Circulatory collapse during scoliosis surgery on Jackson table: a case report

A 12-year-old female was brought to the operating room for T10-L4 correction and posterior fusion. She had adolescent idiopathic scoliosis, was extremely underweight (body mass index: 16.5 kg/m2), and had a short chest anteroposterior diameter (15 cm) but no chest wall deformity or cardiopulmonary comorbidities. After she was manually turned to the prone position on the Jackson table, a rapid circulatory collapse occurred. Despite fluid resuscitation and vasopressor therapy, no improvement was observed in the patient’s hemodynamic parameters. However, her hemodynamics were immediately stabilized after the cessation of surgery and repositioning to the supine position on the stretcher trolley. To continue the procedure, the Jackson table was replaced with a universal operating table with two additional rolls (which support the patient’s chest to the anterior superior iliac spine level vertically), and the surgery was successfully per-formed without any additional hemodynamic instability.