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Spondylo-ocular syndrome is a very rare association of spinal and ocular manifestations that is characterized by dense cataracts, and retinal detachment along with generalized osteoporosis and platyspondyly. Mild craniofacial dysphormism has been reported including short neck, large head and prominent eyebrows.
Features include always present findings: Dysplastic aortic valve, Cataract, Vertebral compression fracture, and Pes planus and others; and common findings: Femur fracture, Retinal detachment, Low posterior hairline, and Unilateral cryptorchidism and others. 35 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 6 | Retinal detachment, Cataract, Nystagmus |
XYLT2 function has not been fully characterized.
Spondylo-ocular syndrome is associated with mutations in the XYLT2 gene on chromosome 17.
Genetic testing for XYLT2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 7 always present features, 22 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for spondylo-ocular syndrome.
5 publications have been identified in PubMed for spondylo-ocular syndrome. Research spans Case Report / Case Series (60%), Review / Meta-Analysis (20%), and Epidemiology / Natural History (20%).
Amini MJ (2026). [PMID: 42116084](https://pubmed.ncbi.nlm.nih.gov/42116084/). *J Med Case Rep*. [Case Report / Case Series]
Sillence D (2025). [PMID: 40425277](https://pubmed.ncbi.nlm.nih.gov/40425277/). *Journal of medical genetics*. [Epidemiology / Natural History]
Misgar RA (2024). [PMID: 38829420](https://pubmed.ncbi.nlm.nih.gov/38829420/). *Calcified tissue international*. [Case Report / Case Series]
Chen M (2024). [PMID: 39528281](https://pubmed.ncbi.nlm.nih.gov/39528281/). *Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics*. [Case Report / Case Series]
Sillence DO (2024). [PMID: 38942908](https://pubmed.ncbi.nlm.nih.gov/38942908/). *Calcified tissue international*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:50 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints |
3 |
Femur fracture, Mild bone density loss (osteopenia), Vertebral compression fracture |
Heart and blood vessels | 3 | Dysplastic aortic valve, Atrial septal defect, Mitral valve prolapse |
Arms and legs | 3 | Overlapping toe, Long fingers, Long toe |
Growth and development | 1 | Short stature |
Brain and nerves | 1 | Unsteady gait |
Muscles | 1 | Muscle weakness |
Skin | 1 | Lymphedema |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |