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Living with Sponastrime dysplasia

A rare genetic bone condition with spine and facial differences, short limbs and bone marrow problems.

Understanding Sponastrime dysplasia

Sponastrime dysplasia is a rare genetic disorder with bone marrow failure, spine differences and a flat nasal bridge.

The name refers to spine (spondylo), nose (nasal, saddle nose) and striations in the ends of the long bones (metaphyseal striations). Children are small before and after birth, with short limbs, flattened spine bones, a short neck of the thighbone and a flat midface. Signs start in the newborn and infant period.

Signs & symptoms

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

  • Short limbs and short stature
  • Flattened spine bones
  • Flat nasal bridge and flat midface
  • Short fingers and toes
  • Knock knees
  • Small size at birth

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 and genetic specialists.

  3. Consider genetic testing

    Changes in TONSL 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)
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 Kniest SED Group
  • 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 of the TONSL gene confirm this diagnosis?
How should bone marrow and blood counts be checked?
Which bone specialists should we see?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTONSL

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

Genetic

Also known as: spondylar and nasal alterations with striated metaphyses; spondylar and nasal alterations-striated metaphyses syndrome; spondylar and nasal changes with striations of the metaphyses (sponastrime) dysplasia; spondylar and nasal changes with triations of the metaphyses (sponastrime) dysplasia; spondyloepimetaphyseal dysplasia, sponastrime type

Patient organizations

Source: NIH GARD · Sponastrime dysplasiaGARD ID 4970 · 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 Sponastrime dysplasia.

Explore the Sponastrime dysplasia blog

Explore research for Sponastrime dysplasia

Explore actively recruiting Sponastrime dysplasia studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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