Osteogenesis imperfecta: cesarean deliveries in identical twins

• Patients with severe osteogenesis imperfecta are mostly delivered by cesarean section.
• Both general and neuraxial techniques have been successful for cesarean anesthesia.
• Individual patient characteristics should be used to determine mode of anesthesia.

Osteogenesis imperfecta is a congenital disorder resulting in multiple fractures and extremely short stature, usually necessitating cesarean delivery. Identical twins with severe osteogenesis imperfecta each of whom underwent a cesarean delivery with different anesthetic modalities are presented. A review of the literature and anesthetic options for cesarean delivery and postoperative analgesia for women with osteogenesis imperfecta are discussed.