Adult Neuromuscular Scoliosis
Surgical Treatment
The goal of operative treatment is to reduce pain, correct or stabilize the deformity, revise or improve patient function by achieving a balanced position in the frontal and sagittal planes. A comprehensive medical review is necessary including nutritional assessment to optimize surgical outcome. Surgical correction can be achieved through anterior, posterior or combination approaches, depending on the specifics of the patients deformity and physiologic situation. Most patients especially those who are wheelchair bound will require long fusions to include the sacrum and the pelvis. Older patients, especially with progressive neurological conditions, may be prone to construct failure. Consideration must be given to the quality of the bone and the strength of the surrounding muscles and other soft tissues. Revision surgeries are frequently necessary in the adult neuromuscular scoliosis population.








