Neuromuscular Scoliosis: Hybrid Fixation and Iliac Screw Modification of Luque–Galveston Technique

The treatment of scoliosis in neuromuscular patients is a challenging problem. The natural history of neuromuscular scoliosis is that of curve progression. However, not all patients need surgical fixation. We discuss the pre-, peri-, and postoperative management of these patients. Our preferred technique is hybrid fixation and iliac screw modification of the Luque–Galveston technique. Rigid fixation with pedicle screws is used proximally and distally. Sublaminar wires are used in the central part of the fixation. If pelvic fixation is to be undertaken, the use of iliac screws with offset connectors is preferred. This technique has provided us with a safe and effective means of fixation in this group of patients.