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Living with NEK9-related lethal skeletal dysplasia

A rare bone condition seen before birth, with stiff joints, short bones, and a narrow chest.

Understanding NEK9-related lethal skeletal dysplasia

NEK9-related lethal skeletal dysplasia is a rare bone condition that is seen before birth.

Babies move very little before birth (fetal akinesia). They have stiff, bent joints (contractures), shortened long bones, short broad ribs, a narrow chest, underdeveloped lungs, and a protruding belly. Short, bowed thigh bones may also be present.

Signs & symptoms

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

  • Short long bones
  • Short, broad ribs
  • Narrow chest
  • Underdeveloped lungs
  • Club feet
  • Small lower jaw (micrognathia)

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, genetic specialists and lung and breathing specialists.

  3. Consider genetic testing

    Changes in NEK9 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Lung and breathing specialists (pulmonologists)
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
Should we have genetic testing for the NEK9 gene?
What is the chance of this happening in another pregnancy?
Which specialists can support our family?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive
GenesNEK9

GARD lists changes in the NEK9 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticRespiratory

Also known as: lccs10; lethal congenital contracture syndrome 10; lethal congenital contracture syndrome type 10; lethal skeletal dysplasia-fetal akinesia-contractures-thoracic dysplasia-pulmonary hypoplasia syndrome; lethal skeletal dysplasia, fetal akinesia, contractures, thoracic dysplasia, pulmonary hypoplasia syndrome; nima related kinase 9 lethal skeletal dysplasia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · NEK9-related lethal skeletal dysplasiaGARD ID 17818 · 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 NEK9-related lethal skeletal dysplasia.

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Explore actively recruiting NEK9-related lethal skeletal dysplasia studies with HealthSpark.

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