Severe hypotension associated with the prone position in a child with scoliosis and pectus excavatum undergoing posterior spinal fusion.

STUDY DESIGN: Case report. OBJECTIVE: We report a case of severe hypotension associated with prone positioning in a child with scoliosis and pectus excavatum. SUMMARY OF BACKGROUND DATA: Pectus excavatum is commonly associated with scoliosis and can impact cardiac function. METHODS: Retrospective case analysis. RESULTS: After a modified Ravitch procedure to repair the pectus excavatum, the patient was able to undergo posterior spinal fusion. CONCLUSIONS: Pediatric deformity surgery requires a multidisciplinary approach.