Parents should discourage upright sitting prior to age 1 year in order to decrease development of basilar impression later in life. Encourage shock-absorbing footwear with arch support. No medical therapy is necessary for the disease itself. Physical therapy Therapy should be directed toward improvement in joint mobility along with muscle strength development. Overall, stress achieving functional ability.
Most patients die within the first year of life.
Parents should discourage upright sitting prior to 1 year of age in order to decrease development of basilar impression later in life. Osteogenesis imperfecta type IV A is most likely to be confused with child abuse. In mild cases of type IV B, the sclera and teeth are normal. Family history is not present. When these are present, they are associated with thin cortices and osteopenia.