Osteogenesis Imperfecta (OI) presents challenges in anesthesia due to fragile bones, risk of cervical spine instability, and potential for difficult airway management. We present the case of a 7-year-old male with OI Type I undergoing open reduction internal fixation of a right subtrochanteric femur fracture. Despite anticipated airway difficulties and musculoskeletal abnormalities, meticulous planning and vigilant anesthesia management ensured a successful outcome.
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