Imbrication pockets in hominid lumbar vertebrae. Arrows on each L3 indicate the marginal limit of the area excavated by contact with the
inferior zygapophyses of L2. (A) L2/L3 from a modern human. (B) Isolated L3 of AL-288-1 (cast). For further discussion see text.
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Fig. 5. Frontal projections of hominoid pelves. (A) chimpanzee; (B) AL-288-1; (C) human female; (D) human male. Note the dramatic shortening of
the ilia in the hominids and the absence of any dorsal projection that might entrap the last lumbar (L5 in humans; L6 in A. afarensis). Note the much
closer geometric similarity of AL-288-1 to the human male than female, despite its very large interacetabular distance (a female character in modern
humans). The human pelvis has been entirely remodeled so as to greatly enlarge its birth canal. Note the extremely broad sacra of the hominids in
comparison to the very narrow one of the ape (L.B. Spurlock).
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Fig. 6. Invagination of the vertebral column into the thorax and its effect
on both structural integrity and scapular position. (A) Old World monkey
(OWM) (macaque); (B) chimpanzee; (C) human. The primary axis of the
scapular blade in the monkey is nearly anteroposterior (its iliac crests
are also anteroposteriorly oriented (cf. Fig. 2)). In the two hominoids,
the vertebral column has become invaginated into the thorax, greatly
increasing its rigidity, and making it more elliptical. This has also caused
the scapular axis to become more mediolaterally oriented. The invagination
is more dramatic in the human because of lumbar lordosis. Thoraxes
redrawn from Schultz [27] who traced plaster casts of eviscerated thoracic
cavities.
103
Fig. 7. Hybrid comparison of the erector spinae of an OWM (Cercopithecus) (left) and a human (right) (see [25] for a similar comparison with
a chimpanzee). The two vertebrae have been scaled to the same anteroposterior overall dimension. The massive erector spinae of the monkey
carries its anterior border, its transverse process, well onto the vertebral
body; that of the human (typical of hominoids) is restricted to its pedicle, greatly reducing the muscles cross-sectional area. Loss of erector
spinae mass is largely a byproduct of thoracic rigidification caused by
a substantial anterior projection of the column (cf. Fig. 6). The loss of
the massive erector spinae in ancestral hominoids, coupled with subsequent lumbar column elongation in hominids, has resulted in superoinferior elongation of the distance between pelvis and thorax. Because it also
no longer benefits from control by a massive erector spinae ideopathic
lumbar scoliosis of the lower column is probably a malady peculiar to
hominids, and continues to be prevalent in modern humans, despite idieopathic reduction of the column from six lumbars to five over the course
of the Plio-Pleistocene. OWM erector spinae structure and size from [25];
that of humans from [80] (L.B. Spurlock).
Risk of scoliosis may have served as the most prominent selection factor favoring reduction in the length of the human
lumbar column over the course of the Plio-Pleistocene.
4.5. Clinical implications afforded by the fossil record of
our spine: spondylolysis
Also of some clinical interest is Latimers recent review
of spinal morphology associated with spondylolysis, another
malady which does not occur in apes, but which is common
in humans (about 5% of the population [47]). Latimer has
argued that spondylolysis is more frequent in individuals in
which the inferiorly progressive spread of the lowest lumbar vertebra is less than those of normal, non-spondylolytic,
spines, suggesting that the disorder is epigenetic and may
derive from excessive propinquity of the neural arches during the initial lordosis of early childhood bipedality.
Any debilitating effects of spondylolysis (i.e., spondylolesthesis) have apparently either occurred only sporadically,
or without sufficient frequency during middle-adulthood
(most individuals in earlier human populations rarely survived to more than 45 years) to have had little selective
effect. That is, whatever its cause, spondylolysis has not
been eliminated by selection over the past 34 MY.
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5. Pelvis
The ability to fully extend the hip and knee made possible
by lower spinal retroflexion (lordosis) would have greatly
reduced fatigue during extended bouts of upright walking,
but ultimately such fatigue could only have been fully eliminated by a reorganization of pelvic muscle function. In the
shift from quadrupedal progression to bipedality the activity
of the hamstrings becomes primarily restricted to the control and deceleration of the limb in the final stages of swing
phase (along with a variety of other postural duties) and
the mm. gluteus minimus and medius to pelvic stabilization
during single support. The m. gluteus maximus becomes the
principal stabilizer of the trunk upon the lower limb, bracing the sacroiliac joint (and protecting it by eccentric contraction), and controlling forward rotation of the trunk at
ground contact [34,48,49]. The quadriceps, along with the
plantarflexors (with which their contraction must be synchronized), become the primary muscles of propulsion by
extending the knee with the limb fixed against the substrate.
5.1. The fossil record of the hominid pelvis
Two Australopithecus specimens exhibit virtually complete innominates. These have required some significant
restoration (AL-288-1) [50,51] or reconstruction (STS-14)
[52], but the former is so complete that given bilateral symmetry, it can be regarded as an intact pelvis. However, because it was found in a crushed state in which its posterior
iliac crest had been bent 90 out of position (Fig. 8 [51]), any
deliberations absent repair of this global deformation (see,
for example [5357]) are irrelevant to the current discussion.
That the primary shifts necessary in the pelvic platform
to effect all of the fundamental changes in muscle function
seen in modern humans were also fully accomplished in
A. afarensis can be gleaned from study of various dimensions and morphological characters of AL-288-1. The novel
105
Fig. 9. Lateral views of pelves shown in Fig. 5 with sacrum outlined for visibility. While the upper pelvis of AL-288-1 is quite similar to the two human
ones in this projection, its superior pubic ramus is still inferiorly directed as in the chimpanzee. In this species this negates use of the rule of thumb
which orients a human pelvis close to anatomical position when the ASIS and pubic tubercle are placed in the same vertical plane. However, sacral
lordosis and the line of action and disposition of the anterior gluteals are virtually identical in AL-288-1 and modern humans. The elevation and anterior
projection of the superior pubic ramus in humans are a consequence of the substantial increase in the anteroposterior dimension of the birth canal, and
the need to raise the pubis so as to establish a shorter cylinder to permit asynclitism to have its beneficial effects during parturition. These changes are
unrelated to locomotion. Note the human-like faceted disposition of the origins of the hamstrings in AL-288-1, unlike the single plane present in the
chimpanzee tuberosity (L.B. Spurlock).
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Fig. 10. Mechanisms of birth in the chimpanzee (left), AL-288-1 (center), and modern human (right). Cephalo-pelvic relationships are shown for the inlet
(top), midplane (center), and outlet (bottom). Vault sutures are indicated by dotted lines to show orientation of the fetal cranium. Note that in the human
the anterior fontanelle is not visible in the midplane because of cranial flexion, but reappears in the outlet view as the cranium begins its extension. Birth
in AL-288-1 was probably simple, inasmuch as the term fetal cranium was probably of the same approximate size as that of a chimpanzee, and because
no reorientation in any of the three stations was required, save for rotation at entrance into the inlet as in humans (but with no further reorientation) [61].
for example [58,59]). These have centered around the presumption that wide separation of the hips slightly increased
stride length (why the much simpler and direct change of
merely increasing lower limb length was not adopted is
left undiscussed). Such suggestions suffer from the uncritical practice of using modern humans as a comparative
standard against which to measure the degree to which
other hominids were incompletely adapted to bipedality.
Assigning function to every anatomical detail that differs
from the modern human condition represents a failure to
analyze intermediate forms dynamicallythat is, to consider the manner in which anatomical form is altered via
changes in the morphogenetic process, rather than its adult
end-products. Such deficiencies in approach invariably result
in assigning dissimilarities of australopithecines and humans
to some degree of functional intermediacy of the former
(see earlier).
Modern humans, however, are not simply bipeds: they
are bipeds with relatively enormous brains. As such, successful parturition is an even more powerful selective force
than locomotor pattern: its effects on reproductive success
are immediate and profound. Humans have evolved largely
circular pelvic midplanes (i.e., the greatest area is provided by a constant radius), with any deviation from this
form being proportionately disadvantageous [60]. Selection
has therefore only managed to produce a marginally satisfactory birth canal by modifying pelvic form in order to
accentuate the area of the midplaneits original australopithecine form was wholly inadequate by modern standards.
The very broad interacetabular dimension of australopithecines would have provided no particular benefit for
birthing, as it greatly exceeds the more critical anteroposterior diameter of the pelvic ring in these early hominids
[61]. Given that their pelves give no indication whatsoever of being locomotorly intermediate with humans
(see above) nor as strongly challenged obstetrically, the
answer to this problem therefore lies in the nature of the
genetic/evolutionary process by which their complex morphological changes were achieved from the LCA.
We will turn to this point directly, but at this point it
must be emphasized once again that those morphological
changes that were effected between A. afarensis and H. sapiens cannot have reflected improved mechanics: had the long
femoral neck and pronounced lateral iliac flare been retained
in the descendants of A. afarensis (along with a reduction in
only the relative interacetabular distance in the pelvis), the
mechanical advantage to the abductors in modern humans
would now be far greater than it actually isthe reduction
of these mechanical benefits must thereby have been part of
the pattern formation shifts required to increase the dimensions of the birth canal and not a response to any change in
gait pattern.
5.3. Reconstructing the emergence of the early hominid
pelvis from the LCA
The early hominid pelvis had to be anatomically modified
from a more primitive ancestral one and, as noted earlier,
changes in the upper pelvis clearly antedated those in the
lower portion (though one major anatomical change can obviously never occur in spatial isolation from others). Almost
all nominoids share several basic features of quadrupedal
pelvic structure: in particular, elongated ischial corpora and
superoinferiorly elongated ilia whose blades lie predominantly in the coronal plane (i.e., in quadrupeds both the
ilium and the ischiopubic portion of the pelvis are drawn
out craniocaudallythe former for long excursions of the
anterior gluteals and the latter for a long hamstring moment armboth mechanically advantageous in quadrupedal
progression). They also have coronally narrow sacra and
therefore a constricted true pelvis [27]. These usually have
no serious obstetric or volumetric consequences because the
sacral promontory lies high above (superior to) the pubic
symphysis, thus providing a more than ample birth passage
[62].
A comparison of the early hominid pelvis with this more
generalized form shows that its derivation was explicitly obtained by means of two systemic changes in spatial relations:
(1) the lower trunk (lumbar column) was elongated while
(2) the pelvis was (simultaneously?) shortened and broadened. Assuming that the primary soft tissue relationships remained largely unchanged (which is, in fact, largely the case
[63]), an isolated shortening of the upper pelvis would have
107
created a spatial crisis were not some volumetric compensation have been made.
In evolutionary hindsight this took the form of a coronal expansion of the entire pelvis. AL-288-1s marked interacetabular distance is the result of an exceptionally broad
sacrum (relatively broader, in fact, than that of any primate,
including modern humans, see Figs. 5 and 11), and coronally elongated superior and inferior pubic rami (whose spatial relations otherwise remained primitive and ape-like; see
earlier). These dimensional changes accompanied a sharp
retroflexion of the ilium, creating the greater sciatic notch
(which would later be greatly enlarged by anteroposterior
expansion of the human birth canal), an abrupt superoinferior shortening of the ilium, and an internal rotation of
its anterior superior iliac spines (ASISs) from their coronal
plane (as in apes) into a more sagittal one in A. afarensis.
These changes, with lumbar lordosis, placed the anterior
gluteals in a position for effective abduction during single
support phase, but did so without any significant sacrifice of
pelvic volume or (unnecessary) expansion of the birth canal
[61,64].
An exercise that both demonstrates the uniqueness of the
pelvis of AL-288-1 and provides insight into the pattern formation processes by which it must have been genetically
conscripted is to examine proportions of hominoid sacra.
Fig. 11 presents the relative breadth of the alae for humans,
African apes, and AL-288-1. Note the extreme position of
Fig. 11. Scatter plot of S1 sacral body size (square root of [anteroposterior
diameter of S1] [mediolateral diameter of S1]) and alar breadth ([sacral
breadth mediolateral diameter of S1]/2). Alar breadth is significantly
greater in humans than in apes; in fact, average human S1 size is about
equal to that of male gorillas (the 10 gorilla specimens on the right),
whose body mass can be more than three times that of humans. This is far
in excess of what is mechanically required to resist simple compressive
loading (the JRF in the S1/L3 joint of male gorillas can hardly be less
than that in human S1/L5 joints) and probably represents the combination
of the inferiorly expanding growth gradient discussed in the text plus an
enhanced resistance to lateral bending in the elongated lumbar column.
The extreme position of AL-288-1 implies that alar breadth has essentially
remained constant as centrum size increased with body mass. This in turn
probably reflects the need to differentially increase the anteroposterior
dimension of the birth canal, rather than its mediolateral one, which has
been relatively (but not absolutely) ample since the australopithecine stage.
108
109
Table 2
Hip JRF in AL-288-1 during static single support phase
Parameter
Best estimate
Joint angle + 1
Joint angle 1
Abductor angle + 1
Abductor angle 1
JRF angle
Abductor angle
JRF
Male (N = 8), mean S.D.
Female (N = 12), mean S.D.
7.5
11.5
2.28
2.34 0.08
2.60 0.17
8.5
2.94
6.5
1.86
10.5
2.69
10.5
1.99
Data were calculated by placing the reconstructed femur and restored pelvis in anatomical position during mid-stance phase (with the medial edge of
distal femur against the midline) and estimating the line of action of the principal lateral abductors (g. medius and minimus) with a cord (as a line running
from the lateral aspect of the greater trochanter to the midpoint of the distance between the ASIS and AIIS on the iliac blade). Assuming three principal
forces (unsupported body weight, the abductors line of action, and the hip JRF), the JRF can then be calculated in units of body weight because it
must pass through the center of the hip joint in order to establish equilibrium. For greater detail of these methods, see [67]. The best estimates are
provided in column one of the table and yield a JRF of 2.28. However, note that an error of one degree in either the joint angle (i.e., the angle of the
line of action of the JRF) or the abductor angle substantially alters the resulting estimate of the JRF. Thus such calculations are primarily of heuristic
value when applied to only a single specimen. However, even with these significant errors, the resulting JRF for AL-288-1 is within the human range.
110
Fig. 12. Acetabulae of AL-288-1 (A) and of two modern humans (B and C). Contrary to claims in the literature, the surface in the australopithecine
is not deficient, but is, in fact, a typical expression of a highly variable structurethe anterior horn of the lunate surface. Note that in specimen B the
subchondral bone of the anterior horn is entirely deficient and does not extend inferiorly beyond the white arrow. Such variations in detailed anatomical
structure occur throughout the skeleton. Their use in the interpretation of individual fossils represents the error of particularism, i.e., assuming that a
single specimen represents the archetype of a species, rather than an exemplar of expression within a potential range (for discussion, see text). In fact,
all skeletons may be expected to show deviations from mean anatomical expressiononly those that lie outside the normal range of variation are of
significance in the interpretation of fossils. Note the shape and form of the AIIS in the human specimens.
6. Summary
The adoption of upright walking occurred relatively early
in human evolutionary history. By 3 MYA, the pelvis had
been transformed from one adapted primarily to arboreal
quadrupedality as seen in living apes, to one tailored to terrestrial bipedality as seen in modern humans, including a
fully functional abductor mechanism with hip joint kinetics broadly similar our own. One of the earliest adjustments
to habitual bipedality in our ancestors was an elongation of
the lumbar spine that had been previously shortened as an
adaptation to arboreality. The unique human character of
lumbar lordosis that accompanied this elongation permitted
habitual repositioning of the HAT over fully extended lower
limbs. During the past 3 million years, primary changes in
the human spine and pelvis have centered around lumbar
re-shortening (possibly in response to selection against
scoliosis as well as flexion injury) and a restructuring of the
human pelvis so as to permit passage of large-brained term
fetuses. Much of the latter changes have centered around the
pelvic midplane and outlet. There is substantial evidence that
the muscular investments of the human thigh were demonstrably altered to accompany these changes. These will be
discussed in the next segment of this series.
Acknowledgements
I thank M.A. McCollum, P.L. Reno, B.A. Rosenman, and
M.A. Serrat for extensive critical readings of the manuscript.
Illustrations are by L.B. Spurlock and M.A. McCollum. I
thank the Cleveland Museum of Natural History for general
access to comparative specimans.
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