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Living with Cono-spondylar dysplasia

A rare genetic bone condition with a rounded upper back, short fingers, and developmental delay from early life.

Understanding Cono-spondylar dysplasia

Cono-spondylar dysplasia is a rare genetic bone condition marked by early, severe curving of the lower spine and short fingers.

It also causes cone-shaped ends on the finger bones. Other features can include developmental delay, intellectual disability, low muscle tone, and seizures. Some people have mild facial differences, like a long, thin, or square face and wide-set eyes. X-rays can show small hip bones and gaps in the front of the spine bones. It starts during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Severe curve of the spine (kyphosis)
  • Short fingers or toes (brachydactyly)
  • Severe developmental delay
  • Low muscle tone (hypotonia)
  • Seizures
  • Poor weight gain (failure to thrive)

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, brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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
Which gene is involved, and would genetic testing help our family?
How should the spine be monitored and treated?
What can help with seizures and development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent. GARD doesn't name a gene.

GeneticNeurological

Also known as: short stature-kyphosis-hypoplasia of basal ilia-cone epiphyses-facial dysmorphism syndrome; short stature, kyphosis, hypoplasia of basal ilia-cone epiphyses, facial dysmorphism syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cono-spondylar dysplasiaGARD ID 21750 · 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 Cono-spondylar dysplasia.

Explore the Cono-spondylar dysplasia blog

Explore research for Cono-spondylar dysplasia

Explore actively recruiting Cono-spondylar dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cono-spondylar dysplasia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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