I know most databases have restrictions, but Postgres doesn’t. You can run any number table creations, column changes and index changes in a transaction, and the changes aren’t visible to other users unit COMMIT succeeds. That’s how databases should be! 🙂
As for SQL Server you can run DDL inside of a transaction, but SQL Server does not version metadata, and so changes would be visible to others before the transaction commits. But some DDL statements can be rolled back if you are in a transaction, but for which ones work and which ones don’t you’ll need to run some tests.