The grid system in columnsets works very well until the moment you include a multiline equation somewhere. This causes the entire rest of the page to be out of alignment with the grid. Try running this code with MkIV:
\setuplayout
[grid=yes]
\setupindenting[yes,medium]
\definecolumnset[example][n=2]
\setupformulas[indentnext=auto]
\starttext
\showgrid
\startcolumnset[example]
\input knuth
\input knuth
\input knuth
\startformula
\startmathalignment
\NC x^2 + y^2 \NC = z^2\NR[+]
\NC u^2 + v^2 \NC = w^2\NR[+]
\stopmathalignment
\stopformula
\input knuth
\input knuth
\input knuth
\stopcolumnset
\stoptext