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Living with Spondyloepimetaphyseal dysplasia, Strudwick type

A rare bone condition with short stature from birth, short limbs, spine changes, and facial differences.

Understanding Spondyloepimetaphyseal dysplasia, Strudwick type

Spondyloepimetaphyseal dysplasia, Strudwick type is a rare bone condition with short stature that is clear from birth.

Limbs are short, and the spine may curve and have flattened bones. Bone changes can be seen on X-rays within the first year of life. Nearsightedness is common. Facial features include wide-set eyes and a flat face, and some people have Pierre Robin sequence, which includes a small lower jaw and a tongue that falls back. Some people have unstable neck bones.

Signs & symptoms

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

  • Short stature with short limbs
  • Curved spine and flattened spine bones
  • Unstable neck bones (cervical instability)
  • Nearsightedness (myopia)
  • Wide-set eyes and flat face
  • Hearing loss

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 COL2A1 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); 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
How can we check my child's neck for instability?
How often should we get eye and hearing exams?
Would COL2A1 gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesCOL2A1

Changes in the COL2A1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

Genetic

Also known as: dappled metaphysis syndrome; semd - spondyloepimetaphyseal dysplasia, strudwick type; semdstwk; spondyloepimetaphyseal dysplasia congenita, strudwick type; strudwick syndrome

Patient organizations

Source: NIH GARD · Spondyloepimetaphyseal dysplasia, Strudwick typeGARD ID 134 · 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 Spondyloepimetaphyseal dysplasia, Strudwick type.

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