Classification of Osteogenesis Imperfecta revisited

F. S. van Dijk, G. Pals, R. R. van Rijn, P. G. J. Nikkels, J. M. Cobben

Research output: Contribution to journalReview articleAcademicpeer-review

183 Citations (Scopus)


In 1979 Sillence proposed a classification of Osteogenesis Imperfecta (OI) in OI types I, II, III and IV. In 2004 and 2007 this classification was expanded with OI types V-VIII because of distinct clinical features and/or different causative gene mutations. We propose a revised classification of OI with exclusion of OI type VII and VIII since these types have been added because of genetic criteria (autosomal recessive inheritance) while the clinical and radiological features are indistinguishable from OI types II-IV. Instead, we propose continued use of the Sillence criteria I, II-A, II-B, II-C, III and IV for clinical and radiological classification of OI with additional mentioning of the causative mutated gene to this classification. OI type V and VI are still part of this revised classification, because of the distinguishing clinical/radiological and/or histological features observed in these types. (C) 2009 Elsevier Masson SAS. All rights reserved
Original languageEnglish
Pages (from-to)1-5
JournalEuropean journal of medical genetics
Issue number1
Publication statusPublished - 2010

Cite this