Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome

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ORPHA:397927OMIM:615709Q87.5
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Overview

Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome is an extremely rare congenital condition that affects the development of the spine and lower back. In this syndrome, the sacrum (the triangular bone at the base of the spine) fails to form properly, which is called sacral agenesis. Additionally, the bones of the spine (vertebral bodies) do not harden and develop normally, a process known as abnormal ossification. The condition also involves a persistent notochordal canal, which means that a structure from early embryonic development that normally disappears before birth remains present within the vertebral bodies. Together, these features can lead to problems with posture, movement, and nerve function in the lower body. Patients may experience weakness or numbness in the legs, bladder and bowel control difficulties, and skeletal abnormalities visible on imaging. Because this syndrome is so rare, treatment is mainly supportive and focused on managing individual symptoms. Orthopedic interventions, physical therapy, and urological management may be needed depending on the severity of the spinal and nerve involvement. Early diagnosis through imaging and genetic evaluation is important to plan appropriate care.

Key symptoms:

Absent or underdeveloped sacrum (lower spine bone)Abnormal shape or formation of the spinal bonesLeg weakness or reduced movementNumbness or reduced sensation in the legsBladder control problemsBowel control problemsAbnormal curvature of the spineDifficulty walking or delayed walkingHip abnormalitiesLower back pain or instabilityFoot deformities such as clubfootShort stature or shortened trunk

Inheritance

Sporadic

Usually appears on its own, not inherited from a parent

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome.

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No actively recruiting trials found for Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome at this time.

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No specialists are currently listed for Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome.

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Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome.

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Community

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Latest news about Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is the sacral agenesis and what parts of the spine are affected?,What is the current status of my child's bladder and bowel function, and what management plan do you recommend?,Will my child need surgery, and if so, what kind and when?,What physical therapy or rehabilitation services should we start?,Are there genetic tests that could help us understand the cause and any risk to future children?,What signs of complications should I watch for at home?,How often should we schedule follow-up visits with each specialist?

Common questions about Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome

What is Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome?

Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome is an extremely rare congenital condition that affects the development of the spine and lower back. In this syndrome, the sacrum (the triangular bone at the base of the spine) fails to form properly, which is called sacral agenesis. Additionally, the bones of the spine (vertebral bodies) do not harden and develop normally, a process known as abnormal ossification. The condition also involves a persistent notochordal canal, which means that a structure from early embryonic development that normal

How is Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome inherited?

Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome follows a sporadic inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome typically begin?

Typical onset of Sacral agenesis-abnormal ossification of the vertebral bodies-persistent notochordal canal syndrome is neonatal. Age of onset can vary across affected individuals.