TABLE 1.

Anesthetic challenges expected and the management.

Anesthetic concern	Challenges expected	Management in our case
Limited neck mobility, a Mallampati IV classification, a short thyromental distance and dysgenic teeth	Potential difficult airway	Awake fibrobronchoscope‐guided endotracheal intubation
Brittle bones and limb deformities	Possible fractures during transfer, positioning, monitoring. Difficult monitoring and bony pressure points	Gentleness in transferring, positioning for regional and surgical procedure Invasive blood pressure management
Severe scoliosis	Difficult central neuraxial block Restrictive lung disease	Neuraxial anesthesia precluded Lung protective ventilation strategies and postoperative physiotherapy
Risk of malignant hyperthermia	Increased risk of GA	Inhalation anesthetics and succinylcholine avoided