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Rigid spine syndrome (RSS) is a slowly progressive childhood-onset congenital muscular dystrophy characterized by contractures of the spinal extensor muscles associated with abnormal posture (limitation of neck and trunk flexure), progressive scoliosis of the spine, early marked cervico-axial muscle weakness with relatively preserved strength and function of the extremities and progressive respiratory insufficiency.
Features include very common findings: Neck muscle weakness, Generalized hypotonia, Difficulty breathing (respiratory insufficiency), and Sideways curvature of the spine (scoliosis) and others; and common findings: Hyporeflexia, Pneumonia, Poor head control, and Elbow flexion contracture and others. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 8 | Neck muscle weakness, Generalized hypotonia, Myopathy |
Phenotype severity distribution: 7 very common features, 10 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for rigid spine syndrome.
8 publications have been identified in PubMed for rigid spine syndrome. Research spans Basic Science / Preclinical (38%), Case Report / Case Series (25%), and Review / Meta-Analysis (13%).
Dofash LNH (2025). [PMID: 39531736](https://pubmed.ncbi.nlm.nih.gov/39531736/). *Brain : a journal of neurology*. [Gene Therapy / Novel Therapeutics]
Finch M (2025). [PMID: 40388931](https://pubmed.ncbi.nlm.nih.gov/40388931/). *Journal of child neurology*. [Case Report / Case Series]
Dofash LNH (2025). [PMID: 40581737](https://pubmed.ncbi.nlm.nih.gov/40581737/). *Human molecular genetics*. [Basic Science / Preclinical]
Risi B (2025). [PMID: 39980054](https://pubmed.ncbi.nlm.nih.gov/39980054/). *Journal of medical case reports*. [Case Report / Case Series]
Harikrishna GV (2024). [PMID: 38968056](https://pubmed.ncbi.nlm.nih.gov/38968056/). *Journal of neuromuscular diseases*. [Epidemiology / Natural History]
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 1:55 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 4 | Sideways curvature of the spine (scoliosis), Abnormal skeletal morphology, Skeletal muscle atrophy |
Brain and nerves | 4 | Spinal rigidity, Hyporeflexia, Global developmental delay |
Lungs and breathing | 3 | Difficulty breathing (respiratory insufficiency), Pneumonia, Abnormality on pulmonary function testing |
Heart and blood vessels | 1 | Cardiac conduction abnormality |
Caputo M (2024). [PMID: 40017287](https://pubmed.ncbi.nlm.nih.gov/40017287/). *Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology*. [Review / Meta-Analysis]
Inoue M (2024). [PMID: 39483874](https://pubmed.ncbi.nlm.nih.gov/39483874/). *Research square*. [Basic Science / Preclinical]
Inoue M (2024). [PMID: 39468638](https://pubmed.ncbi.nlm.nih.gov/39468638/). *Acta neuropathologica communications*. [Basic Science / Preclinical]