Spondylo-metaphyseal dysplasia of Sutcliffe type
Kozlowski, K.; Bellemore, M.C.
British Journal of Radiology 62(741): 862-864
In 1965, Sutcliffe presented to the European Society of Paediatric Radiology two cases of spondylometaphyseal dysplasia with a distinctive pattern of bone changes. The purpose of this paper is to report a third case and to describe the radiographic features of this rare entity. The patient was the product of an uncomplicated, term pregnancy and normal vaginal delivery. The mother took benzodiazepine sedatives during the first and third trimesters of the pregnancy. At birth, the patient was noted to be a healthy female weighing 2650 g. The parents were unrelated and had two other children who were normal. There was no family history of short stature. The patient's growth and development were thought to be normal during her first year of life. However, she did not walk until 18 months old. At 2 years of age, she was seen by a paediatrician because of frequent falls. Her gross motor development and neurological examination were found to be normal. Over the next 6 months she continued to have frequent falls and the patient was referred to the Orthopaedic Department at the Royal Alexandra Hospital for Children because she had an abnormal gait.