Hereditary multiple osteochondromas is a condition characterized by multiple osteochondromas throughout the body. Anesthetic management can be challenging because of the location, size, number, and proximity of neurovascular structures, and pain management. This is a case report of an 18-year-old girl with multiple hereditary exostoses who was scheduled for excision of T12 vertebral exostosis. This case adds to the medical literature by providing valuable insights into the management of a rare and challenging condition. It offers a detailed account of the surgical and anesthetic considerations and emphasizes the importance of a multidisciplinary approach for optimal patient outcomes.
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