Spondylothoracic Dysostosis in Puerto Rico
Puerto Rico is the smallest of the four Greater Antilles islands, which also includes Cuba, Hispaniola, and Jamaica, localized in the Caribbean Sea. Puerto Rico was discovered in 1493 by Christopher Columbus and became a Spanish territory until the Spanish–American War of 1898, when it became a US territory. The particular history of our country provides us with a specific social, cultural, and ethnic situation. We are the only Latin-American country whose people have US citizenship. The two official languages of Puerto Rico are Spanish and English. The island population is 3.9 million (U.S. Census Bureau 2000, www.census.gov) and taking into consideration that the island is only 35 miles wide and 100 miles long, this makes us a densely populated country with 1,115.8 people per square mile.
KeywordsCongenital Scoliosis Sort Intolerant From Tolerant bHLH Domain Early Onset Scoliosis Segmentation Defect
I would like to acknowledge the dozens of patients with STD and their families for all their help and collaboration in establishing the natural history of this disease as well as determining the molecular etiology. They have become part of my extended family and I feel privileged for their “cariño y respeto.” “Yo también los quiero mucho.”
I would also like to acknowledge ICVAS, the International Consortium of Vertebral Abnormalities and Scoliosis, as well as my collaborators Dr. Norman Ramirez, Dr. Jose Acevedo, Dr. Simon Carlo, Dr. Jesse Romeu, Dr. Jhon Flynn, Dr. Sandra Arroyo, Dr. Hostos Fernandez, Lcda. Ivette Ramos, and Lcda. Velma Franceschini for their support and collaboration in the research of STD throughout the years.
Finally, I would like to express my depth of appreciation to the editors of this fantastic book, Drs. Kenro Kusumi and Sally Dunwoodie, for inviting me to share with you the history, research, and personal experience on spondylothoracic dysostosis syndrome.
To all of you “gracias mil.”
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