Table Of ContentThe Genetics and Development of Scoliosis
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Kenro Kusumi Sally L. Dunwoodie
Editors
The Genetics and
Development of Scoliosis
123
Editors
KenroKusumi SallyL.Dunwoodie
SchoolofLifeSciences DevelopmentalBiologyDivision
ArizonaStateUniversity VictorChangCardiacResearchInstitute
P.O.Box874501 UniversityofNewSouthWales
TempeAZ85287-4501 LowyPackerBuilding
USA 405LiverpoolSt.
DarlinghurstNSW2010
Australia
ISBN978-1-4419-1405-7 e-ISBN978-1-4419-1406-4
DOI10.1007/978-1-4419-1406-4
SpringerNewYorkDordrechtHeidelbergLondon
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Preface
Scoliosisisalateralcurvatureofthespinethatisfrequentlyencounteredbyhealth-
care professionals. Scoliosis has historically been categorized into congenital,
neuromuscular, and idiopathic forms, and related curves include kyphosis, kypho-
scoliosis,andlordosis.Patientsaffectedbyscoliosisareconcernedaboutprognosis,
associated health conditions, and recurrence risks. Developmental genetic stud-
ies of the spine and linkage and family-based association studies have led to
recent advances in understanding the genetic etiology of idiopathic and congeni-
talscoliosis.Advancesingenotypingandsequencingtechnologypromisetofurther
increaseourunderstandingoftheheterogeneousgroupofdisordersinvolvingspinal
curvatures.
The inspiration for this volume was derived from the invited session,
StraighteningOuttheCurves:UnderstandingtheGeneticsBasisofIdiopathicand
CongenitalScoliosisorganizedatthe2008AmericanCollegeofMedicalGenetics,
Annual Clinical Genetics Meeting in Phoenix, AZ, USA. The goals of that ses-
sion were to bring leading researchers of both congenital and idiopathic scoliosis
to present the current state of research and to compare potential shared develop-
mentalandgeneticmechanisms.Followinguponthediscussionsfromthissession,
thisvolumepresentstherecentadvancesinstudiesofearlyspinaldevelopmentand
howdisruptionsinembryonicsegmentationcanleadtocongenitalvertebraldefects.
Thisvolumealsodescribesarecentlydefinedclinicalclassificationsystemforcon-
genitalvertebraldisorders,basedonidentificationofmutationsingenesregulating
segmentation. In addition, recent reports of genetic loci predisposing patients to
developjuvenileandadolescentidiopathicscoliosisarepresented,andkeyclinical
featuresarereviewed.Finally,thereisdiscussionofhowgeneticheterogeneityand
gene–environment interactions may contribute to congenital scoliosis and isolated
vertebralmalformations.
vii
viii Preface
Our understanding of the genetic and developmental mechanisms underlying
scoliosisisrapidlyevolving,andourgoalineditingTheGeneticsandDevelopment
ofScoliosiswastoprovideresearchers,clinicians,andstudentswiththeemerging
viewsinthisfield.
Tempe,Arizona KenroKusumi
Darlinghurst,NewSouthWales SallyL.Dunwoodie
Contents
1 GeneticRegulationofSomiteandEarlySpinalPatterning . . . . . 1
KenroKusumi,WalterEckalbar,andOlivierPourquié
2 DevelopmentandFunctionalAnatomyoftheSpine . . . . . . . . . 21
AlanRawlsandRebeccaE.Fisher
3 EnvironmentalFactorsandAxialSkeletalDysmorphogenesis . . . 47
PeterG.AlexanderandRockyS.Tuan
4 OverviewandComparisonofIdiopathic,Neuromuscular,
andCongenitalFormsofScoliosis. . . . . . . . . . . . . . . . . . . 73
BenjaminAlman
5 Abnormal Vertebral Segmentation (or Segmentation
DefectsoftheVertebrae)andtheSpondylocostalDysostoses . . . . 81
PeterD.Turnpenny
6 SpondylothoracicDysostosisinPuertoRico . . . . . . . . . . . . . 109
AlbertoSantiagoCornier
7 Progress in Understanding Genetic Contributions in
SyndromicandNon-SyndromicDisordersAssociatedwith
Congenital,Neuromuscular,andIdiopathicScoliosis . . . . . . . . 127
PhilipF.Giampietro
8 GeneticsandFunctionalPathologyofIdiopathicScoliosis . . . . . 153
NancyH.Miller
9 CurrentUnderstandingofGeneticFactorsinIdiopathic
Scoliosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
CarolA.WiseandSwarkarSharma
10 Conclusion: Trends and Predictions for Genetic
andDevelopmentalBiologicalResearchonScoliosis . . . . . . . . 191
KenroKusumi
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
ix
Contributors
PeterG.Alexander,Ph.D. DepartmentofOrthopaedicSurgery,Centerfor
CellularandMolecularEngineering,UniversityofPittsburghSchoolofMedicine,
Pittsburgh,PA15219,USA,[email protected]
BenjaminAlman,M.D. HospitalforSickChildrenandUniversityofToronto,
Toronto,Ontario,[email protected]
AlbertoSantiagoCornier,M.D.,Ph.D. DepartmentofMolecularMedicine,
HospitaldelaConcepción,SanGermán,PuertoRico;PonceSchoolofMedicine,
Ponce,PuertoRico,[email protected]
WalterEckalbar SchoolofLifeSciences,ArizonaStateUniversity,Tempe,AZ
85287,[email protected]
RebeccaE.Fisher,Ph.D. DepartmentofBasicMedicalSciences,TheUniversity
ofArizonaCollegeofMedicine–PhoenixinpartnershipwithArizonaState
University,Phoenix,AZ85004,USA;SchoolofLifeSciences,ArizonaState
University,Tempe,AZ85287,USA,rfi[email protected]
PhilipF.Giampietro,M.D.,Ph.D. DepartmentofPediatrics,WaismanCenter,
TheUniversityofWisconsin-Madison,Madison,WI53705-9345,USA,
[email protected]
KenroKusumi,Ph.D. SchoolofLifeSciences,ArizonaStateUniversity,Tempe,
AZ85287,USA;DepartmentofBasicMedicalSciences,TheUniversityof
ArizonaCollegeofMedicine–PhoenixinpartnershipwithArizonaState
University,Phoenix,AZ85004,USA,[email protected]
NancyH.Miller,M.D. DepartmentofOrthopaedicSurgery,Musculoskeletal
ResearchCenter,TheChildren’sHospitalandUniversityofColoradoDenver,
Aurora,CO80045,USA,[email protected]
OlivierPourquié,Ph.D. DépartementdeBiologieCellulaireetDéveloppement,
InstitutdeGénétiqueetdeBiologieMoléculaireetCellulaire(IGBMC),Illkirch,
F-67400France;Inserm,U964,Illkirch,F-67400France;CNRS,UMR7104,
Illkirch,F-67400France;UniversitédeStrasbourg,Strasbourg,F-67000France,
[email protected]
xi
xii Contributors
AlanRawls,Ph.D. SchoolofLifeSciences,ArizonaStateUniversity,Tempe,AZ
85287,USA;DepartmentofBasicMedicalSciences,TheUniversityofArizona
CollegeofMedicine–PhoenixinpartnershipwithArizonaStateUniversity,
Phoenix,AZ85004,USA,[email protected]
SwarkarSharma,Ph.D. TexasScottishRiteHospitalforChildren,Dallas,TX
75219,USA,[email protected]
RockyS.Tuan,Ph.D. DepartmentofOrthopaedicSurgery,CenterforCellular
andMolecularEngineering,UniversityofPittsburghSchoolofMedicine,
Pittsburgh,PA15219,USA,[email protected]
PeterD.Turnpenny,M.B.Ch.B. ClinicalGeneticsDepartment,RoyalDevon&
ExeterHospitalandPeninsulaMedicalSchool,ExeterEX12ED,UK,
[email protected]
CarolA.Wise,Ph.D. TexasScottishRiteHospitalforChildren,Dallas,TX
75219,USA,[email protected]
Description:The Genetics and Development of Scoliosisedited by Kenro Kusumi, Ph.D.Table of Contents: Genetic Regulation of Somite and Early Spinal Patterning Kenro Kusumi, Ph.D., Walter Eckalbar, Olivier Pourquie, Ph.D. Development and Functional Anatomy of the Spine J. Alan Rawls, PhD and Rebecca E. Fisher, Ph