Article Text

Download PDFPDF
Continuous Spinal Anesthesia for Cesarean Delivery in a Patient With Arthrogryposis Multiplex Congenita: A Clinical Report
  1. Anna Rozkowski, M.D.,
  2. Dorota Smyczek, M.D. and
  3. David J. Birnbach, M.D.
  1. St. Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons of Columbia University, New York, New York
  1. Reprint requests: David J. Birnbach, M.D., Director of Obstetric Anesthesiology, St. Luke's-Roosevelt Hospital Center, 1000 Tenth Avenue, New York, NY 10019.


Background and Objectives Arthrogryposis multiplex congenita (AMC) is a syndrome, diagnosed at birth, which presents with multiple joint contractures. Because this disease often progresses until there is dysfunction of multiple organ systems, it may have an impact on the anesthetic management. There are few anesthetic reports of this disease in the adult pregnant patient.

Methods A patient with AMC who underwent elective cesarean delivery with continuous subarachnoid bupivacaine anesthesia.

Results The patient delivered a healthy infant and recovered uneventfully from the anesthetic with no postoperative complications.

Conclusion Continuous spinal anesthesia can be safely used for cesarean delivery in patients with AMC in the presence of appropriate monitoring.

  • arthrogryposis multiplex congenita
  • cesarean delivery
  • continuous spinal anesthesia

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.