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Living with Axial spondylometaphyseal dysplasia

A genetic bone growth condition with short height and early, worsening vision loss.

Understanding Axial spondylometaphyseal dysplasia

Axial spondylometaphyseal dysplasia is a genetic disorder of bone growth that mainly affects the chest, pelvis, spine, upper arms, and upper legs.

It leads to short height. For reasons not well understood, it also causes early vision loss that gets worse over time. Onset is listed as infancy and childhood. It is thought to be autosomal recessive.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short height and slow growth
  • Flattened spine bones (platyspondyly)
  • Deformed rib cage
  • Hip bone differences (coxa vara)
  • Breakdown of light-sensing cells in the eye (retinal dystrophy)
  • Reduced clarity of vision

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CFAP410 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Little People of America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the CFAP410 gene confirm the diagnosis?
How often should my eyes and retina be checked?
Which specialists should follow bone growth?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesCFAP410

GARD's summary says the cause is unknown, but GARD lists the CFAP410 gene. It is thought to be autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: axial smd

Patient organizations

Source: NIH GARD · Axial spondylometaphyseal dysplasiaGARD ID 8720 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Axial spondylometaphyseal dysplasia.

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