Abstract
Scoliosis is the most common skeletal deformity seen in patients with neurofibromatosis type 1. It is classified based on dystrophic features seen on imaging. Classification is important for deciding on the management options. Nondystrophic curves can be treated similar to idiopathic curves. Conservatively treated curves should be monitored for curve modulation. Dystrophic curves should be managed surgically with 360-degree fusion. Special attention should be focused on fusion as the rate of pseudoarthrosis is higher in these curves. To get good results and avoid neurologic complications, screening of the whole spine is mandatory to identify associated bony and intraspinal anomalies that may be missed when focusing on the main curve.
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